https://microbewiki.kenyon.edu/index.php?title=AIDS_Dementia&feed=atom&action=history
AIDS Dementia - Revision history
2024-03-29T11:47:56Z
Revision history for this page on the wiki
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https://microbewiki.kenyon.edu/index.php?title=AIDS_Dementia&diff=54694&oldid=prev
BarichD at 19:56, 11 August 2010
2010-08-11T19:56:31Z
<p></p>
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 19:56, 11 August 2010</td>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==INTRODUCTION==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==INTRODUCTION==</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>As recently improved antiretroviral therapies transformed AIDS from an acute condition to more of a chronic source of morbidity, AIDS patients are living longer with the disease. While the mortality rates have leveled in recent years, the HIV epidemic continues to grow (Meehan 226). The graph below illustrates the growing percentage of HIV/AIDS cases, as of 2007. One of the most significant causes of morbidity for patients with late stage HIV-1 is AIDS Dementia Complex (ADC). Often referred to as “the forgotten face of HIV disease” the neurocognitive and neurobehavioral complications associated with HIV are among the most degenerative complications (Meehan 225). </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>As recently improved antiretroviral therapies transformed AIDS from an acute condition to more of a chronic source of morbidity, AIDS patients are living longer with the disease. While the mortality rates have leveled in recent years, the HIV epidemic continues to grow (Meehan 226). The graph below illustrates the growing percentage of HIV/AIDS cases, as of 2007. One of the most significant causes of morbidity for patients with late stage HIV-1 is AIDS Dementia Complex (ADC). Often referred to as “the forgotten face of HIV disease” the neurocognitive and neurobehavioral complications associated with HIV are among the most degenerative complications (Meehan 225). </div></td></tr>
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BarichD
https://microbewiki.kenyon.edu/index.php?title=AIDS_Dementia&diff=52190&oldid=prev
BarichD at 20:27, 23 April 2010
2010-04-23T20:27:11Z
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 20:27, 23 April 2010</td>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Edited by student Patricia Arehart of [mailto:slonczewski@kenyon.edu Joan Slonczewski] for [http://biology.kenyon.edu/courses/BIOL191_09/BIOL_191_Global_Health_Syllabus.htm BIOL 191 Microbiology], 2009, [http://www.kenyon.edu/index.xml Kenyon College].</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Edited by student Patricia Arehart of [mailto:slonczewski@kenyon.edu Joan Slonczewski] for [http://biology.kenyon.edu/courses/BIOL191_09/BIOL_191_Global_Health_Syllabus.htm BIOL 191 Microbiology], 2009, [http://www.kenyon.edu/index.xml Kenyon College].</div></td></tr>
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BarichD
https://microbewiki.kenyon.edu/index.php?title=AIDS_Dementia&diff=48856&oldid=prev
Arehartp at 00:00, 22 December 2009
2009-12-22T00:00:55Z
<p></p>
<table style="background-color: #fff; color: #202122;" data-mw="interface">
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 00:00, 22 December 2009</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l2">Line 2:</td>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>As recently improved antiretroviral therapies transformed AIDS from an acute condition to more of a chronic source of morbidity, AIDS patients are living longer with the disease. While the mortality rates have leveled in recent years, the HIV epidemic continues to grow (Meehan 226). The graph below illustrates the growing percentage of HIV/AIDS cases, as of 2007. One of the most significant causes of morbidity for patients with late stage HIV-1 is AIDS Dementia Complex (ADC). Often referred to as “the forgotten face of HIV disease” the neurocognitive and neurobehavioral complications associated with HIV are among the most degenerative complications (Meehan 225). </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>As recently improved antiretroviral therapies transformed AIDS from an acute condition to more of a chronic source of morbidity, AIDS patients are living longer with the disease. While the mortality rates have leveled in recent years, the HIV epidemic continues to grow (Meehan 226). The graph below illustrates the growing percentage of HIV/AIDS cases, as of 2007. One of the most significant causes of morbidity for patients with late stage HIV-1 is AIDS Dementia Complex (ADC). Often referred to as “the forgotten face of HIV disease” the neurocognitive and neurobehavioral complications associated with HIV are among the most degenerative complications (Meehan 225). </div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>[[Image:AgeandDiagnosis.jpg|thumb|400px|<del style="font-weight: bold; text-decoration: none;">right</del>]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>[[Image:AgeandDiagnosis.jpg|thumb|400px| <ins style="font-weight: bold; text-decoration: none;">Fig 1 illustrates the rise in incidence rates of individuals over the age of 50 with AIDS </ins>]]</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==ADC==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==ADC==</div></td></tr>
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Arehartp
https://microbewiki.kenyon.edu/index.php?title=AIDS_Dementia&diff=48855&oldid=prev
Arehartp: /* EARLY STAGES */
2009-12-21T23:57:30Z
<p><span dir="auto"><span class="autocomment">EARLY STAGES</span></span></p>
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 23:57, 21 December 2009</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l12">Line 12:</td>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>The table below (Fig. 2) summarizes the primary differences between early and later stages of AIDS Dementia Complex. </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>The table below (Fig. 2) summarizes the primary differences between early and later stages of AIDS Dementia Complex. </div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>[[Image:ADC_STAGE_1.jpg|thumb|500px|<del style="font-weight: bold; text-decoration: none;">right</del>]]</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>[[Image:ADC_STAGE_1.jpg|thumb|500px| <ins style="font-weight: bold; text-decoration: none;"> Fig. 2 summarizes the prominent symptoms of ADS. Each stage (0-4) marks the onset of more sever cognitive and motor symptoms. </ins>]]</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==LATE STAGES==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==LATE STAGES==</div></td></tr>
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Arehartp
https://microbewiki.kenyon.edu/index.php?title=AIDS_Dementia&diff=48854&oldid=prev
Arehartp: /* EARLY STAGES */
2009-12-21T23:50:45Z
<p><span dir="auto"><span class="autocomment">EARLY STAGES</span></span></p>
<table style="background-color: #fff; color: #202122;" data-mw="interface">
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 23:50, 21 December 2009</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l10">Line 10:</td>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>The cognitive and motor symptoms are the basis of diagnosis and ADC Staging. Since lapses in cognitive ability, such as loosing track of time or thoughts mid-sentence, are common with otherwise healthy people suffering from fatigue, early signs of ADC can go unnoticed. As opposed to these typical lapses in memory, ADC patients’ cognitive abilities suffer more frequently and to a greater degree. In the early stages of ADC multi-staged tasks become difficult. Cognitive loss is typically through the standard Mini-Mental Status exam. Research indicates that the first signs of cognitive impairment ADC patients exhibit is on reversal questions, such as reversing the five letters in the word “world,” sequential tasks, and remembering three objects (Price). Motor impairments are typically minimal in the early stages of ADC, yet some patients, such as athletes, may begin to notice a lack of agility and/or refinement in motor skills. The first signs of motor impairment for average patients include changes in handwriting, difficulty grooming, and, in more seveer cases, tremor or unsteady gait (Meehan 226). In these early stages of mild AIDS Dementia Complex it is important for healthcare providers to not overlook the symptoms are “normal” impairments. Diagnosis is particularly difficult for patients also suffering from clinical depression, as the two conditions can display similar symptoms (Price). </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>The cognitive and motor symptoms are the basis of diagnosis and ADC Staging. Since lapses in cognitive ability, such as loosing track of time or thoughts mid-sentence, are common with otherwise healthy people suffering from fatigue, early signs of ADC can go unnoticed. As opposed to these typical lapses in memory, ADC patients’ cognitive abilities suffer more frequently and to a greater degree. In the early stages of ADC multi-staged tasks become difficult. Cognitive loss is typically through the standard Mini-Mental Status exam. Research indicates that the first signs of cognitive impairment ADC patients exhibit is on reversal questions, such as reversing the five letters in the word “world,” sequential tasks, and remembering three objects (Price). Motor impairments are typically minimal in the early stages of ADC, yet some patients, such as athletes, may begin to notice a lack of agility and/or refinement in motor skills. The first signs of motor impairment for average patients include changes in handwriting, difficulty grooming, and, in more seveer cases, tremor or unsteady gait (Meehan 226). In these early stages of mild AIDS Dementia Complex it is important for healthcare providers to not overlook the symptoms are “normal” impairments. Diagnosis is particularly difficult for patients also suffering from clinical depression, as the two conditions can display similar symptoms (Price). </div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>The table below summarizes the primary differences between early and later stages of AIDS Dementia Complex. </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>The table below <ins style="font-weight: bold; text-decoration: none;">(Fig. 2) </ins>summarizes the primary differences between early and later stages of AIDS Dementia Complex. </div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Image:ADC_STAGE_1.jpg|thumb|500px|right]]</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>[[Image:ADC_STAGE_1.jpg|thumb|500px|right]]</div></td></tr>
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Arehartp
https://microbewiki.kenyon.edu/index.php?title=AIDS_Dementia&diff=48852&oldid=prev
Arehartp: /* References */
2009-12-21T23:44:51Z
<p><span dir="auto"><span class="autocomment">References</span></span></p>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>The American Psychiatric Press Textbook of Consultation-Liaison Psychiatry Psychiatry in the Medically Ill. New York: American Psychiatric Association, 2002. Print. <br></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">Wise, Michael G. et al. </ins>The American Psychiatric Press Textbook of Consultation-Liaison Psychiatry Psychiatry in the Medically Ill. New York: American Psychiatric Association, 2002. Print. <br></div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Edited by student Patricia Arehart of [mailto:slonczewski@kenyon.edu Joan Slonczewski] for [http://biology.kenyon.edu/courses/BIOL191_09/BIOL_191_Global_Health_Syllabus.htm BIOL 191 Microbiology], 2009, [http://www.kenyon.edu/index.xml Kenyon College].</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Edited by student Patricia Arehart of [mailto:slonczewski@kenyon.edu Joan Slonczewski] for [http://biology.kenyon.edu/courses/BIOL191_09/BIOL_191_Global_Health_Syllabus.htm BIOL 191 Microbiology], 2009, [http://www.kenyon.edu/index.xml Kenyon College].</div></td></tr>
</table>
Arehartp
https://microbewiki.kenyon.edu/index.php?title=AIDS_Dementia&diff=48851&oldid=prev
Arehartp: /* References */
2009-12-21T23:43:13Z
<p><span dir="auto"><span class="autocomment">References</span></span></p>
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 23:43, 21 December 2009</td>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Singh, Niranjan N. "HIV-1 Associated Vacuolar Myelopathy: eMedicine Neurology." EMedicine - Medical Reference. 14 Mar. 2007. Web. 07 Dec. 2009. <http://emedicine.medscape.com/article/1167064-overview>. </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Singh, Niranjan N. "HIV-1 Associated Vacuolar Myelopathy: eMedicine Neurology." EMedicine - Medical Reference. 14 Mar. 2007. Web. 07 Dec. 2009. <http://emedicine.medscape.com/article/1167064-overview>. </div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Web. <br></div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Web. <br></div></td></tr>
<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr>
<tr><td colspan="2" class="diff-side-deleted"></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">The American Psychiatric Press Textbook of Consultation-Liaison Psychiatry Psychiatry in the Medically Ill. New York: American Psychiatric Association, 2002. Print. <br></ins></div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Edited by student Patricia Arehart of [mailto:slonczewski@kenyon.edu Joan Slonczewski] for [http://biology.kenyon.edu/courses/BIOL191_09/BIOL_191_Global_Health_Syllabus.htm BIOL 191 Microbiology], 2009, [http://www.kenyon.edu/index.xml Kenyon College].</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Edited by student Patricia Arehart of [mailto:slonczewski@kenyon.edu Joan Slonczewski] for [http://biology.kenyon.edu/courses/BIOL191_09/BIOL_191_Global_Health_Syllabus.htm BIOL 191 Microbiology], 2009, [http://www.kenyon.edu/index.xml Kenyon College].</div></td></tr>
</table>
Arehartp
https://microbewiki.kenyon.edu/index.php?title=AIDS_Dementia&diff=48850&oldid=prev
Arehartp: /* TREATMENTS */
2009-12-21T23:41:20Z
<p><span dir="auto"><span class="autocomment">TREATMENTS</span></span></p>
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 23:41, 21 December 2009</td>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==TREATMENTS==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==TREATMENTS==</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>Developed in the late 1990s, highly active antiretroviral therapy (HAART) is now the standard method of treatment for AIDS patients (Hardy 263). HAART corrects many of the immune defects caused by HIV and allows for maximal control of viral replication. HAART greatly reduces the incidence of late stage HIV complications. While HAART greatly helps reduce opportunistic infections, HIV is still able to cause disease in the central nervous system, which “acts as a reservoir if the virus, even with aggressive HAART treatment programs (Jevtović, et al. 561). Studies by Jevtović, et al. find that antiretroviral drugs have poor penetration in the central nervous system and struggle to suppress the virus in the CNS. The study concludes “high plasma protein blinding of protease inhibitors and their unidirectional efflux by P-glycoprotein membrane proteins in the blood-brain barrier limits the penetration and absorption of these drugs into the CNS,” yet other studies have shown that zidovudine (AZT) can cross these barriers through passive diffusion (Jevtović, et al. 564). Richard Price, M.D. indicates that a combination of at least three to four drugs should be administered, with nucleoside reverse transcriptase inhibitors (RTI), zidovudine, stavudine, and abacavir having the best penetration to the blood-brain barrier (Price). </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>Developed in the late 1990s, highly active antiretroviral therapy (HAART) is now the standard method of treatment for AIDS patients (Hardy 263). HAART corrects many of the immune defects caused by HIV and allows for maximal control of viral replication. HAART greatly reduces the incidence of late stage HIV complications. While HAART greatly helps reduce opportunistic infections, HIV is still able to cause disease in the central nervous system, which “acts as a reservoir if the virus, even with aggressive HAART treatment programs (Jevtović, et al. 561). Studies by Jevtović, et al. find that antiretroviral drugs have poor penetration in the central nervous system and struggle to suppress the virus in the CNS. The study concludes “high plasma protein blinding of protease inhibitors and their unidirectional efflux by P-glycoprotein membrane proteins in the blood-brain barrier limits the penetration and absorption of these drugs into the CNS,” yet other studies have shown that zidovudine (AZT) can cross these barriers through passive diffusion (Jevtović, et al. 564). Richard Price, M.D. indicates that a combination of at least three to four drugs should be administered, with nucleoside reverse transcriptase inhibitors (RTI), zidovudine, stavudine, and abacavir having the best penetration to the blood-brain barrier (Price<ins style="font-weight: bold; text-decoration: none;">). HAART treatments have led to a significant decrease in un incidence rates for ADS, as well as other opportunistic conditions involving the central nervous systems. From 1993 to 1997, within the HAART era, HIV dementia incidence rates decreased 43% (Wise, et al. 815</ins>).</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==AGE AND AIDS DEMENTIA COMPLEX== </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==AGE AND AIDS DEMENTIA COMPLEX== </div></td></tr>
</table>
Arehartp
https://microbewiki.kenyon.edu/index.php?title=AIDS_Dementia&diff=48849&oldid=prev
Arehartp: /* ADC */
2009-12-21T23:36:45Z
<p><span dir="auto"><span class="autocomment">ADC</span></span></p>
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<td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 23:36, 21 December 2009</td>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==ADC==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==ADC==</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>AIDS Dementia Complex differs from other cognitive conditions in that the disease is a “complex” that affects more than just intellect. AIDS Dementia Complex is characterized by a “wider involvement of the central nervous system” causing persistent cognitive decline, physical debilitation, and behavioral changes (Price). HIV-associated dementia is caused by a direct infection of the brain by the HIV virus itself, rather than by an opportunistic, secondary condition. Research indicates that the volume of the basal ganglia is significantly lower in individuals with AIDS Dementia Complex, resulting in the characteristic tremors and decreased motor skills (Meehan 226). Further distinctions include that neither neuropathy nor functional psychiatric disturbance are included within the definition of ADC (Price). Testing for AIDS Dementia Complex is done primarily through neuropsychological testing and is quantitatively compared to a set of norms in order to see if the symptoms displayed reflect the standard characteristics of ADC, or that of another neurological conditions. Another valuable component of diagnosis is neuroimaging. Neuroimaging is used to detect abnormalities associated with AIDS Dementia Complex and to detect other <del style="font-weight: bold; text-decoration: none;">dragonesses </del>(Price). </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>AIDS Dementia Complex differs from other cognitive conditions in that the disease is a “complex” that affects more than just intellect. AIDS Dementia Complex is characterized by a “wider involvement of the central nervous system” causing persistent cognitive decline, physical debilitation, and behavioral changes (Price). HIV-associated dementia is caused by a direct infection of the brain by the HIV virus itself, rather than by an opportunistic, secondary condition. Research indicates that the volume of the basal ganglia is significantly lower in individuals with AIDS Dementia Complex, resulting in the characteristic tremors and decreased motor skills (Meehan 226). Further distinctions include that neither neuropathy nor functional psychiatric disturbance are included within the definition of ADC (Price). Testing for AIDS Dementia Complex is done primarily through neuropsychological testing and is quantitatively compared to a set of norms in order to see if the symptoms displayed reflect the standard characteristics of ADC, or that of another neurological conditions. Another valuable component of diagnosis is neuroimaging. Neuroimaging is used to detect abnormalities associated with AIDS Dementia Complex and to detect other <ins style="font-weight: bold; text-decoration: none;">diagnoses</ins>(Price<ins style="font-weight: bold; text-decoration: none;">). Signs and symptoms of HIV/AIDS occur with immune suppression. Typically, CD4+ counts below 500-cells/ mL result in early symptoms such as fatigue, weight loss, and minor cognitive decline. It is not until CD4+ counts less than 200 cells/mL that defining conditions including HIV-related dementia begin to occur (Wise, et al. 810</ins>).</div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==EARLY STAGES==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==EARLY STAGES==</div></td></tr>
</table>
Arehartp
https://microbewiki.kenyon.edu/index.php?title=AIDS_Dementia&diff=48778&oldid=prev
Arehartp: /* References */
2009-12-20T18:33:04Z
<p><span dir="auto"><span class="autocomment">References</span></span></p>
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<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==References==</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>==References==</div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>"HIV-1 Associated Vacuolar Myelopathy: eMedicine Neurology." EMedicine - Medical Reference. Web. 07 Dec. 2009. <http://emedicine.medscape.com/article/1167064-overview>. </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>"HIV-1 Associated Vacuolar Myelopathy: eMedicine Neurology." EMedicine - Medical Reference. Web. 07 Dec. 2009. <http://emedicine.medscape.com/article/1167064-overview>. <ins style="font-weight: bold; text-decoration: none;"><br></ins></div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>Meehan, Rebecca A. "An Overview of AIDS dementia complex." American Journal of Alzheimer's Disease and Other Dementias 14.4 (2001): 225-29. Print. </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>Meehan, Rebecca A. "An Overview of AIDS dementia complex." American Journal of Alzheimer's Disease and Other Dementias 14.4 (2001): 225-29. Print. <ins style="font-weight: bold; text-decoration: none;"><br></ins></div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>"Multicenter AIDS Cohort Study." STATEPI. Web. 07 Dec. 2009. <http://www.statepi.jhsph.edu/macs/macs.html>. </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>"Multicenter AIDS Cohort Study." STATEPI. Web. 07 Dec. 2009. <http://www.statepi.jhsph.edu/macs/macs.html>. <ins style="font-weight: bold; text-decoration: none;"><br></ins></div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>"NIMH: One Subtype of HIV Increases Risk of HIV-associated Dementia." NIMH. National Institute of Mental Health, 3 Dec. 2009. Web. 07 Dec. 2009. <http://www.nimh.nih.gov/science-news/2009/one-subtype-of-hiv-increases-risk-of-hiv-associated-dementia.shtml>. </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>"NIMH: One Subtype of HIV Increases Risk of HIV-associated Dementia." NIMH. National Institute of Mental Health, 3 Dec. 2009. Web. 07 Dec. 2009. <http://www.nimh.nih.gov/science-news/2009/one-subtype-of-hiv-increases-risk-of-hiv-associated-dementia.shtml>. <ins style="font-weight: bold; text-decoration: none;"><br></ins></div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>Price, M.D., Richard W. "AIDS Dementia Complex." HIV InSite Gateway to HIV and AIDS Knowledge. June 1998. Web. 07 Dec. 2009. <http://hivinsite.ucsf.edu/InSite?page=kb-04-01-03#S1X>. </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>Price, M.D., Richard W. "AIDS Dementia Complex." HIV InSite Gateway to HIV and AIDS Knowledge. June 1998. Web. 07 Dec. 2009. <http://hivinsite.ucsf.edu/InSite?page=kb-04-01-03#S1X>. <ins style="font-weight: bold; text-decoration: none;"><br></ins></div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Singh, Niranjan N. "HIV-1 Associated Vacuolar Myelopathy: eMedicine Neurology." EMedicine - Medical Reference. 14 Mar. 2007. Web. 07 Dec. 2009. <http://emedicine.medscape.com/article/1167064-overview>. </div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Singh, Niranjan N. "HIV-1 Associated Vacuolar Myelopathy: eMedicine Neurology." EMedicine - Medical Reference. 14 Mar. 2007. Web. 07 Dec. 2009. <http://emedicine.medscape.com/article/1167064-overview>. </div></td></tr>
<tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>Web.</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>Web. <ins style="font-weight: bold; text-decoration: none;"><br></ins></div></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr>
<tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Edited by student Patricia Arehart of [mailto:slonczewski@kenyon.edu Joan Slonczewski] for [http://biology.kenyon.edu/courses/BIOL191_09/BIOL_191_Global_Health_Syllabus.htm BIOL 191 Microbiology], 2009, [http://www.kenyon.edu/index.xml Kenyon College].</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>Edited by student Patricia Arehart of [mailto:slonczewski@kenyon.edu Joan Slonczewski] for [http://biology.kenyon.edu/courses/BIOL191_09/BIOL_191_Global_Health_Syllabus.htm BIOL 191 Microbiology], 2009, [http://www.kenyon.edu/index.xml Kenyon College].</div></td></tr>
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