Choose the best answer:
Around 200 million people are employed in tourism worldwide, making it the largest industry in the modern global (25) _____. It is estimated that three-quarters of a billion people go on holiday each year, and industry planners expect this figure to double by 2020. Some of the biggest beneficiaries are less developed countries, where it is often their main source of income. (26) _____, along with the economic benefits, this mass movement of people has resulted in threats to the environment. People often forget the damage caused by carbon dioxide emissions from aircraft, (27) _____ contribute directly to global warming. Deforestation has cleared land in order to build hotels, airport and roads, and this has destroyed wildlife. In some areas, water shortages are now common because of the need to fill swimming pools and water golf courses for tourists. By pushing up prices for goods and services, tourism can also be (28) _____ to the people who live in tourist destinations. In response to these concerns, some travel operators now offer environmental friendly holidays. Many of these aim to reduce the negative effect of tourism by (29) _____ only hotels that have invested equipment to recycle waste and use energy and water efficiently. Increasingly, tourists are also being reminded to show respect for the customs of the people whose countries they are going to visit, and to support local businesses, such as restaurants and shops, which depend on tourism for their main income

Read the reading below carefully, and then complete it with the best option A, B, C or D given below:
Air pollutant emission factors are (1) ___________ representative values that attempt to relate the quantity of a pollutant released to the ambient air with an activity associated (2) ___________ the release of that pollutant. These factors are usually expressed as the weight of (3) ___________ divided by a unit weight, volume, distance, or duration of the activity emitting the pollutant. Such factors facilitate estimation of emissions from (4) ___________ sources of air pollution. In most cases, these factors are simply averages of all available data acceptable quality, and are generally assumed to be representative of (5) ___________ averages. (6) ___________ are 12 compounds in the list of persistent organic pollutants. Dioxins and furans are two of them and (7) ___________ created by combustion of organics, like open burning of plastics. These compounds are also endocrine disruptors and can mutate the human genes. The United States Environmental Protection Agency (8) ___________ published a complication of air pollutant emission factors for a wide range of industrial sources. (9) ___________ United Kingdom, Australia, Canada and many other countries have published similar compilations, (10) ___________ well as the European Environmental Agency.

Choose the best answer:
In many countries of Northern Europe, including Scandinavia, Finland, Northern Russia, and the Baltic states, ice swimming is closely connected with the tradition of sauna, (25) _____ has led to the creation of a new activity where stays in the sauna are (26) _____ with quick 'pauses' in ice water. In Russia, ice swimmers are called what can be literally translated as 'walruses '. The north of Europe, (27) _____, is not the only place where winter swimming is practised regularly. A large ice swimming movement exists in the UK, based in a famous location: the Serpentine Lake in Hyde Park in London. In Harbin, Northern China, about 200,000 people ice-swim in the Songhua River every winter. The oldest ice swimming club in the United States, the Coney Island Polar Bear Club of New York, organises an annual (28) _____ on New Year's Day. In Canada, 'Polar Bear Swims; 'Plunges' or 'Dips' are a New Year's Day tradition in (29) _____ communities as well, the biggest one taking place in Vancouver since 1920

Choose the best answer:
There is a natural balance to all things: life and death, good and bad, happiness and sadness, pleasure and pain. The very idea that you should focus on positives and ignore negatives, likewise with strengths versus weaknesses, is not only delusional; it's a recipe for disaster. Let me tell you a couple of stories to show how dealing with reality as openly and genuinely as possible is the path to success and happiness, while focusing only on the positives and strengths can destroy your career and your company. It's no secret that Steve Jobs was forced out of Apple in 1984 because his management style had become toxic to the company. Much later, Jobs would come to realize that getting fired from the company he cofounded "was the best thing that could have ever happened” to him. He called it “awful-tasting medicine" that "the patient needed." He also likened it to life hitting him in the head with a brick. That forced Jobs to look in the mirror and see the truth - that he wasn't as capable or as strong a leader as he could be. And as he addressed the issues that stood in his way, the result was the founding of NeXT and Pixar, his eventual return to Apple, and the greatest turnaround in corporate history that built the most valuable company on Earth. It's easy to miss the obvious connection staring us right in the face, that it wasn’t just Apple that had hit a wall, fallen on hard times, and found itself in need of a turnaround. The same was true of Jobs. And there was an undeniable connection between the two. It's also easy to miss the insightfulness of Jobs' realization that none of his later achievements would have occurred if he hadn't faced reality. That sort of introspection only comes from someone who's had some sort of intervention and gone through gut-wrenching change as a result. Not to compare myself with Jobs, but the truth is I've gotten a couple of those bricks to the head myself. I've been fired more than once and lost my wife early in our marriage. But in every case I looked in the mirror, faced what I saw, made some changes, and bounced back stronger than ever. If I'd just tried to stay positive, focused on my strengths, and searched for the silver lining in the clouds, I never would have figured out what was wrong and become a better person, a better husband, and a better leader. I never would have achieved so much in my career or won my wife back. While life is full of ups and downs, one thing is certain: If you attempt to filter your consciousness and disallow negative thoughts or make believe the weaknesses holding you back don't exist, you'll never get past those hurdles and get to the next stage in your personal and professional development. And neither will your business.
6. Which of the following statements is NOT true about Steve Job according to the passage?

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Thailand's most celebrated festival is the Songkran Festival. It starts on April 13 and lasts between three to ten days, depending on where you are in Thailand. The word Songkran is from Sanskrit, meaning the beginning of a new solar year.  The festival begins on April 13 and everyone is awakened at dawn to the sound of firecrackers used to drive away evil spirits. This is the day when everything is scrupulously cleaned from the self, clothes, Buddha images, to houses, shops and streets in preparation for the New Year.  April 14 is the day between the old year and the new year. It is customary not to quarrel or use harsh words on one another. The morning is spent shopping and preparing food for the following day, while the afternoon is reserved for visiting a temple in the neighborhood. It is imperative that they carry a fistful of sand with them to compensate for the dirt that they have carried away from the temple during their visits throughout the year. The sand is then sculpted into stupa-shaped piles.  April 15 marks the New Year's Day called Wan Phya Wan. It is a day of great importance. It is customary to visit the temple early in the morning to take food to the monks, as a form of merit making and later in the afternoon to return to place small banners, known as Thung, on the top of the stupas built the day before.  After that, visits to family and relatives are carried out. The gifts during the visit include areca nuts, clove leaves, turmeric water and acacia oil. Family members ask for forgiveness from their respected elders for any wrong doings they may have committed throughout the year and to receive their blessings for the year to come. At the end of this ceremony, a little water is sprinkled onto the hands and heads of the old people as a blessing and then quite a lot is thrown at the rest of the family in anticipation of the water wars that are to follow.  Traditionally water should be thrown on April 16 but nowadays it is not unusual for water to be thrown throughout the whole of the Songkran festival. Armed with high-powered water pistols, bowls, buckets or anything that will hold water revelers gather on the streets to throw water at one another. Even the policemen directing traffic are not spared. Each and every participant is expected to receive the 'blessing' with good humor.  If you want to stay dry and still do not want to miss the fun, you can always view the scene from inside an air-conditioned tourist bus - just remember not to open the windows.  To attract tourists, other activities are held in big cities. These include the sand-stupa building contests, local cultural performances and Miss Songkran Beauty Queen Contests. Demonstrations of Thai cooking and handicraft making are also held at well-known hotels in cities like Bangkok
2. The word "scrupulously" in the passage is closest in meaning to ____

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One of my favorite movies is When Harry Met Sally. I can watch it again and again and love it every single time - maybe even more than I did before. There’s a scene that will be familiar to any of the movie’s fans: Harry and Sally have just set off on their drive to New York City and Harry starts telling Sally about his dark side. He mentions one thing in particular: whenever he starts a new book, he reads the last page first. That way, in case he dies while reading it, he’ll know how it ends. Harry will know how it ends, true, but doesn’t that also ruin the book? If you know the ending, how can you enjoy the story? As it turns out, easily. A study in this month’s issue of Psychological Science comes to a surprising conclusion: spoilers don’t actually spoil anything. In fact, they may even serve to enhance the experience of reading. Over 800 students from the University of California San Diego took part in a series of three experiments, where they read one of three types of short story: a story with an ironic twist (such as Roald Dahl), a mystery (such as Agatha Christie), and a literary story (such as Raymond Carver). For each story, there was a spoiler paragraph that revealed the outcome. The students read the stories either with or without the spoiler. Time to reconsider, it seems, what we call a spoiler. The so-called “spoiled” stories were actually rated as more enjoyable than those that were “unspoiled,” no matter what type of story was being read. Knowing the ending, even when suspense was part of the story’s goal, made the process of reading more, not less, pleasurable. Why would this be the case? Perhaps, freed from following the plot, we can pay more attention to the quality of the writing and to the subtleties of the story as a whole. Perhaps we can be more attuned to those signs that foreshadow the unfolding of the action and take pleasure in our ability to identify them. Whatever the case may be, it may not be as urgent as we think it is to avoid spoilers. Indeed, it might be just fine to embrace them openly. Harry might have the right idea after all. In fact, he might be getting at the very thing that lets me watch him meet Sally over and over and over again, and enjoy the process every single time.
7. Which of the following can be inferred from the passage?

Read the reading below carefully, and then complete it with the best option A, B, C or D given below:
THE THREAT TO THE ENVIRONMENT
Nowadays people are more aware that wildlife all over the world is in danger. Many (1)________of animals are threatened, and could easily become (2)______ if we do not make an effort to protect them. There are many (3)_______ for this. In some cases, animals are hunted for their fur or for othervaluable parts of their bodies. Some birds, such as parrots, are caught (4)________and sold as pets. For many animals and birds, the problem is that their habitat - the (5)________where they live - is disappearing. More (6)________is used for farms, for houses or industry, and there are fewer open (7)________than there once were. Farmers use powerful chemicals to help them grow better (8)________, but these chemicals pollute the environment and (9)________wildlife. The most successful animals on earth - human beings - will soon be the only Ones left, unless we can (10)________this problem

Choose the best answer:
ASEAN was established on 8 August 1967 in Bangkok by the five original member countries: Indonesia, Malaysia, Philippines, Singapore, and Thailand. Brunei Darussalam joined on 8 January 1984, Vietnam on 28 July 1995, Laos and Myanmar on 23 July 1997, and Cambodia on 30 April 1999.  The ASEAN Declaration states that the aims and purposes of the Association are: (1) to accelerate the economic growth, social progress and cultural development in the region through joint endeavors in the spirit of equality and partnership in order to strengthen the foundation for a prosperous and peaceful community of Southeast Asian nations, and (2) to promote regional peace and stability through abiding respect for justice and the rule of law in the relationship among countries in the region and adherence to the principles of the United Nations Charter. In 1995, the ASEAN Heads of State and Government re-affirmed that "Cooperative peace and shared prosperity shall be the fundamental goals of ASEAN.”  The Treaty of Amity and Cooperation (TAC) in Southeast Asia, signed at the First ASEAN Summit on 24 February 1976, declared that in their relations with one another, the High Contracting Parties should be guided by the following fundamental principles:  • Mutual respect for the independence, sovereignty, equality, territorial integrity, and national identity of all nations;  • The right of every State to lead its national existence free from external interference, subversion, or coercion;  • Non-interference in the internal affairs of one another;  • Settlement of differences or disputes by peaceful manner;  • Renunciation of the threat or use of force; and  • Effective cooperation among themselves.  The TAC stated that ASEAN political and security dialogue and cooperation should airn to promote regional peace and stability by enhancing regional resilience. Regional resilience shall be achieved by cooperating in all fields based on the principles of self confidence, self-reliance, mutual respect, cooperation, and solidarity, which shall constitute the foundation for a strong and viable community of nations in Southeast Asia. 
4. The word "abiding" in the passage mostly means ____

Choose the best answer:
If you want to prepare yourself for great achievement and have more to _____ (27) to your education or your work, try reading more books. _____ (28) up some of the interestingly informative books and search for well - researched materials that can help you grow. We should encourage our children to read more books and spend less time watching TV. Some people have commented that this is inconsistent. "Why is the written word a superior way to get information than television?" That is _____ (29) interesting point of view worth further _____ (30). Reading is a skill that is in much greater demand than the demand for watching TV. There are no jobs that require a person to be able to watch TV but reading is an integral part of many jobs. The written word is an incredibly flexible and efficient way of communication. You can write something down and, in no time, it can be communicated to many different people. Not only that, we can _____ (31) vast amounts of information through reading in a very short time. A good reader can acquire more information in reading for two hours than someone watching TV can acquire in a full day. You are able to gain a lot of information quickly because you are a fast reader with good comprehension skills. It will save you massive amounts of time and you will be able to assimilate vast quantities of information

Choose the best answer:
Thailand's most celebrated festival is the Songkran Festival. It starts on April 13 and lasts between three to ten days, depending on where you are in Thailand. The word Songkran is from Sanskrit, meaning the beginning of a new solar year.  The festival begins on April 13 and everyone is awakened at dawn to the sound of firecrackers used to drive away evil spirits. This is the day when everything is scrupulously cleaned from the self, clothes, Buddha images, to houses, shops and streets in preparation for the New Year.  April 14 is the day between the old year and the new year. It is customary not to quarrel or use harsh words on one another. The morning is spent shopping and preparing food for the following day, while the afternoon is reserved for visiting a temple in the neighborhood. It is imperative that they carry a fistful of sand with them to compensate for the dirt that they have carried away from the temple during their visits throughout the year. The sand is then sculpted into stupa-shaped piles.  April 15 marks the New Year's Day called Wan Phya Wan. It is a day of great importance. It is customary to visit the temple early in the morning to take food to the monks, as a form of merit making and later in the afternoon to return to place small banners, known as Thung, on the top of the stupas built the day before.  After that, visits to family and relatives are carried out. The gifts during the visit include areca nuts, clove leaves, turmeric water and acacia oil. Family members ask for forgiveness from their respected elders for any wrong doings they may have committed throughout the year and to receive their blessings for the year to come. At the end of this ceremony, a little water is sprinkled onto the hands and heads of the old people as a blessing and then quite a lot is thrown at the rest of the family in anticipation of the water wars that are to follow.  Traditionally water should be thrown on April 16 but nowadays it is not unusual for water to be thrown throughout the whole of the Songkran festival. Armed with high-powered water pistols, bowls, buckets or anything that will hold water revelers gather on the streets to throw water at one another. Even the policemen directing traffic are not spared. Each and every participant is expected to receive the 'blessing' with good humor.  If you want to stay dry and still do not want to miss the fun, you can always view the scene from inside an air-conditioned tourist bus - just remember not to open the windows.  To attract tourists, other activities are held in big cities. These include the sand-stupa building contests, local cultural performances and Miss Songkran Beauty Queen Contests. Demonstrations of Thai cooking and handicraft making are also held at well-known hotels in cities like Bangkok
5. The word "sculpted" in the passage mostly means ____

Choose the best answer:
Polar bears are being increasingly threatened by the effects of climate change, but their disappearance could have (26) _______ consequences. They are uniquely adapted to the extreme conditions of the Arctic Circle, (27) _______ temperatures can reach -40°C. One reason for this is that they have up to 11 centimetres of fat underneath their skin. Humans with comparative levels of adipose tissue would be considered obese and would be likely to suffer from diabetes and heart disease. (28) _______ the polar bear experiences no such consequences. A 2014 study by Shi Ping Liu and colleagues sheds light on this mystery. They compared the genetic structure of polar bears with (29) _______ of their closest relatives from a warmer climate, the brown bears. This allowed them to determine the genes that have allowed polar bears to survive in one of the toughest environments on Earth. Liu and his colleagues found the polar bears had a gene known as APOB, which reduces levels of low-density lipoproteins (LDLs) - a form of 'bad' cholesterol. In humans, mutations of this gene are (30) _______ with increased risk of heart disease. Polar bears may therefore be an important study model to understand heart disease in humans

Choose the best answer:
Most of us own modern gadgets such as mobile phones, or digital cameras. We may carry them round in our pockets, or attach them to our bodies. But not for much longer! So far designers have succeeded in (4) _____ tiny bits of technology di–rectly into our clothing. In actual fact “cyberfashion” is the latest trend! One example, the Musical Jacket, is already in the shops and stores. This jacket is silk. It is (5) _____ by a keyboard, also manufactured from fabric, which is connected to a tiny device (6) _____ plays music. At present, you have to touch a shoulder pad to hear the music. But in the future, you will be able to operate the device just by turning your wrist or walking! For many athletes, scientists have invented a smart shirt which measures your heart rate, body temperature and respiration rate! (7) _____, the most romantic piece of cyberfashion must be the Heartthrob Brooch. This item of jewellery, made from diamonds and rubies, has two miniature transmitters. They make the brooch glow in time to the beating of its wearer’s heart. If you meet someone (8) _____, your heart will beat faster – and your brooch will let everyone know how you feel!

Choose the best answer:
Throughout the nineteenth century and into the twentieth, citizens of the United States maintained a bias against big cities. Most lived on farms and in small towns and believed cities to be centers of corruption, crime, poverty, and moral degradation. Their distrust was caused, in part, by a notional ideology that proclaimed farming the greatest Occupation and rural living superior to urban living. This attitude prevailed even as the number of urban dwellers increased and cities became an essential feature of the notional landscape. Gradually, economic reality overcame ideology. Thousands abandoned the precarious life on the farm for more secure and better paying jobs in the city. But when these people migrated from the countryside, they carried their fears and suspicions with them. These new urban population, already convinced that cities were overwhelmed with great problems, eagerly embraced the progressive reforms that promised to bring order out of the chaos of the city.  One of many reforms came in the area of public utilities. Water and sewerage systems were usually operated by municipal governments, but the gas and electric networks were privately owned. Reformers feared that the privately owned utility companies would charge exorbitant rates for these essential services and deliver them only to people who would afford them, some city and state governments responded by regulating the utility companies, but a number of cities began to supply these services themselves. Proponents of these reforms argued that public ownership and regulation would insure widespread access to these utilities and guarantee a fair price.  While some reforms focused on government and public behavior, others looked at the cities as a whole. Civic leaders, convinced that physical environment influenced human behavior, argued that cities should develop master plans to guide their future growth and development. City planning was nothing new, but the rapid industrialization and urban growth of the late nineteenth century took place without any consideration for order. Urban renewal in the twentieth century followed several courses. Some cities introduced plans to completely rebuild the city core. Most other cities contented themselves with zoning plans for regulating future growth. Certain parts of town were restricted to residential use, while others were set aside for industrial or commercial development. 
4. In the early twentieth century, many rural dwellers migrated to the city in order to ____

Choose the best answer A, B, C or D to complete the passage below.

Hello everyone, I am......(1)..... teacher, I……..(2)…….at a primary school in the Hanoi. In the morning I......(3)..... up at seven o'clock. I have breakfast with bread and a cup of coffee. Then I go to work. I teach his students French. I have lunch at school. I go home.....(4)...... one o'clock in the afternoon. I don’t work on Saturdays and Sundays. I go to the cinema, or …….(5)……… a book. I like the books very much. I have a sister in Oxford and a brother in London.

I go home.....(4)...... one o'clock in the afternoon.

Read the reading below carefully, and then complete it with the best option A, B, C or D given below:
I live in a house near the sea. It is ................. (1) old house, about 100 years old and ................. (2) very small. There are two bedrooms upstairs ................. (3) no bathroom. The bathroom is down stairs ................. (4) the kitchen. There is a living room where there is a lovely old fire place. There is a garden ................. (5) the house. The garden ................. (6) down to the beach and in Spring and Summer ................. (7) flowers everywhere. I like sitting alone ................. (8) my dog, Rack, but we have a lot of visitors. My city friends often stay with ................. (9) I love my house for ................. (10)reasons: the garden, the flowers in Summer, the fire in winter, but the best thing is the view from my bedroom window

Choose the best answer:
Two decades of progress in the reduction of extreme poverty, the elimination of (26) _______ is one of the sustainable development goals, have been pushed into a sharp (27) ______ by a combination of the impact of the Covid-19 pandemic, the growing climate emergency and increasing debt. With the World Bank warning of a “truly unprecedented increase” in levels of poverty this year, and renewing calls for debt forgiveness, experts are warning of a growing crisis in multiple areas from education to employment, likely to be felt for years to come. While the World Bank was already pessimistic, in January it updated its forecast for the expected number of newly (28) _______ people this year from between 88 and 115 million to the new range of between 119 and 124 million. Global poverty has seen a spectacular decline since the 1960s – when about 80% of the world’s population lived in extreme poverty. Today that number has been reduced to nearer 10%, with hundreds of millions of people removed from the extremes of hardship. (29) _______ the numbers are forecast to rise in the coming year. Experts have noted a worrying rise in (30) _______ of people living on less than $3.20 between June last year and January 2021

Read the reading below carefully, and then complete it with the best option A, B, C or D given below:
The heart has long been considered to be (1) _______ feelings of love dwell. In love songs throughout the ages, love almost always goes together (2) _______  the heart. The heart has continuously been viewed (3) _______ the place where love begins and develops. Even the Bible gives (4) _______ to love and the heart. The role of the heart in love must come from what happens to it when a person feels strongly (5) _______ to someone. The strong feelings (6) _______ the other person, especially in the early stages of a relationship, have the results that the heart starts beating faster and breathing starts speeding (7) _______.According to psychologists, a love relationship is a situation that (8) _______ a lot of stress and the body reacts to this by getting ready to face the unknown. This has been called the "fight or flight" (9) _______, meeting danger by fighting it or running away. So with love, the heart accelerates and (10) _______ becomes quick

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Maria Alcalá of Madrid speaks for many Mediterranean people when she says that “a meal without olive oil would be a bore.” No one knows when the Mediterranean civilizations initially fell in love with olives. That occurred before recorded history. However, there is evidence that the cultivation of olive trees began in countries around the Mediterranean Sea in approximately 4000 B.C., and 2,000 years after that people in the eastern Mediterranean region began to produce oil from olives. The Mediterranean still accounts for 99 percent of all world olive oil production. From ancient times until today, the basic process of producing the oil is the same. First, whole olives are crushed. Then, the liquid is separated from the solids. After that, the valuable oil is separated from the water. Many olive growers maintain their ancient traditions and still harvest the olives by hand. “We harvest in the traditional way,” says Don Celso, an olive farmer from Tuscany, Italy. "It would be less expensive to do it with machines, but it's more a social thing. Twenty people come to help with the harvest, and we pay them in oil." Olive oil has had a variety of uses through its long history. In ancient times, olive oil was used as money and as medicine. It was even used during war-heated up and dropped down on attackers. It is still used in religious ceremonies. It is great for protecting the freshness of fish and cheese. There are even olive oil lamps and olive oil soaps. Olive oil enhances the lives of people everywhere. Its benefits, recently confirmed by science, were already understood in ancient times. Mediterranean people are happy to share their secret with the world.
2. The word ‘civilisations’ in paragraph 1 is closest in meaning to _______

Choose the best answer:
Higher Education in the UK Students who have successfully completed an A-level course may go to university to do (1)_____ three- or four-year course leading to a first degree such as Bachelor of Arts (BA), Bachelor of Science (BSc), etc. They apply to several universities which then (2)_____ an offer of a place specifying the minimum grades the student needs to obtain in the A level subjects studied. Higher education is not (3)_____. In principle, students have to pay a contribution to the cost of teaching (tuition fees) and have also to pay their living costs (maintenance). The government provides (4)_____ to help them pay for university education which have to be paid back from earnings once their income reaches a certain (5)_____. In recent years government policy has been to (6)_____ the percentage of 18-year olds (7)_____ go to university, which is now, at 40%, double the 1990 figure, but this growth has been at the (8)______ of the amount of financial support given to individual students. Universities receive money (9)_____ the state for each student and are responsible for employing staff and deciding which courses to offer. The head of a university, who is (10)_____ for its management, is called a vice-chancellor

Choose the best answer:
Stephen Hawking was 21 years old and just embarking upon his career as a researcher in cosmology at the University of Cambridge when his father noticed he was tripping and falling frequently. After a series of tests, Hawking was (26) _______ with 50 ALS (Amyotrophic Lateral Sclerosis) and doctors estimated he had two and a half years left to live. The news was, of course, devastating, but Hawking avoided an emotional (27) _______ by taking new interest in his studies and his research. His disease continued to progress, (28) _______, and by the mid-1970s he needed more care and his speech was so slurred only his family could understand him. In 1985, Hawking came down with pneumonia and needed a tracheotomy, (29) _______ left him without the ability to speak at 60 all. He did make a full recovery, however, allowing him to finish writing A Brief History of Time, which sold 10 million copies around the world. Although it would be easy to dwell on what ALS has cost him, Hawking has chosen to focus on (30) _______ that he still has in life. His brilliant mind remains unaffected by the disease and as a result Hawking has 65 made significant breakthroughs in his field and has received twelve honorary degrees, as well as multiple awards, medals and prizes

Choose the best answer:
The temperature was constantly changing, and the elderly in my village come down with the flu