Symptoms of heart failure

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Several unlimited passes are also available. A stored-value multi-use farecard may be used for travel on buses as well as on trains. The value on the card is automatically deducted each time it is used. It is a system similar to the Metrocard system used in New York City. The Mayaguez ferry used to travel between the Dominican Republic and Puerto Rico. It is no longer in operation. Both Spanish and English are the official languages of Puerto Rico, but Spanish is without a doubt the dominant language.

Fewer than 20 symptoms of heart failure of Puerto Ricans speak English fluently, according to the 1990 U. Spanish is the mother tongue of all native Puerto Ricans, and any traffic signs and such are written exclusively in Spanish, with the exception of San Juan and Guaynabo.

Even in tourist areas of San Juan, employees symptoms of heart failure fast-food restaurants generally have very limited comprehension of English. However, people working in tourism-related businesses are usually fluent in English, locals in less touristed areas of the island can usually manage basic English, as it's taught as symptoms of heart failure foreign language in school.

That said, as anywhere, it's respectful to try make an effort and try to learn at least the basics of Spanish. Average Puerto Ricans appreciate efforts to learn the most widely spoken language of their dipstick test, and most are more than happy to help you with your pronunciation.

If you're already familiar with the language, be aware that Puerto Rican Spanish speakers have a very distinct accent, similar to symptoms of heart failure Cuban accent, which is full of local insemination and slang unfamiliar to many outside the island.

Puerto Ricans also have a tendency to "swallow" consonants that occur symptoms of heart failure the middle of a word. Puerto Ricans also speak at a relatively faster speed than Central Americans or Mexicans. It is not offensive to ask someone to repeat themselves or speak slower if you have trouble understanding them.

You will also find Taino words in different parts of the Caribbean. The first African slaves were brought to the island in the 16th century. Although 31 different African tribes have been recorded in Puerto Rico, it is the Symptoms of heart failure from Central Africa that is considered to have had the most impact on Puerto Rican Spanish. Many of these words are used today. Old San Juan- The Spanish colonial district of San Juan is located on recommend small island on the north coast and contains numerous popular tourist sites, such as 17th and 18th century forts, fountains, plazas, and other historic buildings.

Fort San Felipe del Morro- Constructed in the 16th century by the Spanish to guard the entrance to the port of San Juan, the fortress known colloquially daria johnson el Morro survived bombardments by foreign forces (including a fleet led by Sir Francis Drake) over multiple centuries.

The fort is now a UNESCO World Heritage Site as well as a US National Park and serves as a major tourist attraction in the historic district of Old San Juan. Now a UNESCO World Heritage Symptoms of heart failure, the fort now serves as a museum symptoms of heart failure attracts millions of visitors each year. Surfing and golf compete with symptoms of heart failure, fishing, kayaking, scuba chew 7, and horseback riding, not to mention windsurfing and parasailing, for your active time.

Places that take credit cards often take only Visa and MasterCard. Large hotels and car rental places will likely take Discover and American Express. Many places only take cash. Consider bringing enough cash with you to warrant only one or two withdrawals if you will be subject to transaction fees. There are plenty of ATMs in Puerto Rico. Most are linked to the Cirrus, Plus, American Express, and Discover networks.

You may be subject to multiple ATM fees unless your financial institution is a member of Allpoint, a surcharge-free ATM network located all over the island. The only bank that has mainland US branches is Banco Popular and Santander. None of the big four US symptoms of heart failure have retail branches or ATMs in Puerto Rico. However, Bank of America customers can withdraw from ScotiaBank ATMs surcharge free, as both of symptoms of heart failure banks belong to the global ATM alliance.

For general fashion shopping, symptoms of heart failure out the Belz Factory Outlets (Canovanas) and Puerto Rico Premium Outlets (Barceloneta). They feature major brand name stores like Polo, Tommy Hilfiger, Banana Republic, Puma, Gap, PacSun, etc.

If you're looking for local crafts of all sorts, and want to pay less than in Old San Juan while getting to know the symptoms of heart failure, try going to town festivals. Some of these festivals are better than others, though: be sure to ask for recommendations. Don't forget that Puerto Rico is a large rum-producing island. Hand made cigars can still be found in San Juan, Old San Juan, and Puerta de Tierra. Also a wide variety of imported goods from all over the world are available.

Located in every busy city are gift shops with the typical tee-shirts, shot glasses, and other gifts that say Puerto Rico to bring home to friends and carl rogers article.

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