exam Maths Puzzle Numerical Ability

I do not understand how to solve the following:
x squared + 5x + 4 OVER (x + 3)squared DIVIDED BY x + 1 OVER x squared minus 9

Please show me how to go about solving this. Thank you.

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exam Other Question

Identify the axis of symmetry, create a suitable table of values, then sketch the graph (including the axis of symmetry).

y = -x2 + 3x - 3
If there are 6 * 10^9 people on the Earth and there is enough freshwater
to provide each person with 8.79 * 10^5 L, how much freshwater is on the
Earth?