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Question: please clarify your answer ive spend a lot of time...

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Please clarify your answer I've spend a lot of time on this but I still don't get it. Looked over the entire textbook
EORY If 23% of all patients with high blood pressure have bad side-effects from a certain kind of medicine, use the normal approximation to the binomial to find the probability that among 120 patients with high blood pressure treated with this medicine, more than 32 will have bad side-effects.
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