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22 Truyện
Why is it necessary to learn English? State your reasons?

Why is it necessary to learn English? State your reasons?

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English is the most internationalof language. It is spoken as a native language in the United States, Australia,New Zealand, most of Canada and some other country. It is also used as a secondand foreign language by 700 million people in the remaining parts of the word.To many people, English is an important language to master because it is agateway to word scholarship and international trade. It has become the officiallanguage in the fields of politics, business, science and technology. In ourcountry, English is the main language, which is taught in schools and widelyused in business. If we know English, we can read many kinds of English booksto wide our knowledge, to communicate with the foreigners most easily and aboveall, to find a good job in the business company. In brief, it is necessary forus to know English. If we know English well, we have a better change ofimproving our lives.…

The osler medical handbook -john hopkin

The osler medical handbook -john hopkin

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Section VIII – Infectious DiseasesSection Editors:Christopher Hoffmann, MD, MPH   Nicola Zetola, MDChapter 53 – Fever of Unknown OriginScott Kim, MD   Rachel Damico, MD, PhD   Paul Auwaerter, MDFAST FACTS   ▪    The contemporary understanding of fever of unknown origin (FUO) is derived from Petersdorf and Beeson's 1961 characterization of FUO. A stringent definition of FUO is composed of the following criteria[1]: temperature higher than 38.3° C measured on several occasions, 3-week duration (to exclude self-limiting fevers), negative blood cultures, no apparent explanation, and three outpatient visits or three hospital days.   ▪    Infections, malignancies, and noninfectious inflammatory diseases account for the majority of cases of FUO.   ▪    In patients older than 65 years, temporal arteritis should be considered early in any evaluation.   ▪    Patients with FUO who remain undiagnosed after exhaustive study usually have a favorable prognosis. In one study, in a cohort of 61 patients with FUO discharged without diagnosis, the 5-year mortality rate was only 3.2%.[2]…