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.9, I get the following exception: Error: unset(C:UsersBen KowettDesktopRWindowssystem32Stubble......RWin-libraryetcMakeconf) failed to create Makeconf directory. In researching this error, I've found this solution: Close all RStudio instances Delete the.Rprofile and.Renviron files located in C:UsersYourUserNameDocumentsRStudio Run RStudio from a command prompt Try to run a R command, such as library(ggplot2) I have done the above, but this error still occurs. How can I prevent this error from being thrown? Edit: The following also occurs: Error: object 'ggplot2' not found A: In attempting to resolve this issue, I deleted and recreated the environment, and the following error was resolved: Error in 'C:/Users/Kurt/Documents/R/win-library/3.0/tools/Rscript': encountered error in evaluating the argument 'file' in selecting a method for 'library': Error: no function found After making the required changes in the Rstudio shell profile settings, I was able to successfully make all of the needed packages available to Rstudio. Vulvodynia and vesicovaginal fistula: a missed or neglected diagnosis? Most cases of vesicovaginal fistula (VVF) present with a visible opening at the vulva. However, the diagnosis of VVF may be delayed because of an initial misdiagnosis as vulvodynia. The misdiagnosis results in extensive, costly, and potentially harmful treatment. We describe two cases of VVF that were misdiagnosed as vulvodynia. One patient had genital herpes, and the other patient had lichen sclerosus. These cases highlight the need for a low threshold for misdiagnosis when treating vulvodynia in women with an abnormal vaginal or vulvar examination.Surgical and medical management of intestinal cancer. The outcome of patients with adenocarcinoma of the colon and rectum has significantly improved in recent decades due to combined medical and surgical treatment. The surgical management of patients with resectable cancer is controversial. Advanced colonic cancer can be treated with a cur

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