****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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Salton Sea By Genesis Quihuis The Salton Sea began its way to life in 1904‚ when California decided that they needed a way to tap into the Colorado River to irrigate their crops. They decided that they would need to create two intake gorges without the use of floodgates. In came the California Development company and dredged the two gorges; but not long after‚ the intakes became clogged with silt deposits from the Colorado River and water stopped‚ creating the need for another intake gorge. But
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In the MNA Mini Nutritional Assessment video‚ Dr. Juergen M. Bauer discusses the increase of malnutrition in the elderly (e.g.‚ in the community‚ nursing homes‚ and hospitals). In some studies‚ 50% of the elderly in nursing homes suffer from malnutrition‚ which suggests it is under-recognized. The causes and consequences that can lead to malnutrition include decreased appetite‚ age associated changes‚ changes in functional status (e.g.‚ cannot feed themselves)‚ dementia‚ and depression. There
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Projection in Box Senior Province‚ Utah‚ United States is a range of high ground 32 mi (51 km) west of Brigham City‚ Utah with 66 mi 106 km northwest of Salt Lake City. Ascending to a height of 4‚902 feet (1‚494 m) above ocean level‚ it deceives the Projection’s north Mountains and the Incomparable Salt Lake. It is striking as the area of Projection Summit where the First Cross-country Railroad in the United States was formally finished on May 10‚ 1869. By the late spring of 1868‚ Focal Pacific
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GNS3 Graphical Network Simulator What is GNS3? GNS3 is a graphical network simulator that allows simulation of complex networks. To provide complete and accurate simulations‚ GNS3 is strongly linked with: * Dynamips‚ a Cisco IOS emulator. * Dynagen‚ a text-based front end for Dynamips. * Qemu‚ a generic and open source machine emulator and virtualizer. * VirtualBox‚ a free and powerful virtualization software. GNS3 is an excellent complementary tool to real labs for network
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Many schools exist that don’t create student success. In too many school systems today‚ students are deprived of the education they need to become successful in life. What is society doing to make sure these students find their way? What does it take for them to become successful participants of society? After reading Freire’s‚ Pedagogy of the Oppressed‚ I must say there is some truth to students being oppressed for they are being forced to matriculate in an educational environment they aren’t familiar
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Epsom salt have many uses‚ including use as bath salts‚ as a laxative and as a plant nutrient. Epsom salt contains hydrated magnesium sulphate which has the formula MgSO4.xH2O. Experiment to find the value of x in a pure sample of hydrated magnesium sulphate. The method i will use is heating a known mass of magnesium sulphate to remove the water of crystallisation. x is found by weighing before and after heating to find the mass of the water then using the moles calculations to find x. The source
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serious cases‚ prejudice and discrimination between the races‚ the superior and inferior is witnessed throughout history. Many movies and books attempt to inform their readers and viewers of the inequalities and injustices among diverse cultures. One in particular is the epic six part miniseries Roots (1977) based on the 1967 novel by African American author Alex Haley‚ telling the story of Haley’s ancestors. Many consider this one of the most important novels and television mini series
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Literature and Environment: An Ecocritical Approach to Haifaa Al-Sanoussi’s Departure of the Sea (Abdulhamid Alansary‚ Dept.‚ of English Language and Literature‚ Faculty of Arts‚ Sohag University) ABSTRACT This research paper tries to explain the desire to return to pure nature through the analysis of a work of art ecocritically‚ namely Haifaa Al-Sanoussi’s Departure of the Sea. It also attempts to show how the relationship between man and nature‚ which had been previously harmonized‚ has changed
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Academic Review of Salt: A World History Salt. We use it every day‚ we eat it‚ we love it; but sometime in the past‚ it caused many significant events. In Salt: A World History‚ Mark Kurlansky writes about the history of the world from a very peculiar topic. Salt. This is a very unique book. As in normal world history‚ the course follows culture and different empires and civilizations‚ but this one takes an entire new view. Salt‚ salt was‚ and still is‚ one of the most important minerals we have
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