Stress refers to prominence given to certain syllables or words in speech. In English, nouns, verbs, adjectives and adverbs are typically stressed, while pronouns, prepositions and conjunctions are not. There are three types of stress: primary, secondary, and tertiary. Stress patterns can help distinguish words in exams. Rules for stress placement depend on a word's endings, like stressing the first syllable of words ending in "-ate" if they have three or more syllables. Emphatic stress is used to draw attention to important information by changing pitch.
Now we have moved on from looking at syllables to looking at words, and we will consider certain well-known English forms that can be pronounced in two different ways; these are called strong forms and weak forms.
Strong Form is the full form of word pronounced with stress.
Weak forms are sounds that become unstressed in connected speech and are often then pronounced as a schwa.
Now we have moved on from looking at syllables to looking at words, and we will consider certain well-known English forms that can be pronounced in two different ways; these are called strong forms and weak forms.
Strong Form is the full form of word pronounced with stress.
Weak forms are sounds that become unstressed in connected speech and are often then pronounced as a schwa.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
2. Stress is the extra muscular activity or
force that is exerted on either the
syllable of a word or the entire word. It
is not every word of a sentence that is
stressed in the English language. Those
words or syllables of a word that are
stressed are usually more prominent
than others. Generally, nouns, verbs,
adjectives, adverbs, and relative
pronouns are stressed in a sentence.
Personal pronouns conjunctions,
prepositions, and articles on the other
hand are not stressed.
3. It should be noted that, when we stress the
syllable of a word, or the entire word we
perceived that the syllable or the word is
louder and longer compared to the
unstressed word or syllable around it. There
are three different types of stress in English
which can be assigned to either disyllabic or
multisyllabic words.
1. PRIMARY OR NUCLEAR STRESS.
This is marked by a high upright line placed
on the syllable that is considered louder and
longer than the others.
4. 2. SECONDARY STRESS.
This is marked by a low upright line
on the next syllable that we consider
equally loud and long but not as loud
and long as the one that attracts the
primary stress.
3. TERTIARY STRESS.
This is assigned to less prominent
syllables or words.
5. EXAMPLE.
,eco’nomic
,responsi’bility
In the two words above, the secondary
stress comes in the first syllable, while the
primary or main stress for economic comes
in the third syllable from the left. That of
responsibility comes in the third syllable
from the right. We indicate the syllable that
is stressed in a word by either using a high
upright line, an asterisk or writing the
syllable in capital letters as indicated in the
examples above. E.g. ‘master (n), *master
MAS-ter.
6.
7. We have different methods of stress
assignment on disyllabic and multisyllabic
words. Generally, disyllabic nouns are
stressed on the first syllable while disyllabic
verbs are stressed on the last syllable.
e.g.
Disyllable nouns Disyllable verbs
‘master at’tend
‘teacher be’lieve
‘preacher re’tire
‘creator re’turn
‘painter a’buse
‘prayer be‘have
8. ‘mistake al’low
‘baby en’sure
‘writer at’tain
‘angel de’ceive.
In public examinations such as SSCE and
NECO, the candidate is given four words
three of which have the same stress pattern
while the last one is stressed differently. The
candidate is expected to choose the option
that has the word that has a different stress
pattern. E.g.
A. mistake
B. attend
C. forgive
D. invite.
9. In the example above, options B, C and
D have the same stress pattern while
option A is stressed differently. option
A is, therefore, the correct answer.
Note that disyllabic adjectives and
adverbs may be stressed either at the
first or last syllable. A good rule of
thumb therefore is that when we
pronounce a word the syllable on which
our pitch is the highest and longest
bears the stress.
10. The following are some disyllabic words and
their stress patterns.
Word Correct stress
advocate ADvocate
bargain BARgain
canoe caNOE
challenge CHALlenge
colleague COLleague
despite desPITE
elite eLITE
success sucCESS
genuine GENuine
interpret inTERpret
12. Stress patterns of multisyllabic words.
Multisyllabic words may be stressed on any
syllable. In public examinations, the candidate
is given a word and different options A to D.
The syllable that is stressed is capitalised. We
are expected to choose the option that has
the appropriate stress. E.g.
1. autocratic
A. AU-to-cra-tic
B. au-TO-cra-tic
C. au-to-CRA-tic
D. au-to-cra-TIC
13. In the example above, the correct
answer is C because it is the second
syllable from the end that is stressed.
The following are rules governing the
stress patterns of multisyllabic words.
15. We shall consider some simple rules for
stress placement based on word endings
(suffixes).
‘ate’ stress the first syllable if the word
has three or more syllables.
Example:
CALculate CAStigate ALtenate
DEMonstrate MAgistrate PROmulgate
FORtunate MOtivate CONfiscate
PENetrate OPerate
CONtemplate
16. ‘-ic’ stress the second syllable from the end if a
word has three or four syllables.
Example:
idioMATic ecoNOmic optiMIStic
draMAtic inorGAnic humanIStic
emPHAtic hisTORic phoNETics
‘-cal’ stress the third syllable from the end if
the word has four or five syllables.
Example:
demoCRAtical geoMETrical reCIProcal
ecoNOMical hisTORical meTHODical
photoGRAPHical poLITical ilLOgical
17. ‘-ure’ stress the second syllable from the end
if the word has three or four syllables.
Example:
adMIXture conJECture
adVENture deBENture
‘-ion’ stress the second syllable from the end if
the word has four or five syllables.
Example:
satisFACtion exeCUtion elimiNAtion
18. ‘-ation’ stress the second syllable from
the end.
Example:
adminisTRAtion privatiZAtion
confedeRAtion consideRAtion
co-opeRAtion organiZAtion
‘-ism’ Stress the first syllable (initial stress)
PATrotism NAtionalism RAtionism
ORganism MECHanism COMmunism
19. ‘-able’ stress the first syllable from the
beginning if the word has four or five
syllables.
Example:
COMfortable EXEcutable FAvourable
HOnourable REAsonable CREditable
20. EMPHATIC STRESS.
Emphatic or shifting stress is used by
the speaker to show the importance or
significance of a unit of information in
an utterance. Emphasis is focused on the
most important element the speaker
wishes to draw attention to and it is
achieved through the degree of intensity
(pitch change) given to the particular
word.
21. In public examinations, we are given four
options lettered A to D. The word that bears
the emphatic stress is capitalised. The
candidate is expected to choose the option
that contrasts the word that is capitalised in
the sentence.
e.g.
1. The teacher SOLD a book to him?
A. Did the teacher sell a book to him?
B. Did the teacher borrow a book from him?
C. Did the teacher buy a book from him?
D. Did the teacher loan a book to him?
The correct answer is ‘C’ because ‘buy’ is
the only word that contrast ‘sold’.