Anal pruritus is a common anorectal symptom that can significantly impair a patient’s quality of life,including their mental health.It can be one of the most difficult proctological conditions to treat.Patients often...Anal pruritus is a common anorectal symptom that can significantly impair a patient’s quality of life,including their mental health.It can be one of the most difficult proctological conditions to treat.Patients often delay seeking medical attention,since it is an embarrassing but non-life-threatening situation.Pruritus ani can be associated with idiopathic and secondary causes,such as anorectal diseases,cancer(anal or colorectal),dermatological and sexually transmitted diseases,fungal infections and systemic diseases.If patients are referred for a colonoscopy,this can sometimes provide the first opportunity to evaluate the perianal area.Classifications of anal pruritus are based on the abnormalities of the perianal skin,one of the most commonly used being the Washington classi-fication.A proper digital anorectal examination is important,as well as an anoscopy to help to exclude anorectal diseases or suspicious masses.Endoscopists should be aware of the common etiologies,and classification of the perianal area abnormalities should be provided in the colonoscopy report.Information on treatment possibilities and follow-up can also be provided.The treatment normally consists of a triple approach:proper hygiene,elimination of irritants,and skin care and protection.Several topical therapies have been described as possible treatments,including steroids,capsaicin,tacrolimus and methylene blue intradermal injections.展开更多
The leaders’summit of the United States,Japan,and the Philippines held in Washington,D.C.is billed as“historic.”Manila will join the Washington-led new arrangements targeted at China.
Dr. Yeh-chong Chan （Y.C. Chan） is one of the earliest acupuncturists in the United States （US）. He served for seven years in the first acupuncture center in the US, which was established in Washington, D.C. in 197...Dr. Yeh-chong Chan （Y.C. Chan） is one of the earliest acupuncturists in the United States （US）. He served for seven years in the first acupuncture center in the US, which was established in Washington, D.C. in 1972. In 1979, he moved the clinic to Rockville, Maryland and continued to practice acupuncture there for over 30 years. He is a well-known licensed acupuncturist （LAc）, one of the developers of the acupuncture profession, and a scholar of acupuncture and traditional Chinese medicine （TCM）. He has treated two US Governors （In the US, the title Governor refers to the chief executive of each state or insular territory and the political and ceremonial head of the state.） and many sports stars. He is the author of books entitled Acupuncture Practice in the United States,展开更多
THE latest round of vice-ministerial level trade talks between China and the United States,which concluded on January 9,have laid a foundation for addressing each other’s concerns,the Ministry of Commerce said.Both s...THE latest round of vice-ministerial level trade talks between China and the United States,which concluded on January 9,have laid a foundation for addressing each other’s concerns,the Ministry of Commerce said.Both sides have actively implemented the significant consensus reached by their heads of state and conducted extensive,indepth,and detailed exchanges on trade and structural issues of common concern,Gao Feng,the ministry’s spokesman,said at a news briefing on January 10.展开更多
Washington Irving,the first American writer to win an international reputation,isregarded as the pioneer of American literture.His first important success was“Historyof New York”,which appeared in1809,and in this bo...Washington Irving,the first American writer to win an international reputation,isregarded as the pioneer of American literture.His first important success was“Historyof New York”,which appeared in1809,and in this book aod the later publishedfamous work “The Sketcc Book”,he drew upon the enchanting wilderness of his nativeNew York for his artistic material.He also made wide use of legends and folk展开更多
在美国,有好些地方是以总统 Washington 的姓氏命名的。除首都外,还有一个州和几个市镇也叫 Washington,因此,为了避免混淆,人们通常把首都叫作 Washington,D.C(哥伦比亚特区华盛顿)。现在、请你读一读下面这段文字: When you hear peop...在美国,有好些地方是以总统 Washington 的姓氏命名的。除首都外,还有一个州和几个市镇也叫 Washington,因此,为了避免混淆,人们通常把首都叫作 Washington,D.C(哥伦比亚特区华盛顿)。现在、请你读一读下面这段文字: When you hear people talk about Washingson,D.C.,you may展开更多
This thesis analyzes the protagonist Catherine in Washington Square from the perspective of the theory of motivation.This theory belongs to humanistic psychology,a branch of psychology mainly developed by Abraham.H.Ma...This thesis analyzes the protagonist Catherine in Washington Square from the perspective of the theory of motivation.This theory belongs to humanistic psychology,a branch of psychology mainly developed by Abraham.H.Maslow.展开更多
In Egypt, oranges are the most important citrus crops for local consumption or export. It represents approximately 72.2% of the total Egyptian citrus production in 2019/2020. The main cultivated variety of orange is t...In Egypt, oranges are the most important citrus crops for local consumption or export. It represents approximately 72.2% of the total Egyptian citrus production in 2019/2020. The main cultivated variety of orange is the Washington navel orange and it is more popular because of its delicious taste, nutrition, and its seedless besides being rich in vitamin C. Washington navel orange is susceptible to fruit cracking, and it is a common physiological disorder that takes place during fruit development. This work aims to investigate the negative effect of fruit cracking in reducing the yield and quality of Washington navel orange produced in Egypt by studying major economic indicators and estimating an economical evaluation of using treatment of Washington navel orange during the period time of 2007/2008 until 2019/2020. Results showed that fruit areas and production of Washington navel orange represented about 52.9% and 53.2% of fruit areas and production of orange during the study period. However, the yield was unstable with a significant annual growth rate of about 1.1%. Also, the last mentioned treatment achieved a high price for farmers by about 5.1% and total revenue of about 3.2% during the study period. Nowadays, Egypt has become the largest exporter of oranges in the world within the last year and the achieved earnings reached $661 million in 2019/2020. In addition, results showed that evaluation of using a treatment to reduce the rate of Washington navel orange cracking was economical to be applied.展开更多
I am pleased to send my best wishes to the China Ocean Shipping Company (COSCO) as it celebrates 20 years of friendship and successful trade relations between the United States and the People’s Republic of China on t...I am pleased to send my best wishes to the China Ocean Shipping Company (COSCO) as it celebrates 20 years of friendship and successful trade relations between the United States and the People’s Republic of China on this 20th anniversary of the maiden voyage of the vessel M.V. LIULINHAI. Much has happened in the 20 years since U.S. trade with China was reinstated in 1979, and China has grown to become an important partner in Washington’s Asia-Pacific trade relationship. Washington’s status as the most trade-dependent state in the nation and our geographic location on the edge of the Pacific Rim dictate展开更多
文摘Anal pruritus is a common anorectal symptom that can significantly impair a patient’s quality of life,including their mental health.It can be one of the most difficult proctological conditions to treat.Patients often delay seeking medical attention,since it is an embarrassing but non-life-threatening situation.Pruritus ani can be associated with idiopathic and secondary causes,such as anorectal diseases,cancer(anal or colorectal),dermatological and sexually transmitted diseases,fungal infections and systemic diseases.If patients are referred for a colonoscopy,this can sometimes provide the first opportunity to evaluate the perianal area.Classifications of anal pruritus are based on the abnormalities of the perianal skin,one of the most commonly used being the Washington classi-fication.A proper digital anorectal examination is important,as well as an anoscopy to help to exclude anorectal diseases or suspicious masses.Endoscopists should be aware of the common etiologies,and classification of the perianal area abnormalities should be provided in the colonoscopy report.Information on treatment possibilities and follow-up can also be provided.The treatment normally consists of a triple approach:proper hygiene,elimination of irritants,and skin care and protection.Several topical therapies have been described as possible treatments,including steroids,capsaicin,tacrolimus and methylene blue intradermal injections.
文摘The leaders’summit of the United States,Japan,and the Philippines held in Washington,D.C.is billed as“historic.”Manila will join the Washington-led new arrangements targeted at China.
文摘Dr. Yeh-chong Chan （Y.C. Chan） is one of the earliest acupuncturists in the United States （US）. He served for seven years in the first acupuncture center in the US, which was established in Washington, D.C. in 1972. In 1979, he moved the clinic to Rockville, Maryland and continued to practice acupuncture there for over 30 years. He is a well-known licensed acupuncturist （LAc）, one of the developers of the acupuncture profession, and a scholar of acupuncture and traditional Chinese medicine （TCM）. He has treated two US Governors （In the US, the title Governor refers to the chief executive of each state or insular territory and the political and ceremonial head of the state.） and many sports stars. He is the author of books entitled Acupuncture Practice in the United States,
文摘THE latest round of vice-ministerial level trade talks between China and the United States,which concluded on January 9,have laid a foundation for addressing each other’s concerns,the Ministry of Commerce said.Both sides have actively implemented the significant consensus reached by their heads of state and conducted extensive,indepth,and detailed exchanges on trade and structural issues of common concern,Gao Feng,the ministry’s spokesman,said at a news briefing on January 10.
文摘Washington Irving,the first American writer to win an international reputation,isregarded as the pioneer of American literture.His first important success was“Historyof New York”,which appeared in1809,and in this book aod the later publishedfamous work “The Sketcc Book”,he drew upon the enchanting wilderness of his nativeNew York for his artistic material.He also made wide use of legends and folk
文摘在美国,有好些地方是以总统 Washington 的姓氏命名的。除首都外,还有一个州和几个市镇也叫 Washington,因此,为了避免混淆,人们通常把首都叫作 Washington,D.C(哥伦比亚特区华盛顿)。现在、请你读一读下面这段文字: When you hear people talk about Washingson,D.C.,you may
文摘This thesis analyzes the protagonist Catherine in Washington Square from the perspective of the theory of motivation.This theory belongs to humanistic psychology,a branch of psychology mainly developed by Abraham.H.Maslow.
文摘In Egypt, oranges are the most important citrus crops for local consumption or export. It represents approximately 72.2% of the total Egyptian citrus production in 2019/2020. The main cultivated variety of orange is the Washington navel orange and it is more popular because of its delicious taste, nutrition, and its seedless besides being rich in vitamin C. Washington navel orange is susceptible to fruit cracking, and it is a common physiological disorder that takes place during fruit development. This work aims to investigate the negative effect of fruit cracking in reducing the yield and quality of Washington navel orange produced in Egypt by studying major economic indicators and estimating an economical evaluation of using treatment of Washington navel orange during the period time of 2007/2008 until 2019/2020. Results showed that fruit areas and production of Washington navel orange represented about 52.9% and 53.2% of fruit areas and production of orange during the study period. However, the yield was unstable with a significant annual growth rate of about 1.1%. Also, the last mentioned treatment achieved a high price for farmers by about 5.1% and total revenue of about 3.2% during the study period. Nowadays, Egypt has become the largest exporter of oranges in the world within the last year and the achieved earnings reached $661 million in 2019/2020. In addition, results showed that evaluation of using a treatment to reduce the rate of Washington navel orange cracking was economical to be applied.
文摘I am pleased to send my best wishes to the China Ocean Shipping Company (COSCO) as it celebrates 20 years of friendship and successful trade relations between the United States and the People’s Republic of China on this 20th anniversary of the maiden voyage of the vessel M.V. LIULINHAI. Much has happened in the 20 years since U.S. trade with China was reinstated in 1979, and China has grown to become an important partner in Washington’s Asia-Pacific trade relationship. Washington’s status as the most trade-dependent state in the nation and our geographic location on the edge of the Pacific Rim dictate
