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This nonrandomized series reports the use of autologous fibrin glue to treat complex rectovaginal and anorectal fistulas. The use of an autologous source to prepare fibrin glue eliminates the risk of disease transmission. Ten patients, six women and four men, with complex fistulas were treated with autologous fibrin glue application. Thirteen genetic, management, and climatic variables were considered as potential indicators of production environments: peak milk yield, persistency, herd size, age at first calving, seasonality of calving, standard deviation of milk yield, culling rate, days to peak yield, fat to protein ratio, sire PTA milk, percentage of North American Holstein genes, maximum monthly temperature, and annual rainfall. Herds were grouped into quintiles based on herd averages for each of these variables. Genetic correlations for lactation milk yield between quintiles were significantly less than one for maximum monthly temperature, sire PTA milk, percent North American Holstein genes, herd size, and peak milk yield. Each site had three 50 x 50 m treatments: (1) control (natural regeneration), (2) island (planting tree seedlings in patches of three sizes: 16 m2, 64 m2, and 144 m2), and (3) plantation (planting entire area). Four tree species were used in planting (Terminalia amazonia, Vochysia guatemalensis, Erythrina poeppigiana, and Inga edulis). Seed rain was measured for 18 months beginning approximately 2 years after planting. Considering the cost and morbidity of vitreous surgery, a conservative approach for stage 1 macular hole might be appropriate.Comment inMore on macular holes. [Ophthalmology. 1994]More on macular holes.Melberg NS, Williams DF. Among the various chiroptical spectroscopic techniques available today, circularly polarized luminescence (CPL) plays a minor role and is still used by a limited number of specialists. The cost of the few commercial instruments available and the complexity of homemade apparatuses have strongly limited the widespread application of this technique. New technological approaches, such as the use of light-emitting diode (LED) sources, may significantly simplify the required instrumentation and encourage new potential users. PURPOSE: We performed a retrospective study to investigate seizure, EEG, social and cognitive outcome in adult LGS subjects.METHODS: We retrospectively evaluated 27 LGS patients aged 40-59 years. We assessed in particular the evolution of different seizure types and EEG findings, as well as cognitive and social outcome.RESULTS: During the early stages of the disease, all patients presented tonic seizures (TS) during wakefulness and sleep, 20/27 had atypical absences (AA), more rarely other seizure types. EEG showed slow background activity in 21/27 patients, diffuse slow spike-wave discharges (DSSW) during wakefulness in 22/27, and bursts of diffuse fast rhythms (DFR) in sleep in all patients.  

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