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Submitted URL: https://amjcaserep.link/xamo
Effective URL: https://amjcaserep.com/authorshipConfirmation/index/code/1114741,1aea15bd609d1574a90c8ca070d777e4,944655
Submission: On March 29 via manual from US — Scanned from DE

Form analysis 4 forms found in the DOM

Name: form — POST https://amjcaserep.com/authorshipConfirmation/confirm/code/1114741,1aea15bd609d1574a90c8ca070d777e4,944655

<form class="" action="https://amjcaserep.com/authorshipConfirmation/confirm/code/1114741,1aea15bd609d1574a90c8ca070d777e4,944655" method="post" name="form" id="formData">
  <input type="hidden" name="idArt" value="944655">
  <input type="hidden" name="code" value="1114741,1aea15bd609d1574a90c8ca070d777e4,944655">
  <input type="hidden" name="idAuthor" value="1114741">
  <input type="hidden" name="hasFigures" value="Y">
  <div class="row">
    <div class="col-12">
      <div class="form-group row">
        <label for="orcid" class="col-sm-3 text-md-right col-form-label fs-09"><img src="https://jours.isi-science.com/images/id_icon_16.png" width="16" height="16" alt="ORCID logo"> ORCID :</label>
        <div class="col-sm-9 pt-1">
          <a href="javascript:void(0)" class="fs-09 d-inline-block" onclick="openORCID()">Connect to ORCID <i class="fa fa-info-circle blue size17" style="cursor:pointer" data-toggle="tooltip" data-placement="bottom" title="ORCID is an independent non-profit effort to provide an open registry of unique researcher identifiers and open services to link research activities and organizations to these identifiers. Learn more at Orcid.org." aria-hidden="true"></i><span class="sr-only">ORCID is an independent non-profit effort to provide an open registry of unique researcher identifiers and open services to link research activities and organizations to these identifiers. Learn more at Orcid.org.</span></a>
        </div>
      </div>
    </div>
    <div class="col-12">
      <div class="form-group row">
        <label for="fName" class="col-sm-3 text-md-right col-form-label fs-09">First Name :</label>
        <div class="col-sm-9">
          <input type="text" name="fName" class="form-control form-control-sm" id="fName" value="Kevin" required="" minlength="1" maxlength="100">
          <div id="error_fName" class="invalid-feedback" style="display:none"></div>
        </div>
      </div>
      <div class="form-group row">
        <label for="mName" class="col-sm-3 text-md-right col-form-label fs-09">Middle Initial :</label>
        <div class="col-sm-9">
          <input type="text" name="mName" class="form-control form-control-sm" id="mName" value="">
          <div id="error_mName" class="invalid-feedback" style="display:none"></div>
        </div>
      </div>
      <div class="form-group row">
        <label for="lName" class="col-sm-3 text-md-right col-form-label fs-09">Last Name :</label>
        <div class="col-sm-9">
          <input type="text" name="lName" class="form-control form-control-sm" id="lName" value="Reilly" required="" minlength="1" maxlength="100">
          <div id="error_lName" class="invalid-feedback" style="display:none"></div>
        </div>
      </div>
      <div class="form-group row">
        <label for="email" class="col-sm-3 text-md-right col-form-label fs-09">E-mail :</label>
        <div class="col-sm-9">
          <input type="text" name="email" class="form-control form-control-sm" id="email" value="kevin.reilly@ssmhealth.com" required="" minlength="1">
          <div id="error_email" class="invalid-feedback" style="display:none"></div>
        </div>
      </div>
      <h2 class="h5 color-blue mt-4 mb-1">Contributions:</h2>
      <div class="form-check">
        <div class="offset-sm-3 col-sm-9">
          <label>
            <input type="checkbox" class="form-check-input contribution" name="contribution[]" id="contribution1" value="1">
            <span class="form-check-label fs-09 align-text-top" for="contribution1">A. Study design/planning</span>
          </label>
        </div>
      </div>
      <div class="form-check">
        <div class="offset-sm-3 col-sm-9">
          <label>
            <input type="checkbox" class="form-check-input contribution" name="contribution[]" id="contribution2" value="2">
            <span class="form-check-label fs-09 align-text-top" for="contribution2">B. Data collection/entry</span>
          </label>
        </div>
      </div>
      <div class="form-check">
        <div class="offset-sm-3 col-sm-9">
          <label>
            <input type="checkbox" class="form-check-input contribution" name="contribution[]" id="contribution3" value="3">
            <span class="form-check-label fs-09 align-text-top" for="contribution3">C. Data analysis/statistics</span>
          </label>
        </div>
      </div>
      <div class="form-check">
        <div class="offset-sm-3 col-sm-9">
          <label>
            <input type="checkbox" class="form-check-input contribution" name="contribution[]" id="contribution4" value="4">
            <span class="form-check-label fs-09 align-text-top" for="contribution4">D. Data interpretation</span>
          </label>
        </div>
      </div>
      <div class="form-check">
        <div class="offset-sm-3 col-sm-9">
          <label>
            <input type="checkbox" class="form-check-input contribution" name="contribution[]" id="contribution5" value="5" checked="">
            <span class="form-check-label fs-09 align-text-top" for="contribution5">E. Preparation of manuscript</span>
          </label>
        </div>
      </div>
      <div class="form-check">
        <div class="offset-sm-3 col-sm-9">
          <label>
            <input type="checkbox" class="form-check-input contribution" name="contribution[]" id="contribution6" value="6">
            <span class="form-check-label fs-09 align-text-top" for="contribution6">F. Literature analysis/search</span>
          </label>
        </div>
      </div>
      <div class="form-check">
        <div class="offset-sm-3 col-sm-9">
          <label>
            <input type="checkbox" class="form-check-input contribution" name="contribution[]" id="contribution7" value="7">
            <span class="form-check-label fs-09 align-text-top" for="contribution7">G. Funds collection</span>
          </label>
        </div>
      </div>
      <div class="offset-sm-3 col-sm-9">
        <div id="error_contribution" class="invalid-feedback" style="display:none"></div>
      </div>
      <h2 class="h5 color-blue mt-4 mb-3">Affiliations:</h2>
      <div class="row">
        <div class="col-9 bg-color-gray fs-09 pt-3 pb-3"> Microbiology<br> SSM Health Care<br> 1015 Bowles Av, 63026 ST LOUIS, MO, USA </div>
        <div class="col-3 bg-color-gray fs-07 pt-3 pb-3">
          <a href="javascript:void(0)" onclick="showAffiliationLayer(313465)">Click here to edit</a>
        </div>
      </div>
      <div class="row mt-3" id="affiliationLayer313465" style="display:none;">
        <div class="col-12">
          <div class="form-group row">
            <label for="inputDepartment313465" class="col-sm-3 text-md-right col-form-label fs-09">Department :</label>
            <div class="col-sm-9">
              <input type="text" class="form-control form-control-sm" id="inputDepartment313465" value="Microbiology">
              <div id="error_inputDepartment313465" class="invalid-feedback invA"></div>
            </div>
          </div>
          <div class="form-group row">
            <label for="inputInstitution313465" class="col-sm-3 text-md-right col-form-label fs-09">Institution :</label>
            <div class="col-sm-9">
              <input type="text" class="form-control form-control-sm" id="inputInstitution313465" value="SSM Health Care">
              <div id="error_inputInstitution313465" class="invalid-feedback invA"></div>
            </div>
          </div>
          <div class="form-group row">
            <label for="inputStreet313465" class="col-sm-3 text-md-right col-form-label fs-09">Street :</label>
            <div class="col-sm-9">
              <input type="text" class="form-control form-control-sm" id="inputStreet313465" value="1015 Bowles Av">
              <div id="error_inputStreet313465" class="invalid-feedback invA"></div>
            </div>
          </div>
          <div class="form-group row">
            <label for="inputZip313465" class="col-sm-3 text-md-right col-form-label fs-09">Zip Code :</label>
            <div class="col-sm-9">
              <input type="text" class="form-control form-control-sm" id="inputZip313465" value="63026">
              <div id="error_inputZip313465" class="invalid-feedback invA"></div>
            </div>
          </div>
          <div class="form-group row">
            <label for="inputCity313465" class="col-sm-3 text-md-right col-form-label fs-09">City :</label>
            <div class="col-sm-9">
              <input type="text" class="form-control form-control-sm" id="inputCity313465" value="ST LOUIS">
              <div id="error_inputCity313465" class="invalid-feedback invA"></div>
            </div>
          </div>
          <div class="form-group row">
            <label for="country313465" class="col-sm-3 text-md-right col-form-label fs-09">Country :</label>
            <div class="col-sm-9">
              <select name="country313465" id="country313465" class="form-control form-control-sm d-inline ">
                <option value="" selected=""></option>
                <option value="AF">Afghanistan</option>
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                <option value="DZ">Algeria</option>
                <option value="AS">American Samoa</option>
                <option value="AD">Andorra</option>
                <option value="AO">Angola</option>
                <option value="AI">Anguilla</option>
                <option value="AQ">Antarctica</option>
                <option value="AG">Antigua and Barbuda</option>
                <option value="AR">Argentina</option>
                <option value="AM">Armenia</option>
                <option value="AW">Aruba</option>
                <option value="AU">Australia</option>
                <option value="AT">Austria</option>
                <option value="AZ">Azerbaijan</option>
                <option value="BS">Bahamas</option>
                <option value="BH">Bahrain</option>
                <option value="BD">Bangladesh</option>
                <option value="BB">Barbados</option>
                <option value="BY">Belarus</option>
                <option value="BE">Belgium</option>
                <option value="BZ">Belize</option>
                <option value="BJ">Benin</option>
                <option value="BM">Bermuda</option>
                <option value="BT">Bhutan</option>
                <option value="BO">Bolivia</option>
                <option value="BA">Bosnia and Herzegovina</option>
                <option value="BW">Botswana</option>
                <option value="BV">Bouvet island</option>
                <option value="BR">Brazil</option>
                <option value="IO">British Indian Ocean Territory</option>
                <option value="BN">Brunei Darussalam</option>
                <option value="BG">Bulgaria</option>
                <option value="BF">Burkina Faso</option>
                <option value="BI">Burundi</option>
                <option value="KH">Cambodia</option>
                <option value="CM">Cameroon</option>
                <option value="CA">Canada</option>
                <option value="CV">Cape Verde</option>
                <option value="KY">Cayman Islands</option>
                <option value="CF">Central African Republic</option>
                <option value="TD">Chad</option>
                <option value="CL">Chile</option>
                <option value="CN">China (mainland)</option>
                <option value="CX">Christmas island</option>
                <option value="CC">Cocos (Keeling) Islands</option>
                <option value="CO">Colombia</option>
                <option value="KM">Comoros</option>
                <option value="CD">Congo, the Democratic Republic of the</option>
                <option value="CK">Cook islands</option>
                <option value="CR">Costa Rica</option>
                <option value="CI">Cote d'Ivoire</option>
                <option value="HR">Croatia</option>
                <option value="CU">Cuba</option>
                <option value="CY">Cyprus</option>
                <option value="CZ">Czech Republic</option>
                <option value="DK">Denmark</option>
                <option value="DJ">Djibouti</option>
                <option value="DM">Dominica</option>
                <option value="DO">Dominican Republic</option>
                <option value="EC">Ecuador</option>
                <option value="EG">Egypt</option>
                <option value="SV">El Salvador</option>
                <option value="GQ">Equatorial Guinea</option>
                <option value="ER">Eritrea</option>
                <option value="EE">Estonia</option>
                <option value="ET">Ethiopia</option>
                <option value="FK">Falkland Islands (Malvinas)</option>
                <option value="FO">Faroe Islands</option>
                <option value="FJ">Fiji</option>
                <option value="FI">Finland</option>
                <option value="FR">France</option>
                <option value="FX">France, Metropolitan</option>
                <option value="GF">French Guiana</option>
                <option value="PF">French Polynesia</option>
                <option value="TF">French Southern Territories</option>
                <option value="GA">Gabon</option>
                <option value="GM">Gambia</option>
                <option value="GE">Georgia</option>
                <option value="DE">Germany</option>
                <option value="GH">Ghana</option>
                <option value="GI">Gibraltar</option>
                <option value="GR">Greece</option>
                <option value="GL">Greenland</option>
                <option value="GD">Grenada</option>
                <option value="GP">Guadeloupe</option>
                <option value="GU">Guam</option>
                <option value="GT">Guatemala</option>
                <option value="GN">Guinea</option>
                <option value="GW">Guinea-bissau</option>
                <option value="GY">Guyana</option>
                <option value="HT">Haiti</option>
                <option value="HM">Heard Island and Mcdonald Islands</option>
                <option value="HN">Honduras</option>
                <option value="HK">Hong Kong</option>
                <option value="HU">Hungary</option>
                <option value="IS">Iceland</option>
                <option value="IN">India</option>
                <option value="ID">Indonesia</option>
                <option value="IR">Iran</option>
                <option value="IQ">Iraq</option>
                <option value="IE">Ireland</option>
                <option value="IL">Israel</option>
                <option value="IT">Italy</option>
                <option value="JM">Jamaica</option>
                <option value="JP">Japan</option>
                <option value="JO">Jordan</option>
                <option value="KZ">Kazakhstan</option>
                <option value="KE">Kenya</option>
                <option value="KI">Kiribati</option>
                <option value="KP">Korea, Democratic People's Republic of</option>
                <option value="KS">Kosovo</option>
                <option value="KW">Kuwait</option>
                <option value="KG">Kyrgyzstan</option>
                <option value="LA">Lao People's Democratic Republic</option>
                <option value="LV">Latvia</option>
                <option value="LB">Lebanon</option>
                <option value="LS">Lesotho</option>
                <option value="LR">Liberia</option>
                <option value="LY">Libyan Arab Jamahiriya</option>
                <option value="LI">Liechtenstein</option>
                <option value="LT">Lithuania</option>
                <option value="LU">Luxembourg</option>
                <option value="MO">Macao</option>
                <option value="MG">Madagascar</option>
                <option value="MW">Malawi</option>
                <option value="MY">Malaysia</option>
                <option value="MV">Maldives</option>
                <option value="ML">Mali</option>
                <option value="MT">Malta</option>
                <option value="MH">Marshall islands</option>
                <option value="MQ">Martinique</option>
                <option value="MR">Mauritania</option>
                <option value="MU">Mauritius</option>
                <option value="YT">Mayotte</option>
                <option value="MX">Mexico</option>
                <option value="FM">Micronesia, Federated States of</option>
                <option value="MD">Moldova, Republic of</option>
                <option value="MC">Monaco</option>
                <option value="MN">Mongolia</option>
                <option value="ME">Montenegro</option>
                <option value="MS">Montserrat</option>
                <option value="MA">Morocco</option>
                <option value="MZ">Mozambique</option>
                <option value="MM">Myanmar</option>
                <option value="NA">Namibia</option>
                <option value="NR">Nauru</option>
                <option value="NP">Nepal</option>
                <option value="NL">Netherlands</option>
                <option value="AN">Netherlands Antilles</option>
                <option value="NC">New Caledonia</option>
                <option value="NZ">New Zealand</option>
                <option value="NI">Nicaragua</option>
                <option value="NE">Niger</option>
                <option value="NG">Nigeria</option>
                <option value="NU">Niue</option>
                <option value="NF">Norfolk Island</option>
                <option value="MK">North Macedonia</option>
                <option value="MP">Northern Mariana Islands</option>
                <option value="NO">Norway</option>
                <option value="OM">Oman</option>
                <option value="PK">Pakistan</option>
                <option value="PW">Palau</option>
                <option value="PS">Palestinian Territory, Occupied</option>
                <option value="PA">Panama</option>
                <option value="PG">Papua New Guinea</option>
                <option value="PY">Paraguay</option>
                <option value="PE">Peru</option>
                <option value="PH">Philippines</option>
                <option value="PN">Pitcairn</option>
                <option value="PL">Poland</option>
                <option value="PT">Portugal</option>
                <option value="PR">Puerto Rico</option>
                <option value="QA">Qatar</option>
                <option value="RE">Reunion</option>
                <option value="RO">Romania</option>
                <option value="RU">Russian Federation</option>
                <option value="RW">Rwanda</option>
                <option value="SH">Saint Helena</option>
                <option value="KN">Saint Kitts and Nevis</option>
                <option value="LC">Saint Lucia</option>
                <option value="PM">Saint Pierre and Miquelon</option>
                <option value="VC">Saint Vincent and the Grenadines</option>
                <option value="WS">Samoa</option>
                <option value="SM">San Marino</option>
                <option value="ST">Sao Tome and Principe</option>
                <option value="SA">Saudi Arabia</option>
                <option value="SN">Senegal</option>
                <option value="RS">Serbia</option>
                <option value="CS">Serbia and Montenegro</option>
                <option value="SC">Seychelles</option>
                <option value="SL">Sierra leone</option>
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                <option value="SK">Slovakia</option>
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                <option value="SB">Solomon Islands</option>
                <option value="SO">Somalia</option>
                <option value="ZA">South Africa</option>
                <option value="GS">South Georgia and the South Sandwich Islands</option>
                <option value="KR">South Korea</option>
                <option value="ES">Spain</option>
                <option value="LK">Sri Lanka</option>
                <option value="SD">Sudan</option>
                <option value="SR">Suriname</option>
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                <option value="CH">Switzerland</option>
                <option value="SY">Syrian Arab Republic</option>
                <option value="TW">Taiwan</option>
                <option value="TJ">Tajikistan</option>
                <option value="TZ">Tanzania, United Republic of</option>
                <option value="TH">Thailand</option>
                <option value="TL">Timor-leste</option>
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                <option value="TK">Tokelau</option>
                <option value="TO">Tonga</option>
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                <option value="TR">Turkey</option>
                <option value="TM">Turkmenistan</option>
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                <option value="UA">Ukraine</option>
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                <option value="US" selected="">USA</option>
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                <option value="VG">Virgin Islands, British</option>
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                <option value="MA">Massachusetts</option>
                <option value="MI">Michigan</option>
                <option value="MN">Minnesota</option>
                <option value="MS">Mississippi</option>
                <option value="MO">Missouri</option>
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                <option value="NE">Nebraska</option>
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        function saveAffiliation(id, ord) {
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          $.ajax({
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            data: {
              'id': id,
              'Department': encodeURIComponent($('#inputDepartment' + id).val()),
              'Institution': encodeURIComponent($('#inputInstitution' + id).val()),
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AUTHORSHIP CONFIRMATION

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Therefore, we request individual co-authors to confirm the co-authorship.

Dear Dr Reilly,
We have received a submission titled:


CAMPYLOBACTER GASTROENTERITIS AND BACTEREMIA IN AN ASPLENIC PATIENT WITH A
RECENT HISTORY OF YERSINIA ENTEROCOLITIS: CASE REPORT AND LITERATURE REVIEW.

Jacob Beery, Kevin Roberston, Ashley Hynes, Adam Douglas, John Peters, Ryan
Freedle, Robin Chamberland, Kevin Reilly, Getahun Abate

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B. Data collection/entry
C. Data analysis/statistics
D. Data interpretation
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G. Funds collection



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Microbiology
SSM Health Care
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