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One woman had an infiltrating epidermoid carcinoma of the posterior vaginal wall that required a one-stage, abdominal-perineal resection. Thirteen percent of all new gynecologic patients were found to be infected with gonorrhea, so a shipyard-wide educational program was initiated. All three were treated by surgical removal of the gall bladder; all recovered without any complications. While eating a steak, she began to complain of retrosternal pain and severe difficulty in swallowing, which progressed to complete aphagia. She was taken to surgery where, under local anesthesia, an esophagoscope was passed and the steak was removed using a grasping forceps.

Between March and January20 adults, 4 women, were diagnosed with acute rheumatic fever. Their findings included a history of a sore throat from one to four weeks prior to the onset of symptoms, temperatures over degrees Fmigratory polyarthritis, changing heart murmurs, and transient electrocardiogram abnormalities. Students learn by reading, writing, and speaking on the subject. Reflect on how much structured and intentional time you are spending allowing your students to speak. Use timers and specific questions to begin with, but then teach your students how to think deeper by giving them prompts that dig deeper.

Ftee Reflect on the type of questions too; we want students analyzing, hypothesizing, estimating, judging. Thank you to the textbook room staff and helpers that made it possible to finish our books. We are still waiting on having our William's visit. Thank richmod to Sam Verbeck for helping us with the theater, we already are using it quite a bit this year. Thank you to Ms. Zaragoza for your yearbook helpers and all the International students who helped make our grand opening a big success. Gomes, for running the snack bar at the football game, and for all the teachers who were able to come out!

We had a lot of families enjoying the game Friday night. Great work Coach O on the football squad, and as always, the band looked awesome in their uniforms. They are a part of our College and Career Center and work to help students learn about and apply for college.


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