Myringotomy with insertion of ear tubes becomes an option when medical treatment does not stop the effusion after three months in a child who is one to three years old, is otherwise healthy, and has hearing loss in both ears.
The basalts are submarine flows which formed the basis of the land upon which grew the vegetation which gave rise to the coals; the effusion of dolerite which covered up the Coal formation was subaerial.
After a short stay in the capital he pressed forward to stop the effusion of blood in Venezuela, where matters had gone much farther than he could have contemplated.
The quantity of proteid matter in a purely dropsical effusion never amounts to that of an inflammatory exudation (Lassar).
Being now at the head of the most numerous and best appointed army the republicans had yet assembled, he gained important advantages over the Spaniards under Morillo, and on the 25th of November 18 20 concluded at Truxillo an armistice of six months, probably in the hope that the Spaniards would come to terms, and that the further effusion of blood might be spared.