The results suggest that good outcomes can be achieved by the majority of those who complete treatment, although treatment non-completion remains a significant barrier to recovery. Future studies should focus on improving treatment retention, as evidence suggests that CBT-ED in 'real-world' settings is effective.
Rituximab is a CD20 monoclonal antibody commonly used in the treatment of haematological malignancies. It causes lymphopenia with subsequent compromised humoral immunity resulting in an increased risk of infection. A number of infections and viral reactivations have been described as complicating Rituximab therapy. We report an apparently unique case of echovirus 9 (an enterovirus) infection causing an acute hepatitis and significant morbidity in an adult patient on maintenance treatment of Rituximab for follicular lymphoma. We also describe potential missed opportunities to employ more robust screening for viral infections which may have prevented delays in the appropriate treatment and thus may have altered the patient's clinical course. We also make suggestions for lowering the threshold of viral testing in similar patients in the future.
This article is part of a project entitled, ‘Heartlands/Pays du cœur’. This aims to offer new critical approaches to Québec's ‘regional’ novel; focusing on representations of rural, semi-rural, exurban and urban spaces and places outside of the province's largest city, Montreal. The article considers material and imaginary geographies of the Eastern Townships in relation to William S. Messier's Dixie (2013). Drawing on theories on walking, it is structured around a walking interview with the author, in which he and I discuss the importance of place in his writing whilst moving through key sites featured within it.
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