****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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Sec 2 Geography LDQ on Managing Water Resources (25 minutes) Water Conservation Efforts in Singapore Do you think the public‚ private and people sectors are doing their best to conserve‚ value and enjoy the water resources in Singapore? Explain your answer. Introduction The National Water Agency‚ Public Utilities Board (PUB) has tried its best to ensure that Singapore has an adequate supply of high quality water with the 4 national taps strategy. It also believes that the 3Ps partnership
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manageable. There is no turning back and avoiding the situation because things could go much worse. Everyone has their own obstacles in life and the only way to conquer them is to deal with them face-to-face‚ no excuses. In the novel‚ The Old Man and the Sea‚ by Ernest Hemingway‚ an old fisherman named Santiago witnesses a life filled of courage in the face of defeat. In a small village near Havana‚ Cuba‚ and in the waters of the Gulf of Mexico‚ is where the triumphant man deals with the biggest opponent
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sensed through the natural world—including clouds‚ winds‚ plants‚ and animals—that they shape and sustain. Many stories explain how the actions of gods‚ heroes‚ and ancestors gave the earth its present form. In the begging there is only water‚ just a sea where even the birds and animals live. There is a skyland in the clouds with a great and beautiful tree. It had four roots that extend north‚ south‚ east‚ and west. There was an ancient chief in skyland. A chief’s pregnant wife in “the sky world” dreams
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Turtles All the Way Down is a young adult novel written by John Green. It was published on October 10th‚ 2017 by Dutton Books. It is Greens fifth solo novel‚ and seventh overall. 16-year-old Aza never intended to pursue the mystery of fugitive billionaire Russell Pickett‚ but there is a 100 000-dollar reward at stake and her best and most fearless friend‚ Daisy‚ is eager to investigate. Aza is trying. She is trying to be a good daughter‚ a good friend and a good student‚ while also living within
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of the story was a little suspenseful‚ not exactly knowing how the story was going to continue until you kept reading. Overall‚ it was a good short read. Gloria Bird’s writing and Sherman Alexie’s writings were my top favorites out of this folder. Turtle lake was a funny‚ entertaining read. I couldn’t help myself from picturing the stereotypical group of men; with all of them making fun of one another and causing ruckus. The Stick Indians is such a childish fear and I think that is what makes it so
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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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BOOK REPORT I think the title “City of Ember” is good because it is telling a city being underground . Ember means a glowing light that lights up and starts to dies out. An ember can also be the same thing but in buildings when they turn on the lights it is like an ember. Because the city is underground ‚it is very dark. They need electricity to light up the city. An other title for the book can be “Sunless city”could be another title because the city does not have any light from the
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Paper Keywords: Shanghai heritage protection legal system‚ management system Abstract: urban heritage protection work in Shanghai Urban Planning and Construction Management is an important content. In the last 20 years exploration and practice formed a relatively complete legal and management system. The paper made a comprehensive overview of the system ‚ and its operational characteristics and advantages and disadvantages are analyzed. Shanghai has long attached great importance to historic
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