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The most important factors in seizure breakthrough, next to the abandonment of medication, are loss of sleep and abuse of alcohol or other drugs The need for moderation in the use of alcohol must be stressed, as well as the need to maintain regular hours of sleep These seemingly anachronistic suggestions in an age of many available anticonvulsants are still valid A moderate amount of physical exercise is desirable With proper safeguards, even potentially more dangerous sports, such as swimming, may be permitted However, a person with incompletely controlled epilepsy should not be allowed to drive an automobile, operate unguarded machinery, climb ladders, or take tub baths behind locked doors; such a person should swim only in the company of a good swimmer and wear a life preserver when boating Psychosocial dif culties must be identi ed and addressed early Simple advice and reassurance will frequently help to prevent or overcome the feelings of inferiority and self-consciousness of many epileptic patients Patients and their families may bene t from more extensive counseling, and proper family attitudes should be cultivated Oversolicitude and overprotection should be discouraged It is important that the patient be allowed to live as nor-

You now are familiar with most of the parameters available in the chart type configuration Yes, there are more, but those settings are not used as much and you can work through them as needed In this section, we will use a number of these parameters to enhance some of the basic chart types For these examples, we will improve the appearance of the charts in as few steps as necessary to create a good chart This will demonstrate that you don t have to knock yourself out to produce good charts Directing your time and effort on generating a dynamic, consistent, focused chart is much better than wasting your time and effort on a chart that has too many bells and whistles If you go overboard on a chart with the formatting and colors, your customer will be distracted and not be able to focus on the tasks at hand As a refresher, the following illustration shows the initial dashboard presented earlier in the chapter It s not a bad start, but it s not dynamic enough to get everyone s attention and drive a specific point home to the audience For this, we need to enhance the charts to convey the message as directly and with as much impact as possible

AICARDI J: Early myoclonic encephalopathy, in Roger J, Drevet C, Bureau M, et al (eds): Epileptic Syndromes in Infancy, Childhood, and Adolescence London, John Libbey Eurotext, 1985, pp 12 21 ALLDREGE BK, GELB AM, ISAACS SM, et al: A comparison of lorazepam, diazepam, and placebo for the treatment of out-of-hospital status epilepticus N Engl J Med 345:631, 2001 ANDERMANN F (ed): Chronic Encephalitis and Epilepsy: Rasmussen Syndrome Boston, Butterworth-Heineman, 1991 ANDERSON VE, HAUSER WA: Genetics of epilepsy, in Laidlaw JP, Richens A, Chadwick D (eds): Textbook of Epilepsy, 4th ed New York, Churchill Livingstone, 1992, pp 47 75 ANNEGERS JF, HAUSER WA, SHIRTS SB, KURLAND LT: Factors prognostic of unprovoked seizures after febrile convulsions N Engl J Med 316:493, 1987 ANTEL JP, RASMUSSEN T: Rasmussen s encephalitis and the new hat Neurology 46:9, 1996 BEAR DM, FEDIO P: Quantitative analysis of interictal behavior in temporal lobe epilepsy Arch Neurol 34:454, 1977 BERKOVIC SF: Genetics of epilepsy, in Engel J, Pedley TA (eds), Epilepsy: A Comprehensive Textbook Philadelphia, Lippincott-Raven, 1997, pp 217 224 BIEN CG, BENNINGER FD, URBACH H, et al: Localizing value of epileptic visual auras Brain 123:244, 2000 BLECK TP: Refractory status epilepticus Neurol Chronicle 2:1, 1992 BLUMER D, MONTOURIS G, HERMANN B: Psychiatric morbidity in seizure patients on a neurodiagnostic monitoring unit J Neuropsychiatry Clin Neurosci 7:445, 1995 BRETT EM: Epilepsy, in Brett EM (ed): Pediatric Neurology, 2nd ed London, Churchill Livingstone, 1991 CALLAGHAN N, GARRETT A, GOGGIN T: Withdrawal of anticonvulsant drugs in patients free of seizures for two years N Engl J Med 318:942, 1988

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