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Treating Depression in Epilepsy: To Medicate or Not?
Epileptic patients with major depression were randomized to either cognitive behavioral therapy (CBT) or sertraline. Depression and related secondary health outcomes were analyzed in both groups. Sertraline and CBT were found to be equally efficacious with improvement in mood in just over one-half of the patients.
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Prognosis in Small Fiber Neuropathy
Small fiber neuropathy is a common disorder that causes chronic pain, but rarely progresses to disability or more severe neurological disorders. Management of the pain continues to be the major challenge in treatment.
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Stereoelectroencephalography in Surgical Evaluation of Intractable Epilepsy
Epilepsy surgery is one of the treatment modalities for intractable pharmacoresistent epilepsy. For seizure freedom to be achieved, the epileptogenic zone (EZ) must be resected successfully. Stereoelectroencephalography is one of the invasive intracranial EEG recording techniques used for EZ localization. The technological advancements in the past two decades have made this procedure safer, more accurate, and easier to perform and therefore more readily available.
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Infectious Disease Alert Updates
Intestinal Yeast Revisited — With a New Angle; Preemptive Steroids for TB/HIV Treatment; Fluoroquinolone for Exposure to Drug-Resistant Tuberculosis
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Antimicrobial Susceptibility Testing in Cystic Fibrosis — An Unfortunate Failure
The results of antimicrobial susceptibility testing of respiratory isolates from patients with cystic fibrosis failed to predict outcomes of antibiotic therapy.
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Recurrent Clostridioides difficile Infection: Better Outcomes With Fecal Microbiota Transplantation Than With Antibiotics
Relative to vancomycin or metronidazole treatment of recurrent Clostridioides difficile infection, treatment with fecal microbiota transplantation is associated with a reduced risk of bloodstream infection, shorter hospital length of stay, and improved survival.
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Fatal Bacteremia Due to Fecal Microbiota Transplantation
Two patients developed bacteremia due to an extended-spectrum beta-lactamase producing Escherichia coli that had been transmitted to them via stool transplantation.
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Enforcement Action Follows Predictable Path, Starts With a Letter
A healthcare organization’s involvement with OCR may begin with a simple letter acknowledging a complaint and providing guidance documentation related to it. For a more serious concern, OCR will assign a case number and ask for substantial information, such as policies and staff education records.
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Uninfected Children Exposed Prenatally to HIV Exhibit Language Delays
In South Africa, uninfected children exposed to human immunodeficiency virus (HIV) exhibit delays in receptive and expressive language at 24 months compared to non-HIV-exposed children.
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Avoid Most Common HIPAA Violations With Best Practices, Education
HIPAA breaches can happen even to the best prepared healthcare organizations, but knowing the most common failings can improve your chances of staying in the good graces of the Office for Civil Rights.