****Car Clinique : I. Les Signes : 1. Motif d’entrée : * fatigue + dyspnée d’effort de type superficielle 2. Histoire de malade : * pas de douleur thoracique * RAA à l’âge de 7 ans 3. Examen Clinique : * Signe Vital : Jerky pulse (poule alternant) * Examen Physique : * Choc de point : en bas et en dehors * Forceful in the left parasternal heave * Auscultation: souffle holosystolique maximum au niveau de l’apex avec irradiation vers l’axillaire
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been one of the few residential areas in the country to enjoy a zero-crime rate. However‚ a spate of break-ins and snatch thefts has occurred in our area in the past three months. If we are not vigilant‚ there could be an upsurge in such incidents. In my speech today‚ I would like to outline several measures that can be taken to reduce the number of break-ins in our area.Break-ins often occur when the occupants of a house are not at home. They can also occur due to the carelessness of house-owners.
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Write a commentary on one of the following: The music of the ship was howling around him. The low whistlings; the tortured rumbles; the wheezy sputters of breeze flowing through it. The clatter of loose wainscoting. The clank of chains. The groaning of boards. The blare of wind. Never before had he felt rain quite like it. It seemed to spew from the clouds‚ not merely to fall. He watched the wave rise up from a quarter of a mile away. Rolling. Foaming. Rushing. Surging. Beginning to thicken and
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Reduce our usage of paper – Save our trees! Tips on how to reduce paper usage: Do not discard waste paper. Recycle scrap including newspaper. You can earn extra money this way! Do not print documents unnecessarily. Read off the computer screen if you can. Use the back of used paper as scrap if you can. Use toilet paper sparingly. Encourage your parents and school to buy recycled paper products. All space in old books should be used before using a new one. Encourage your school and parents
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In my personal study and project I want to show my art works and research of my topic theme which is based about the topic “Exploring Under The Sea”. In more depth I will talk about the artist who inspired me. Within this I will analyse also different kind of techniques‚ different mediums ‚ some research of Van Gogh with the title “ The two crabs” and I will include my sketches of my chosen theme. The reason I chose this topic is because I am so passionate about the life under the sea. As in reality
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SE1101E Group Essay Rural-Urban migration‚ or "urbanization"‚ has led to a better life for a majority of Southeast Asians. To what extent is this true? Discuss your answer using examples from at least three different Southeast Asian societies to illustrate your points. ____ Introduction For the longest time‚ Singaporeans lived in a relative urban oasis - coined‚ praised and awarded as the ‘Garden City’. Even so‚ in the last 2 years‚ Singaporeans have experienced the stress of continued
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Old Man and the Sea is a novel written by the American author Ernest Hemingway in 1951 in Cuba‚ and published in 1952. This novel centers upon Santiago‚ an aging fisherman who struggles with a giant marlin far out in the Gulf Stream. Many people like this story very much and regard it as the most excellent work of Hemingway. I agree with this idea and I think The Old Man and the Sea brought Hemingway to the best period of his literary career. First of all‚ the main reason of my opinion is that Hemingway
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Aral Sea The Aral Sea use to be the forth-largest saline sea in the world‚ that is until in the 1960s. The former Soviet Union diverted the two rivers that fed the Aral Sea‚ to make water available to the surrounding cotton fields and other crop farming regions in the desert like area. Due to the diversion of the rivers‚ the Aral Sea has begun to evaporate into the Aral Sea we see today. Even though the irrigation of the desert did wonders to the farming industry‚ it has left the Aral Sea a complete
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sestet : ABABACDCEDEFEF. 10. Important quotes : “shattered visage” “ Look on my works‚ ye Mighty‚ and despair!” “Nothing besides remains.” “boundless and bare” “The lone and level sands stretch far away.” In ‘The Sea’ James Reeves uses his imagination to create the right
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The book The Old Man and the Sea by Ernest Hemingway‚ is about an old man‚ Santiago‚ and his genuine fondness of the sea. Every day he travels out to sea to go fishing which is his occupation. For the past eighty-four days the old man has not caught a single fish. On the eighty-fifth day he sails out to sea as usual‚ and this is the day that changes Santiago’s life forever. He hooks an unusually immense marlin‚ and they have an agonizing battle for several days. Hemingway often compares Santiago
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