Issue 3 February 2009
Stop AIDS. Keep the Promise. www.worldaidscampaign.org
ور ا ة:ا آر رد & &1&2 ,ب%&'& ت وه&&م ا+ّ &&ؤ- #./ا .&&ر &رد# ا & آ&&ر3' آ ا2 4 #1 Stage Clinique &ع ال7& 8 -9: :و &&'&= &&&&2 وExterne-Interne ;&2<# .; ا دة%/> ا- أت# ه@ ا- ا Stage &&&&&&@ ل# &&ز.&&أآ&& ا && آ&&&&ر &&رد ا &B&9# &<&&ت9&& آ اC2 D/ Externe D&8&&هE& &!& ب &&ى%&'& ا4. GH . Stage Interne ل ! الI
In this issue
:ا آر رد ور ا ة
1
L'Automédication au Liban Nord
2
وّي ا
3
MEDCLUB Survey
4
Gazza, le Calme
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Carnet de &مJ <= C2 ا- و د K&& أن3& &M & آC&&2 أنN و &<&دStage D&&J&-&& O& & و ذ8& & & آ3& &'& & =&&&&; ا82 و دCoordinateur de Stage G CH= رة/ا .تQ"I+' آ اR= وRotationال
Subit...
امX&& ( و =&<&وت ا10/2008-1/2009 G# 8 أV%W S ا <ل ا8-7 G ر )وST زدة اG2 - اE/ -2 ب%&'& &&<&ء ا# ً&&'&I [&X&& & ا8\# ً2 <ت9 ادارة ا4 ع7 ا4#/ ;ب ا أS أ,8# <ت9 ا .D81! &'&& &B&9# &8&&&J&-&= D/ GB و:# - اN> أد ا أن ه, لS G ;=رV و أ8ème année^"ص ال# _"^ ا3 ' ر ا: !ل8- <دة/+[ ا: <` ا-# ات ا ^"_ ا ^رج وD 1= Q 3 ' ا .- ا. ا
Pge
That Rolling Dice
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Hope or Hype
6
Do I Always Want to be With You?
6
أي
7
Best Poem of 2006
7
Nightly Quest
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& ر ا &>آ& أن.& .&رات1&& &'&ء ا2داء & اT اG= C ف ا8= Bordeaux 2 S G Andrée Quinton G&&7& اGQ"I+ ا8 أG /رآ وا9# . ان ا م اX!10-13 1 ً ً دوM =ًاE .3ST اGQ"I+ و ا. ا
Our Fight…
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&H أQ =اC2 دًاS / ; و أJT<> ا-# د9 ت و ا+م اJ R= ه@ و- ' ا# ا2وو & c م:Tء ا/ رؤ4 ً اّذار2S ا اG2 ,ب%' ; ا. =>ة ا >ي/T اD1 - # أ.ب%' ا4 .رM+ ه>ا ا2 اءاتS=^ذ ا# 8= ت و1 @ اd
Puisque C’est Impossible Faisons-le!!!
10
Book Guide
11
NO KIDDING!
12
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9 10
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1
L'Automédication au Liban Nord Dr L. Tayyara, N Yassir, M Fayyad DEA Santé communautaire- Faculté Santé Publique, Université Libanaise 2006 RÉSUMÉ
Nous avons mené une étude transversale, prospective à visée communautaire pour calculer la prévalence de l'auto-medication (AM) dans deux communautés au Liban - Nord, par observation directe chez les pharmaciens de ces deux régions d'une part, et d'autre part, d'après des réponses recueillies chez 370 participants dans la région de Tripoli Abou Samra, et 288 participants dans la région de Koura Ras Maska. Notre second objectif était d'évaluer la répartition de la prévalence de l'AM, suivant les tranches d'âge, le sexe, les niveaux socio-économiques et éducatif, le groupe de médicament et le type de maladie. Notre population étudiée a regroupé les gens de plus de 18 ans suivant un échantillon de la population des deux communautés du Liban Nord, l'une rurale à Koura Ras Maska, et l'autre urbaine à Tripoli Abou Samra. De même, l'enquête a été étendue aux pharmacies de ces deux communautés pour mesurer sur le terrain la fréquence de l'AM dans ces deux régions, et ceci durant la période allant de 10-6-2007 à 10-8-2007. Un check-list structuré a été développé dans le but d'étudier les caractéristiques des médicaments pris par la population avec ou sans ordonnance et remplie dans les pharmacies des deux régions déjà citées. Un questionnaire standardisé, rédigé en langue arabe et administré par des enquêtrices entraînées, a été l'outil principal de notre enquête auprès des deux communautés de notre population étudiée. Les résultats de notre étude ont montré que, la pratique d'AM était très fréquente au Liban-Nord (84.8%), avec une prédominance dans le milieu urbain (91.6%) par rapport au milieu rural (76%). De même, la pratique de l'AM dépendait du niveau éducatif des parents. Ainsi, les mères ayant des études universitaires (liscence) pratiquaient le plus l'AM par rapport aux pères, alors que celles ayant éffectué des études supérieurs ou illétrées pratiquaient le moins l'AM. D'autre part, le type de l'activité professionnelle influençait la pratique de l'AM, puisque les mères institutrices pratiquaient fréquemment l'AM, de même, que les pères ayant une profession liberale. Toutefois, l'AM pour les enfants était nettement moins fréquente surtout chez les mères qui travaillaient et celles ayant un niveau éducatif élevé. D'autre part, les médicaments les plus achetés sans ordonnance d'après les check-list étaient les analgésiques (46.6%), les vitamines (37.8%) et les antihypertenseurs (16.5%). Enfin, d'après les résultats de notre étude, on peut conclure que l'éducation sanitaire est indépendante de l'éducation académique et doit être sérieusement considérée dans notre pays. MEDCLU _LU@h tmilc m
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وّي ا Qخ ً ر= V Gآ 28) g-اّب " (1963أ! # Dم ا >ي \/رى &; ا /ب ا ا ا +ت ا ة ,دم ا 8ة ا G&# "-ا & && qو ا د .أ! # Dم ا >ي \/رى ; أو+دي G D82 DB+أ ,D&8 S ا' D8"^ G ً:%و آ<ءا= .D8أ! # Dم ا >ي &/ ,ً& ; -/د و G ً ّ" ,q#أ Sا ...و -2ذ / r1 Oوي ا آ& ارSء ا +ت ا ة".
وأ أQخ ا م\/ :ت ! -Xان e1= Dرؤ -ن- .ن أ / >- ,%/اّ+ف -/و Rا &م, و ا >ي Sب ا B ,Dن ا #ا ;2و ا<!; <ح ا.زات و Qا:ت زر & 82أه& & Dن اTرض&-& & ,ن !1ق ا+ن و اTدب و ا 9و ا < Gو اI+ا2ت و ا 1ا ^%ق. q<-= -أم و+ت ا"Iر ا G-ان ,D8- #أو ,D8
.Gأ D2ان :ل ا 11و ا "د ' ن ": 2.ى [= .أن ا &&ت و ً&&:أ&ف & &G ا { ز!<ً أم رآ.ً2 ,-#%Mز = Dن ># G ًfرة ا ^ ,و Iة ا 'ء .وا8Sا ا <د و ا < ,Gو ا2ا أن G ء دون ,#1و اV+ن =Bن #ه -2 Jا1/+ق G Bوس C2آا; ,و ا ; %1/وو.;ّ-M : ,-#%Mا #ا DB Sا ' #%و ا -Mو ا +و =&&ّ&&ا &Eو && دورآ& Dآ&&G&&<&1&W ^ C2 "1 + 8 ,Gاواة ا 8# .ف ا1ذ G Nا تX .ن أ &9-# Dا &,&2 1-= %دوا وراء Gح R #ا G {/ ;+ ,Xdا"ص د- .DBdن S#ا Cا 9ء و ا:+ء #وح و ا 1و ا Qو اXّ=+ان. D C !i "#e MEDCLU _LU@h tmilc m
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SURVEY: Academic Decisions among the Medical Students at the Faculty of Medicine-Lebanese University (January 2009) Have you already decided what your speciality would be? YES/NO
2nd Year
3rd Year
4th Year
5th Year
Class Total = 91
Class Total = 90
Class Total = 86
Class Total = 82
Surveyed = 86
Surveyed = 69
Surveyed = 77
Surveyed = 73
Coverage = 94%
Coverage = 77%
Coverage = 90%
Coverage = 89%
Where would you rather continue your speciality studies? LEBANON/ABROAD/UNDETERMINED
2nd Year
3rd Year
4th Year
5th Year
Where do you intend to practice? LEBANON/ABROAD/UNDETERMINED
2nd Year
3rd Year
4th Year
5th Year
Are you willing to volunteer in NGOs (non governmental organisations such as “Médecins sans Frontière”….)? YES/NO
2nd Year
3rd Year
4th Year
5th Year
O!sevti ns: Most students have not yet decided about their speciality (remarkably 80% of 5th year students). Most students have either decided to continue their studies abroad (slight male preponderance) or have yet to determine. The majority of students chose to practice in Lebanon. Of those who chose to work abroad most are males. Most students are willing to volunteer in NGO’s (remarkably 87% of 2nd year students).
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Gzz, le Clme Su!it
MED e#lines Short duration of nighttime sleep is strongly associated with coronary artery calcification.
De Jerusalen, entre les montagnes s'élève le soleil de jusVce Un soleil que la main des démons de l'enfer Ne peut jamais éteindre Gazza, le Vtre de souWrance, de Malheur, de paVenceX De ta terre sacrée, nait ton cri pénible Un cri tremblant privé de tout droit Gazza, la main de violence ne fera jamais De ton âme une capVve Gazza, dis-moi, que faire face à un homme Qui tue sa propre chair?!
Male Circumcision Protects Against HPV as Well as HIV I n f e c t i o n : The foreskin contains target cells for HIV, herpes and HPV, in addition, the foreskin is vulnerable to ulcers probably as a result of trauma during intercourse, and its removal reduces rates of ulceration by 50%.
Tes larmes vont briser ce silence. Ta prière arrivera un jour Ne te soumets pas maintenant Ne laisses pas cet enfant blessé dans le coin Ne fais pas de tes martyres une perte Ta paVence abusée de haine va enYn arriver leurs veines Ta voix comblée de chagrin s'entendra un jour, Reveillera leur conscience morte et deprimée Gazza ne t'inquiètes pas, Ta prière va déchirer ce calme subit!!
That Rolling Dice
As we observe the trends of life, sometimes we wonder about a purpose we serve, if any. It bothers us most that life isn’t pink, that dreams do not always come true, that frustration lurks on every corner. Ambition and will might just succumb to the cruelty that stains our existence.
Many U.S. Doctors Plan to Quit or Cut B a c k :xx xxx xxxx xxx : ZY uness Primary care doctors in the United States feel overworked, and We, as young people, perceive with nearly half plan to eigreat anxiety the uncertainty of the ther cut back on how many patients they see future. Amidst this dilemma, it is or quit medicine enin the resiliency of the human spirit tirely. More than half -that we find our shelter. It is in the 60% -- of 12,000 general practice physicians hope brought by every rising sun would not recommend that we find our beacon. Know that medicine as a career.
no matter how strong the struggle, no matter how weak we find ourselves at times, we are bound to ascertain our existence. Every day forges our being with a novel ex p e r i e n c e , e n l i g h t e n s o u r understanding, and propels us towards tomorrow. Only then are we ready to face an ever changing life, only then are we ready to face the multiple facets of that rolling dice. it
Many Americans Turning to Unconventional Medicine:xxxxxxxxxxx. About four in 10 U.S. adults and one in nine children are turning to unconventional medical approaches for chronic pain and other health problems.
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pe ype* CO"SIDER some recent medical What’s going on here? Aren’t the latest medical advances always the greatest? “breakthroughs” reported in the media: It has become apparent more than ever, ❍ In 2002, James Quinn died in a in this jungle of medical advances, that Philadelphia intensive care unit. He had the medical community should start lived nine months with a new AbioCor adopting a new approach to healthcare. artificial heart. For seven of those New curative treatments should be the months, he had been in the hospital, aim. where he suffered two strokes and was Patients expectations often shatter as on a ventilator much of the time. Before they face the setbacks of prolonged he died, Quinn said, “This is nothing like I treatments that sometimes carry side thought it would be. If I had to do it over effects that are even more intolerable again, I wouldn’t do it. No ma’am.” than the original disease. ❍ In 2001, Bayer removed its cholesterol Our Hope is that researchers address -lowering drug Baycol from the market. curative treatment and that real Between 1997 and 2001, manufacturers breakthroughs, offer Hope to our pulled fourteen drugs off the market patients. because of unexpected toxicity and *exaggeration Extcte# f m the !
k: related deaths. The makers had marketed these drugs aggressivelyX they were taken pe ype: The O!sessi n with Me#icl #vnces n# the igh C st f Flse by millions of patients and collectively are P mises suspected in over a thousand deaths.
"Two things are infinite: the universe and human stupidityX and I'm not sure about the universe." l!et Einstein
Rec mmen#e# Text!
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Essential Neurosurgery
D I lwys nt t !e ith Y u? Have you ever thought that you may become unable to stay alone even for a while! Do you imagine having to share your very private moments with another! Picture yourself living stuck to a person, whose separation from you can mean your or his death. Believe it or notX some people do live so. That is the case of Siamese twins. Do they enjoy their life? Such situations are subject to great debate. In November 2004, a Lebanese woman was carrying two Siamese twins. The state of the twins was critical since they were conjoined at the trunk part of their bodies. After diagnosis, she decided to abort without taking any religious consideration into account, bearing in mind that she is sparing her future children a miserable life. The mother determined their fate based on the fact that conjunction means misery. Yet who determines the concept of happiness? Happiness remains an inner feeling that emerges from our soul, and that can not be given or taken. In addition, all religions forbid abortion unless pregnancy imposes a danger on the mother’s life. Finally, to end this debate, it is easy for us to speculate or to presume but for the people who live the experience, it’s a totally different story. ZK uni
Emery's Elements of Medical Genetics
Rec mmen#e#
e!sites www.aamc.org/ students/cim/ specialties.htm www.medicalppt. blogspot.com www mli!n g www.mayoclinic.com
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أي اي آن ّ ا و! ا#$# %&'ا در$# *! +ّ & , وه ه./012 ّد, ا32 #42 أ+5 67 *'ا, + 3 ًآ9 * ّآ+ ;'؟2 ا?ّم ا* =<ه و%9 3ت ه7A ا%A' 3ه ّ/2 BC= 6# ل ٍ ,C! أروعGH7 ٌه;ةK م, وا%'أ' وأ ؟1L7 %A' 3 هM &#ّ;= *رود ا, ا%A' 3ه 2 67 /N اك,K? ا ّ إR َ / +ّ& وH ورود' آ%Hذ ;'؟7 و% ِ A' 3 ه،ًV# WL7 ًH2 % ِ A' 3ه != !اMH7 ٌ3&9 + آ،B& اM B/A Bٌ H&9 +آ ه6# MH2 ر3/= ّ;ًاY * Z 7 *! أ'[ي B9 6# .!2ع ا ٍ ;اN أ= ّي،ِ!* \ك7ا G'َ, Bٍ [ H 6 َ ّA وM0H7 6# 6] M أ G ا6$H/ MّHV ;; ٍةY ٍة#$# 67 *^ * ا_ن واH2ار .' أM ِ #A 6# ن,\ 6 .ّ'? ّأي4! ً#, * ّ دة إ,Vوإن =رت ا MFh
BEST POEM OF 2006 THE POEM WAS NOMINATED BY U.N. AS THE BEST POEM OF 2006, WRITTEN BY AN AFRICAN KID
When I born, I black When I grow up, I black When I go in sun, I black When I scared, I black When I sick, I black And when I die, I still black
Did You Know? A person will die from lack of sleep sooner than they will from starvation, which usually takes a few weeks. Children who are breast fed tend to have an IQ seven points higher than children who are not. Each person sheds 22 kilograms of skin in his or her lifetime. More germs are transferred shaking hands than kissing. The average person releases nearly 500 ml of intestinal gas by flatulence every day. Most is due to swallowed air. The rest is from fermentation of undigested food (about 14 occurrences of flatulence a day). The only part of the human body that never changes size from birth to death is the eyes.
AND YOU WHITE FELLOW When you born, you pink When you grow up, you white When you go in sun, you red When you cold, you blue When you scared, you yellow When you sick, you green And when you die, you gray AND YOU CALLING ME COLORED?
There are approximately 96,000 km of blood vessels in the human body.
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C nti!uti n !y EFes
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Nightly Quest Within the webs of the night entangled Within traps of the mind imprisoned found no escape no method to flee found no ease no means to completely be In quest of the reason In search of the answer second by second minute by minute hour by hour and day by day time had passed yet no answer was found Had there been a question how much easier it would've been Had there been a reason how simple the answer would've seemed Love, career, family, pride, money.... What could it be Oh what could it be that stops time in one's sense and makes night as day and day as night Life, spirits, customs, traditions, religion, luck, destiny.... Can all contribute to the blockage of god's ingenious descended machine? Can all be factors aiding in imprinting failure and set-backs on our kind? Or, it may only be a mere occasion a mere unnoticed fracture in the great puzzle of survival Or, it may be an intended crack in the soul of all being However, it is unfair to curse one with such a crack of all others It is inhumane to make one endure so many sleepless nights in quest of nothing to prohibit one from liberty of the soul and peace of the mind for nonsense Beware of what conclusions such dark nights may bring for hasty conclusions can devastate a future just as they can make it blossom REl Sye# MEDCLU _LU@h tmilc m
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Our Fight… Just when you think you are lost…you find a light Just when everything seems to go wrong…you know what’s right Just when you think you can’t…you start to write So even though we have some tears to drop, a stress to fight And maybe end up left like a candle with no light We must hold on to our faith just like a brave knight Cause it is only at the end of a long night That raises a future so bright…………….. CTf
... اة ...*aأ ;cc2ءك أccY و اذا..;رCcc اB ce 6cc# ;ccآf ; أنccV ا..سcc* اcc! و..ءccK* اcc! +ccHّ\ ك أنccّ ا %cHواذا ا..ىc c# hCc' ل و1 # 3;ق آC ..BV0Lو اك وا.. ر,& أن3/=..6ّ/!..f/ !ّر,C!.."ّ/2 H1 ان6\ ;اوةV!...ن اA2 .# =و,; ّوV 4c!..cmn# وoYc' Mc'ن أ,cV c'ا..!حc!..;c1 ك,!c= أو,R ّ c2 GH7 %' و أ, اسMYواذا ه 6V ّسH [ و..C/ ّد أن,V 3 ا6V/!..";ا2; أ1 #;7..*aأ..^ اL ا اG# ..ر1A# , ه# GH7 1! ..ذب
G& &1&&[ ا &&اهf/ <تQ C2 ,ا 'ر G&&&&د =&&آB&&= &&/ّ & B&& &&&ةW&&& آG&&& & & &&&رR&&& ا 3&!& أ-&-&B ....H ا ;& &&-&&:&&&&&& و =&&و: &&&& &&&&&=&&&&&; اذا أردت ...م%B ا ف+} C&&&&2 3&&&&2 &&
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B'/2 رBC ن,c\ &HV و,,H= *! هV/v رًا,e ً و#$'<ء أq اw# 6q ء57 &Y, ة2 نA' &* !& اB[V &'ا . !* درب ا;اعA أراد ا6 ]ًا/a ..ccvاح وcY ;c< ," وهB79 h أ700"&9 6# ا.&q + ;# 2e 3e'* أ/ ,!ك7 *'/2ر ًc',c Bc1cc1c c ا6c# %ccL BccVK ر,e +9 و,9,q' أدران%5N م$'f س,q اB$ C ;ّ آ6# %'f! .B'A'4 ًاq9 ق وL ها اBe7 ن/ ّل,2 ًYّرًا وه,' M7 أ% tf! ,و!\ًا yc1cccAcc! ,ةcc ا+H\ WqL ا%\A .q! ,B[VH ً1v %Cن ا,\ h آH7 M'? %e B1= دM h1' c9 ;ركc' ccّHc7 &&q ;&' ز# و,,qv # &1L7 ت$' *! ت,5'ارًا ا9 أ+&q Haن !* داA'ا ./;ع ا?آ/ا Bcؤ,cA# ًاc\cK ل,c1 3a/' 6H! ,لY وa وR2 ب4v و,Bvق وو4a أ,+H7 وB!V# ب4v 6 ' ,+V' ن وcc ا6c# cNcن اي اA' اBC1 ً/ّه# ً'ا,7 M9;ر# %' اا=* اي آ6q اB9 B#n# وBn# c]هc نf ل ا ةY B112 af ّ f ;كV! .B[qس ا,q اB &! |\ ً ,V# BvA/ ا6# ;أ و/# ;قCا .R ا+7 *! M';رك أ9 u1! ;ه7,Mّq ;ًا1 ;;ًاY ً Vر
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Puisque C’est Impossible Faisons-le!!! Boom…Un accident!!!! Appelons la Croix-Rouge rapidement!! 140...allô? Mais réellement connaissons-nous l’organisation de la Croix-Rouge? Fondation? Travail? Principes? Dans un monde caractérisé par un isolement, des tensions et un recours à la violence sans cesse accrus, la CroixRouge et le Croissant-Rouge doivent défendre avec une énergie renouvelée les valeurs individuelles et collectives qui favorisent le respect mutuel parmi les communautés humaines et la volonté de rechercher ensemble des solutions aux problèmes. Les sept Principes fondamentaux régissent l'activité de tous les employés et volontaires de la Croix-Rouge et du Croissant-Rouge à travers le monde. Humanité: Il tend à protéger la vie et la santé ainsi qu'à faire respecter la personne humaine. Il favorise la compréhension mutuelle, l'amitié, la coopération et une paix durable entre tous les peuples. Impartialité: Il ne fait aucune distinction de nationalité, de race, de religion, de condition sociale et d'appartenance politique. Neutralité: Afin de garder la confiance de tous, le mouvement s'abstient de prendre part aux hostilités et, en tout
temps, aux controverses d'ordre politique, racial, religieux et idéologique. Volontariat: Il est un mouvement volontaire et désintéressé. Universalité: Le M o u ve m e n t international de la Croix-Rouge et du Croissant-Rouge, au sein duquel toutes les sociétés ont des droits égaux et le devoir de s'entraider, est universel. Unité: Il ne peut y avoir qu'une seule Société de la Croix-Rouge ou du Croissant-Rouge dans un même pays. Elle doit être ouverte à tous et étendre son action humanitaire au territoire entier. Indépendance: Le Mouvement est indépendant. Auxiliaires des pouvoirs publics dans leurs activités humanitaires et soumises aux lois qui régissent leurs pays respectifs, les sociétés nationales doivent pourtant conserver une autonomie qui leur permette d'agir toujours selon les principes du Mouvement. La croix-rouge a été fondée par henri dunan en 1863. Il a pu par sa persévérance transformer l’impossible en possible… Il a pu bâtir une organisation purement humaine!! M hm
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A nos amis, futurs médecins, qui gardent toujours un certain goût pour la lecture, nous vous proposerons dans chaque issue de "PULSE", une sélection non exhaustive d'un ً& & ا دة هG ا.= + nombre de publications plutôt intéressants! Régalez vous! C&&9# ;&1&&1&= C =ن ا G&& &&&&&اS& ا# .&&d&&/& ا ARABE: & آ4&& ,D&B& &ا &'&ر ه R م%! أ: . ذاآة اC&&/دة أ/ ,'ة ='رI ,S و+ ا# و,`-. ا# و,3 ا# ... آ ا رC2 #B " ة: ا واN>"ه .8# ن-= و أ 8d وأ,8-M و8Bd% و,8=: و8 '# وأ,8:X= و87-# dاX. رة اW ا#و ,يdاX. ; اS =^" =ر ا8-B و,3 . =^" ذاآة ا+ ا واN>ه...8:ر/و ..8-= أن8 ا }نdاX. ه ا. وا,يdاX. ن اX وا G2 رجI و,ا8 و, وا,{! و,: وا,= و,ن-. _ ه- &&م "ان ه>ا اT اC& &&&ً اd=&'&&&&&ا دا ( : ارX )" ..W ن1 ا.D&B& &: &M& &"&وا اد2 / e= :وت# G!اM +& و7&& ا ا-= + GB
... ا ر4-" ه ه, ا م روا ا مS G2 ا م و. 3B اد2 / e= " دون أنD&& وراءآN&&2 &&= \ -= و..ر8- - ا4. اد أن ا2 / e= أدرك.XB+ اR اC ; اd[ راS= 4& ,;- =^"ا ا ة .. رخQ "ت# V آرG2 ً& /&&ة در#&&2 &&'&&ةI &&آ ة1 ا " اNH: N.= # ن وا ان ا- . وت ا# G!اM &'&ةI & آ4 و...ن1= " ..`-. وا/ وا . نB= ً2}= و FRANCAIS: WINDOWS ON THE WORLD-frederic beigbeder: (Amour-Thriller) "vous connaissez la fin: tout le monde meurt"-ouvrage audacieux pour ne pas dire scandaleux, réflexion mesurée et digne d'un érudit sur la signification de la page la plus douloureuse de notre histoire récente: les événements de 9/11. Bien loin de la politique, Beigbeder parvient à combiner l'empathie et la sagesse que lui offre la distance, et nous propose une nouvelle vision de la vie, de la mort, et du destin. "Le père de nos pères"-Bernard Werber: (Science Fiction-Philosophie) Offrant de nouvelles théories sur les origines de l'humanité, de la vie, Werber s'efforce, avec un style tout à fait révolutionnaire, de nous instruire tout en nous divertissant! Véritable Saga, oeuvre d'un écrivain rebelle qui ose être différent! Fabuleux pour ceux qui se sont éloignés de la lecture et désirent s'en rapprocher! (veuillez visiter le site: www.bernardwerber.com à adorer!) OSCAR ET LA DAME ROSE-Eric Emmanuel Schmitt: (Médecine-PsychologieReligion) Livre court, avec un contenu très intéressant qui nous guide vers de nouvelles voies de traitement, de faire face à la mort. Quand un enfant leucémique condamné écrit à Dieu… Récit bouleversant d'émotion et d'amour, de larmes et de rires! A vous faire briller les yeux!
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& =ا أن = ا ا ة ا D&&B&&!&&<&&= و, &&& D&&B&&&& E&&= وا <&حD Tن اT .ىIT# !&دS ا11 ن8Sه و G&&8S اG> أدرك هG و C&& ا, ا &&!&& ةC&& && اQو &&B& &&&&Sزدوا+&& ا1&&&&1&&! ...8=H:-=
ANGLAIS: UNACCOSTUMED EARTH-jhumpa lahiri: (Social Life-Quest for Happiness) “I didn’t think such violent things could happen to ordinary people.” With quiet artistry and tender sympathy, Lahiri creates an impressive range of vivid characters showing that the place to which you feel the strongest attachment isn’t necessarily the country you’re tied to by birth: it’s the place that allows you to become yourself. Engrossing stories that replenish the classical schemes of domestic realism: career, family and loneliness. RGh mwi
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A male doctor asks a female doctor to dinner and she accepts. As they sit down at the restaurant, she excuses herself to go and wash her hands. After dinner, one thing leads to another and just as things get hot, the female doctor interrupts and says she has to go and wash her hands. Once she comes back they go for it. After the sex session, she gets up and says she is going to wash her hands. As she comes back the male doctor says, "I bet you are a surgeon". She confirms and asks how he knew. "Easy, you're always washing your hands." Doctor Used She then says, "I bet you're an anesthesiologist." Patients' Male doctor: "Wow, how did you guess?" Liposuctioned Fat As Female doctor: "I didn't feel a thing." Car Fuel !! A plastic surgeon who practised in Beverly Hills, California, is being accused of using human fat liposuctioned from former patients to fuel his car. According to Forbes.com, Alan Bittner allegedly collected the human fat and turned it into biodiesel for his own SUV and his girlfriend's car. He is being investigated by California's public health department.
You Might be in Med School if… You blame neurotransmitters for anything going wrong in your life. When you go out with non-medical students, you're abnormally quiet, because you don't know what to talk about besides med school. Grey's Anatomy, House, Scrubs, Dr. 90210, and ER are your favorite shows, but you point out all the wrong things in them all the time. You know that, in theory, you have a family and friends, but you can't place the last time you saw them. You don't bother dating because the divorce rate is 70% for physicians. People assume you know something when you tell them you're in med school, but you know that you haven't learned anything. You assess beverages for amount of caffeine before buying only those with more caffeine than coffee. You're still excited to see "real patients." C nti!uti n !y R tme
What is a double-blind study? Two orthopaedists reading an electrocardiogram! You might be an E.R. Doctor if... you think that caffeine should be available in IV form! A man speaks frantically into the phone, "My wife is pregnant, and her contractions are only two minutes apart!" "Is this her first child?" the doctor queries. "No, you idiot!" the man shouts. "This is her husband!" Patient to the eye doctor: "Whenever I drink coffee, I have this sharp, excruciating pain." Eye Doctor: "Try to remember to remove the spoon from the cup before drinking."
RO DE" YOUR PERSPECTIVE The Editor H. Bitar
Dear Students, for those of you who would like to take share in MEDCLUB activities or have articles published in PULSE, please send your suggestions to our email [email protected] or contact us on these numbers 03756018-03085710. We would be more than pleased to publish your work in the upcoming issues. Thank you.
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Serment d'Hippocrate Rappelons-Nous! « Au moment d'être admis à exercer la médecine, je promets et je jure d'être fidèle aux lois de l'honneur et de la probité. Mon premier souci sera de rétablir, de préserver ou de promouvoir la santé dans tous ses éléments, physiques et mentaux, individuels et sociaux. Je respecterai toutes les personnes, leur autonomie et leur volonté, sans aucune discrimination selon leur état ou leur convictions. J'interviendrai pour les protéger si elles sont affaiblies, vulnérables ou menacées dans leur intégrité ou leur dignité. Même sous la contrainte, je ne ferai pas usage de mes connaissances contre les lois de l'humanité. J'informerai les patients des décisions envisagées, de leur raisons et de leurs conséquences. Je ne tromperai jamais leur confiance et n'exploiterai pas le pouvoir hérité des circonstances pour forcer les consciences. Je donnerai mes soins à l'indigent et à quiconque me le demandera. Je ne me laisserai pas influencer par la soif du gain ou la recherche de la gloire. Admis dans l'intimité des personnes, je tairai les secrets qui me seront confiés. Reçu à l'intérieur des maisons, je respecterai les secrets des foyers et ma conduite ne servira pas à corrompre les mœurs. Je ferai tout pour soulager les souffrances. Je ne prolongerai pas abusivement les agonies. Je ne provoquerai jamais la mort délibérément. Je préserverai l'indépendance nécessaire à l'accomplissement de ma mission. Je n'entreprendrai rien qui dépasse mes compétences. Je les entretiendrai et les perfectionnerai pour assurer au mieux les services qui me seront demandés. J'apporterai mon aide à mes confrères ainsi qu'à leurs familles dans l'adversité. Que les hommes et mes confrères m'accordent leur estime si je suis fidèle à mes promesses ; que je sois déshonoré et méprisé si j'y manque. »
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