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A.B. is a 5-year-old AA male who presented to the clinic with itching around his anal area that began about 4 weeks ago and has increased in severity. He is a kindergarten student and his mother reports that the anal itching is moderate. He also has irritation and anal leakage requiring the use of pull-ups at night. It is also reported that the itching has caused difficulty sleeping at night and he awakens multiple times. He has a history of constipation and recently had a change in bowel habits. His mother states he normally has bowel movements daily but in the last 4 weeks since he began school he only has a bowel movement 1-2 times a week. It is reported he bites his nails and has poor hand hygiene following the use of the toilet and before meals. His mother also states that he has started the use of a new bubble bath soap and she has used a new laundry detergent to attempt the decrease the itching.
This journal is a scientific publication of Indian Pharmaceutical Association and highlights various bright points of it.
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The discussion of the technique should include a literature review on the evolution of the technique.
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In this study the temporal and spatial variation of heat content in the upper 70m layer of the Arabian Sea was for a period of 1991 to 2008 have been attempted.
Earthquake Databases
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