Despite the need for validation, the results suggested that alter

Despite the need for validation, the results suggested that alterations in expression-levels

of specific proteins may be indicative of radiation-exposure. The results also provided the important step in an eventual establishment of blood-based biomarkers of radiation-exposure in vivo.”
“Background: This study aims to examine the effectiveness of a self-management multimodal comprehensive coping strategy program (CCSP) on quality of life (QOL) among breast cancer patients 1 year after treatment.

Methods: Patients (n = 110) with stage II, III, or IV breast cancer scheduled to receive high dose chemotherapy and autologous hematopoietic stem cell transplantation were randomized to either CCSP treatment or control group. BLZ945 cell line The CCSP intervention was taught 2 week before hospital admission with reinforcement at specified times during treatment and 3 months after discharge. The CCSP components included educational information, cognitive restructuring, coping skills enhancement, and relaxation with guided imagery. Instruments administered at baseline included PHA-739358 mouse the following:

Quality of Life Index-Cancer Version (QOLI-CV), State-Trait Anxiety Inventory, Beck Depression Inventory, and Coping Strategies Questionnaire. At 1-year follow-up, patients (n = 73) completed and returned the follow-up QOLI-CV.

Results: Patients were mainly >= 40 years of age, married, Caucasian, and diagnosed with advanced breast cancer. A model measuring effectiveness of CCSP on QOL (total and subscale) at 1-year follow-up showed that the CCSP group (n = 38) had significant improvement in overall QOL (p < 0.01), health and functioning (p < 0.05), and socioeconomic (p < 0.05) and psychological/spiritual well-being (p < 0.01) compared with the control group (n = 35). The CCSP patients frequently used the CCSP to manage psychological (51%) and sleep problems (60%).

Conclusions: The CCSP improved

QOL for patients at 1-year follow-up. Patients overwhelmingly reported that CCSP was beneficial. The CCSP as an effective coping intervention has potential as a self-management program for breast cancer survivors. Copyright (C) 2012 John Wiley & Sons, Ltd.”
“Study Design. Technical report.

Objective. To minimize the gross artefact associated with a conventional metallic lumbar total disc PFTα solubility dmso arthroplasty (TDA) device on a conventional high field-strength (1.5 Tesla [T]) magnetic resonance imaging (MRI) scanner.

Summary of Background Data. Gross artefact is often apparent with ferromagnetic metallic TDA devices on conventional high field-strength MRI scanners. Such artefact completely obliterates MRI assessment at the operated level, and usually obscures visualization of adjacent segments. Because adjacent segment preservation is a raison d’etre of spinal TDA, clarity of imaging at this latter level is imperative. A failure to image adjacent segments may presage investigations, which are either invasive (e.g.

The study included 155 varus knees and forty-four valgus knees

The study included 155 varus knees and forty-four valgus knees.

Radii were calculated from the area of the best-fit circle overlaid from 100 to 1600 on the subchondral corticocancellous bone interface of the medial and lateral MLN4924 in vitro femoral condyles. The radius of a condyle was the average of the radii on four adjacent images that showed the femoral condyle with the largest curvature.

Results: In the 155 varus knees, the radius of the lateral condyle was an average of 0.1 mm larger than that of the medial condyle (p = 0.003). In the forty-four valgus knees, the radius of the lateral condyle was an average of 0.2 mm larger than that of the medial condyle (p < 0.006). There was a strong association between the radii of the medial and lateral femoral condyles in both the varus (r(2) = 0.9210) and the valgus (r(2) = 0.9129) knees.

Conclusions: As determined VX-680 research buy by imaging of the femoral condyles perpendicular to the primary femoral axis of the knee, the asymmetry between the radii of the medial and lateral femoral condyles in varus and valgus knees with end-stage

osteoarthritis was : 0.2 mm, which is small enough to be considered clinically unimportant when aligning a total knee prosthesis.”
“This paper reports a technique for temperature-induced merging of droplets in a microchannel. The multiphase system consists of water droplet and oil as the dispersed phase and the carrying continuous phase. A resistive heater provides heating in a rectangular merging chamber. The temperature of the chamber is controlled by the voltage applied to the heater. The merging process of two neighboring droplets was investigated with different

applied voltage, flow rate ratio between water and oil and total flowrate. Merging is found to be effective at high flow rate ratio, high temperature, and low total flowrate. The presented technique could be used for merging and mixing in droplet-based lab-on-a-chip platforms (C) 2012 American Institute of Physics. [doi:10.1063/1.3630124]“
“Background: Acetabular dysplasia is a major predisposing factor Citarinostat datasheet for development of hip osteoarthritis (OA), and may result from alterations to chondrolabral loading. Subject-specific finite element (FE) modeling can be used to evaluate chondrolabral mechanics in the dysplastic hip, thereby providing insight into mechanics that precede OA.

Objective: To evaluate chondrolabral contact mechanics and congruency in dysplastic hips and normal hips using a validated approach to subject-specific FE modeling.

Methods: FE models of ten subjects with normal acetabula and ten subjects with dysplasia were constructed using a previously validated protocol. Labrum load support, and labrum and acetabular cartilage contact stress and contact area were compared between groups.

All rights reserved “
“We review sensor-based methods common

All rights reserved.”
“We review sensor-based methods commonly employed for monitoring hydrogen sulfide (H2S), and recent developments in H2S-sensing instrumentation.

We evaluate the basic quality-assurance parameters of different sensor types for quantifying H2S

in terms of major operational criteria (e.g., response time, limit of detection, common operating KU-55933 mouse range of concentrations, and stability). We also describe the applicability of these sensor-based methods with respect to practicality in various environmental settings. Finally, we highlight the limitations and the future prospects of these sensor-based methods. (C) 2011 Elsevier Ltd. All rights reserved.”
“Objective: This study is aimed at getting to know the existing relationship between

the dimensions of the burnout syndrome and job satisfaction, on one hand, and depressive feelings on the other through the creation of a structural selleck chemicals model aimed at relating all these concepts on a sample of Spanish periodontists.

Study design: The initial sample comprised 284 individuals, who represented 20% of the members of the Spanish Society of Periodontology and Research (www.SEPA.es). These individuals were chosen randomly by means of stratified sampling with proportional affixation by their autonomous community of residence. All participants were sent by post the MBI, CET and job-satisfaction questionnaires. The software package used for data analysis was LISREL v. 8.7 by checking models of structural equations so as to prove the proposed model’s adjustment.

Results: The total number of answered questionnaires was 170 (59.85%).

A positive relation was observed between emotional tiredness and depersonalization and depression. However, this dimension correlated negatively with job satisfaction and self-realization.

Conclusions: The obtained results show that, in this sample of periodontists, job satisfaction acts as a modulator in the transition buy A-1210477 from emotional tiredness to depression.”
“Proximity of maxillary molar teeth roots to the maxillary sinus floor can potentiate oroantral communication (OAC) after extraction. Considering the defect size and situation, surgical treatment may become essential. Surgical treatment modalities are variable and would be indicated in special clinical circumstances.

In this article, a chronic case of OAC with a size of 25 x 15 mm(2) in a 30-year old man with history of heavy smoking and drug abuse was treated with combination of buccal fat pad (for covering sinus floor), coronoid process pedicled on temporalis flap, and mucosal closure. There was no complication during and after operation. Short- and long-term follow-up revealed success of this novel technique despite the patient’s poor compliance.”
“Objectives: It has been shown that the leg muscle pump increases arterial leg blood flow during upright exercise in healthy subjects, and that this effect is reduced in patients with incompetence of the great saphenous vein (GSV).

This study aimed to elucidate the regulatory

mechanisms a

This study aimed to elucidate the regulatory

mechanisms affected by blocking IL-17A responses in acute virus-induced myocarditis (AVMC) mice. The results showed that IL-17A and COX-2 proteins were significantly increased in the cardiac tissue of acute myocarditis, as were Th17 cells in the spleen. Using anti-mouse IL-17Ab to block IL-17A on day 7 of the viral myocarditis led to decreased expressions of cardiac tumor-necrosis factor alpha, IL-17A and transforming growth factor beta in AVMC mice compared to isotype control mice. COX-2 and prostaglandin E2 proteins were dramatically elevated, followed by marked reductions in CVB3 replication and myocardial injury. These results hint that Small molecule library supplier the Th17/IL-17 axis is intimately associated with viral replication in acute myocarditis via induction of COX-2 and prostaglandin E2.”
“In early 2009, the International League of Associations for Rheumatology (ILAR) funded a program known as the “”East Africa Initiative.”" The long-term goal of this program is to unite the international rheumatology community to aid in enhancing clinical rheumatology services in an area that carries 25% of the world’s disease burden but has only 2% of the world’s human resources for health. This paper provides an overview of the rationale and progress to date of this collaborative effort toward the globalization of rheumatology.”
“Noninvasive

infrared reflectance measurements have been explored as a method for studying the optical properties of Si-doped cladding layers selleck compound of plasmon waveguide interband learn more cascade lasers. Measurements and theoretical simulations of the reflectance spectra were carried out on both the laser structures themselves, as well as highly doped InAs films grown on GaAs substrates. We have found that there is a sharp drop in the signal of the reflectance spectrum for p-polarized light oscillating near the plasma frequency. This is a manifestation of the so-called Berreman effect, which occurs at frequencies where the dielectric

function approaches zero. This is distinct from the plasma edge feature seen in the reflectance spectrum of thick samples. The plasma frequencies of the highly doped layers were obtained by identifying the Berreman feature in the measured spectrum and fitting the spectrum to a modeled curve. Using a model for the effective mass, we were able to obtain measurements of the conduction electron concentration (in a range from 10 18 to 10(19) cm(-3)) in the waveguide cladding layers with values that were in good agreement with those found using Hall effect and SIMS measurements. The reflectance data was effectively used to achieve better calibration of the Si-doping during the growth of the n(++)-type InAs layers in the plasmon waveguide laser structures. (C) 2011 American Institute of Physics. [doi:10.1063/1.3627172]“
“Sixty-three Boer crossbred goats were used in 5 separate experiments (Exp.

A comparison of methods for the identification of genes that are

A comparison of methods for the identification of genes that are dysregulated relative to a single sample in

a given set of experimental samples, to our knowledge, has not been performed.

Methods: We systematically evaluated several methods including Salubrinal datasheet variations on the nearest neighbor based outlying degree method, as well as the Zscore and a robust variant for their suitability to detect patient-specific events. The methods were assessed using both simulations and expression data from a cohort of pediatric acute B lymphoblastic leukemia patients.

Results: We first assessed power and false discovery rates using simulations and found that even under optimal conditions, high effect sizes (>4 unit differences) were necessary to have acceptable power for any method (>0.9) though high false discovery rates (>0.1) were pervasive across simulation conditions. Next we introduced a technical factor into the simulation and found that performance was reduced for all methods and that using weights with the outlying degree could provide performance gains depending on the number of samples GSK2879552 mw and genes affected by the technical factor. In our use case that highlights the integration of functional assays and aberrant expression in a patient cohort

(the identification of gene dysregulation events associated with the targets from a siRNA screen), we demonstrated that both the outlying degree and the Zscore can successfully identify genes dysregulated in one patient sample. LY411575 clinical trial However, only the outlying degree can identify genes dysregulated across

several patient samples.

Conclusion: Our results show that outlying degree methods may be a useful alternative to the Zscore or Rscore in a personalized medicine context especially in small to medium sized (between 10 and 50 samples) expression datasets with moderate to high sample-to-sample variability. From these results we provide guidelines for detection of aberrant expression in a precision medicine context.”
“OBJECTIVE: We sought to estimate the effectiveness of a limited course of antibiotics in treating patients with chorioamnionitis.

METHODS: We conducted a retrospective review of patients treated for chorioamnionitis at our medical center from 2005 to 2009. Patients received ampicillin plus gentamicin as soon as the diagnosis was made. Postpartum they received only the next scheduled dose of each antibiotic. Patients who underwent a cesarean delivery received either metronidazole or clindamycin immediately after cord clamping. The primary outcome was treatment failure, defined as persistent fever requiring continuation of antibiotics, surgical intervention, or administration of heparin.

RESULTS: Of the 423 patients, 282 delivered vaginally, and 141 delivered by cesarean. Overall, 399 (94%; 95% confidence interval [CI], 92-96%) were treated successfully and 24 (6%; 95% CI 3.7-8.

2CP) or fecal NIRS (Eq 2NIRS) By applying

the CPf metho

2CP) or fecal NIRS (Eq. 2NIRS). By applying

the CPf method, Eq. 2CPf (OMD, % = 88.4 – 263.9/CPf, % of OM; residual SD = 2.92, r2 = 0.63) showed similar statistical parameters (P < 0.01) when compared with Eq. 1CP ( OMD, % = 86.6 – 266.2/ CPf, % of OM; residual SD = 2.95, r2 = 0.79). When using fecal NIRS, Eq. 2NIRS showed decreased SE of calibration (SEC = 1.48) and of cross-validation (SECV 1.75) and greater coefficient of determination of cross-validation (R(2) CV = 0.85) than the previously published Selleckchem Citarinostat Eq. (1)NIRS (SEC = 1.78, SECV = 2.02, R2 CV = 0.77). The validation of the 4 equations on the validation data set was satisfactory overall with an average difference between the predicted and the observed OMD ranging from 0.98 to 2.79 percentage units. The Eq. (2)NIRS was nevertheless the most precise with a decreased residual SD of 2.53 and also the most accurate, because the SD of the average difference between predicted see more and observed OMD was the lowest. Therefore, fecal NIRS provided the most reliable estimates of OMD and is thus a useful tool to predict OMD at pasture.

However, an adequate number of reference data are required to establish good calibration. Indeed, better calibration statistics were obtained by increasing the data set from 84 (Eq. (1)NIRS) to 174 (Eq. 2NIRS). In contrast, using fecal N on a set of 84 or 174 points did not improve the prediction. Both methods are useful for predicting OMD at pasture in certain circumstances, using fecal NIRS when a large data set (n = 84 and n = 174) is available and fecal CP with smaller data sets (n = 40).”
“Aim: Hepatitis

virus B and Repotrectinib C (HBV and HCV) are suggested to be risk factors for intrahepatic cholangiocarcinoma (ICC), but whether they are risk factors for extrahepatic cholangiocarcinoma (ECC) is disputed. To test the biomarkers in patients with ECC and further elucidate the relationship of HBV or HCV infection with ECC risk, we conducted a retrospective survey on hepatitis virus markers in patients with ECC.

Methods: A hospital-based case-control study was conducted to review prior infection with hepatitis virus and the seroprevalence of hepatitis virus markers in the patients with ECC or with benign biliary disease (BBD). HBV X antigen (HBxAg) was detected in the tissues by immunohistochemical staining.

Results: A total of 305 patients with ECC and 480 with BBD were enrolled in this study. Compared with BBD patients, ECC patients had a higher prevalence of prior infection with HBV (6.2 vs 2.3%) and chronic HBV infection (9 vs 1.9%). The overall seropositive rate for HBV markers in the two groups was 22.6 versus 6% (P < 0.01) and for HBxAg detection it was 75 versus 26% (P < 0.001). The seroprevalence of anti-HCV was 4.3% in the EEC patients and 5.6% in BBD patients with no significant difference between them.

Conclusion: The high prevalence of HBV biomarkers in ECC strongly supports the notion that HBV infection may be a risk factor for ECC.

The relapse incidence for underlying malignant diseases was 4% at

The relapse incidence for underlying malignant diseases was 4% at 5 years (95%

CI, 0% to 12%). In summary, this study shows that selected patients receiving SOT after HSCT have a remarkably good overall and organ survival. These data indicate that SOT should be considered in selected patients with single organ failure after HSCT.”
“Linear low-density polyethylene (LLDPE) film was modified by blending with zinc, iron, or ascorbic acid as oxygen scavenger. The modified films were characterized for their physicomechanical properties and their application for oxygen scavenging. There was no significant change in the physicomechanical properties. The oxygen scavenging property of the films was studied by shelf-life studies of bun and bread. The shelf life studies BIBF 1120 in vivo were conducted using the modified films and LLDPE film as a control. The sensory analysis showed good taste and texture of bun and bread till the fifth day. The control sample was not acceptable even on second day. This was supported by instrumental texture analysis. There was no significant change in force required to compress the sample in case of packed scavenging film while the control sample showed significant change. The moisture analysis also

showed similar results. (C) 2011 Wiley Periodicals, Inc. J Appl Polym Sci 122: 55-63, 2011″
“We herein discuss the use of a ferrimagnetic nanowire for current-induced domain wall motion in order to satisfy Galardin datasheet both high perpendicular anisotropy and low saturation magnetization. We demonstrate the current-induced domain wall

motion in magnetic nanowires with various saturation magnetizations by using micromagnetic and analytical calculations. The intrinsic Selleckchem VX770 critical current velocity was reduced with decrease of saturation magnetization even if the domain wall width was almost constant, and the intrinsic critical current velocity also can be reduced with the optimum wire width. A significant reduction of critical current density can be obtained by decreasing the saturation magnetization even if the spin polarization of ferrimagnetic materials is below 0.1 because the decrease in the hard-axis anisotropy is dominant for current-induced wall motion. (C) 2011 American Institute of Physics. [doi:10.1063/1.3545797]“
“Prostate cancer (CaP) represents the most prevalent malignancy in men more than 60-year-old, posing a problem in organ procurement from elderly subjects. However, most of the currently diagnosed CaP are low-grade and intraprostatic, with low metastatic risk, and there is recent evidence that most patients are overdiagnosed. The Italian National guidelines about organ acceptance from neoplastic donors changed in March 2005, extending the pool of potential candidates with CaP and introducing the function of a second opinion expert.

Renal biopsy showed secondary amyloidosis Anakinra was started a

Renal biopsy showed secondary amyloidosis. Anakinra was started at 1 mg/kg/day subcutaneously along with colchicine treatment. The clinical response was excellent. Acute phase reactants decreased. The level of proteinuria and renal functions remained stable and the hypoalbuminemia returned to normal. Her clinical and laboratory symptoms returned when anakinra had to be stopped at 6 months. Thus, the drug was restarted and she is now clinically in excellent condition a

year after the start of therapy. She has normal renal functions, normal serum proteins, and normal acute-phase reactants. However, recently, after 18 months of anakinra treatment, her proteinuria gradually increased and albumin levels decreased. We suggest that anti-IL-1 treatment

is beneficial for the suppression of inflammation; however, long-term studies are needed to understand whether progressive renal disease will be prevented.”
“Aims:

Radiation GS-9973 Angiogenesis inhibitor therapy (RT) is used in the treatment of approximately half of all cancer patients. Although there have been great improvements in tumor localization and the technical accuracy of RT delivery, some RT patients still have idiosyncratic hypersensitivity to ionizing radiation (IR) in their normal tissues. Although much effort has been expended in the selleck search for assays that could detect radiosensitive individuals prior to treatment and facilitate tailored therapy; a suitable and clinically practical predictive assay has yet to be realized. Since DNA double-strand breaks (DSB) are a major lesion caused by IR, we hypothesized that radiation hypersensitive individuals might be deficient in the repair of such lesions.

Methods:

To test this selleck chemicals llc hypothesis we quantitatively and functionally characterized DSB repair of the two major non-homologous end-joining (NHEJ) sub-pathways in a pilot study using a plasmid repair reconstitution

assay in lymphoblastoid and fibroblast cell lines from radiosensitive cancer patients and controls. Experiments using well-characterized mammalian DSB repair mutants demonstrated the ability of the assay to distinguish NHEJ sub-pathways. The proportion of direct end-joining repair compared with that of microhomology-directed repair was used as a functional end-point of DSB repair competence in the different cell lines.

Results:

We found that the overall level of NHEJ sub-pathway repair competency was similar in cell lines from radiosensitive patients and controls.

Conclusion:

These data suggest that this assay in these cell lineages has limited usefulness as a predictive screen for the endogenous DNA DSB repair competency of radiosensitive cancer patients’ cells but can usefully characterize major cellular DSB repair phenotypes.”
“Background: The South West Pacific nation of Papua New Guinea has intense year round transmission of Plasmodium falciparum on the coast and in the low-lying inland areas.

Her metabolic control is excellent with a combination of metformi

Her metabolic control is excellent with a combination of metformin and a low-dose of mixed insulin. To our knowledge, this is the first description of the simultaneous appearance of these two endocrinological conditions.”
“We report our preliminary experience HDAC inhibitor with a

minimally invasive image guided percutaneous trans-pedicular fixation technique of the thoracic spine in patients with significant co-morbidity. This study aims to demonstrate the feasibility and efficacy of the presented operative technique as well as to detect potential drawbacks.

A navigated percutaneous application of trans-pedicular screws was performed in 14 patients with radiological validated instability of the thoracic spine and significant medical co-morbidity. Due to poor bone quality, vertebroplasty of the affected levels

had to be performed in nine patients. The levels involved were (T9-12) in ten patients, the middle (T5-8) in two patients and the upper thoracic (T1-4) segments in two others. VAS scores for local back pain were used to assess clinical outcome.

A total of 56 screws were inserted. There was no additional morbidity associated with the procedure. Post-operative CT scans and plain X-rays were obtained in all patients. In 2 (3.5%) medial penetration CDK inhibitor of the pedicle border occurred without neurological sequelae for the patient. Reduction of VAS scores regarding back pain during the first post-operative week was noted. Follow up ranged between 6 months and 12 months.

Navigated percutaneous trans-pedicular fixation of the thoracic spine is feasible and can be performed safely 10058-F4 cost in patients where open surgery is of significant risk. Pre-operative planning is essential in order to avoid intra-operative complications with the instrumentation system.”
“Purpose: To determine whether preoperative magnetic resonance (MR) imaging could help identify factors associated with poor clinical outcome after arthroscopic partial meniscectomy (APM) in middle-aged and elderly patients with meniscal tears.

Materials and Methods: The prospective, institutional review board-approved, HIPAA-compliant study was performed

with informed consent in 53 men and 47 women (average ages, 54.5 and 56.6 years, respectively). Patients underwent knee MR imaging before APM; clinical symptoms were evaluated preoperatively and 1 year postoperatively with International Knee Documentation Committee (IKDC) questionnaire. Overall severity of knee joint degeneration and severity of each feature of joint degeneration were assessed with Boston Leads Osteoarthritis Knee (BLOK) scoring system. Tear length was measured, and type of meniscal tear was classified. Spearman correlation coefficients and relative risks showed the relationship between clinical outcome after APM (difference between preoperative and postoperative IKDC scores) and severity of joint degeneration.

Results: Seventy-four patients with isolated medial APM had a significant (P < .

For drug delivery systems in particular, there is often no clear

For drug delivery systems in particular, there is often no clear rationale for selection of the silicone elastomer grade, particularly in respect of optimizing the manufacturing conditions to ensure thermal stability of the active agent and short cycle times.

In this study, the this website cure characteristics of a range of addition-cure and condensation-cure, low-consistency, implant-grade silicone elastomers, either as supplied or loaded with the model protein bovine serum albumin (BSA) and the model hydrophilic excipient glycine, were investigated using oscillatory rheology with a view to better understanding the isothermal cure characteristics. The results demonstrate the influence of elastomer type, cure temperature, protein loading, and glycine loading on isothermal cure properties. By measuring the cure time required to achieve tan

delta values representative of early and late-stage cure conditions, a ratio t(1)/t(2) was defined that allowed the cure characteristics of the various systems to be compared. Sustained in vitro release of BSA from glycine-loaded silicone elastomer covered rod devices was also demonstrated over 14 days. (C) 2010 Wiley Periodicals, Inc. J Appl Polym Sci 116: 2320-2327, 2010″
“Objective-To determine the phenotype, inheritance selleckchem characteristics, and risk factors for idiopathic epilepsy (IE) in Finnish Spitz dogs (FSDs).

Design-Prospective epidemiological study.

Animals-2,141 FSDs.

Procedures-From 2003 to 2004, questionnaires (n = 5,960) were sent to all owners of 1-to 10-year-old FSDs in Finland. Phone interviews were performed 1 to 2 years later.

Results-Estimated prevalence of IE was 5.36% (111/2,069 of FSDs that were still alive). Males were predisposed to IE. The median age of onset was 3 years (range, 0.6 to 10 years). The median seizure frequency was 2 seizures/y (range, 0.5 to 48 seizures/y), and the median duration of the seizure episode was 11.75 minutes (range, 1.5 to 90 minutes). The majority (85%) of the seizures had a focal onset, and 54% were characterized as generalized C59 Stem Cells & Wnt inhibitor secondary. A generalized

seizure phase was determined to be a risk factor for development of progressive disease. Factors associated with the occurrence of a generalized phase were the age of onset, duration of the seizure, number of feeding times per day, and whether the dog was used for hunting. The seizures were not progressing in 67.8% of the dogs and were easily controlled by antiepileptic treatment in 78.9% of the dogs. The heritability estimate of IE in FSDs was 0.22; IE was best explained as a polygenic trait.

Conclusions-and Clinical Relevance In the present study conducted in Finland, complex focal seizures were the most common seizure type for FSDs with IE, and a generalized seizure phase was a risk factor for progression of the disease. Results suggested a benign course of epilepsy in FSDs.