The document discusses stress in English pronunciation. It states that stress is an important feature of English and that being proficient in different stress patterns is crucial for powerful communication. It then defines stress as the degree of force or prominence given to a syllable. There are two main types of stress: word stress, which shows which syllable in a word is stressed, and sentence stress, which indicates which words in a sentence receive emphasis. The document provides examples of word and sentence stress patterns and notes that certain suffixes and prefixes can affect a word's stress placement.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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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.
1. Introduction:
Stress is an important feature of English pronunciation and to become a
powerful communicator of English one needs proficiency while using
different stress patterns in his communication. Modern man is fully aware of
the importance of English in everyday affairs of modern world. Men and
women both are aware of the extensive use of this language in the field of
trade and commerce, travel and tourasim, banking, administration, aviation,
law and above all education. And now with the advent of globalization and a
revolution in information technology, the importance of this language is
further increased.
Stress is crucial in English pronunciation. It can be called a grammatical
device in English. In English a part of the meanings of a word depends on its
stress. It serves to mark the function of words in spoken English. Most of our
students learn English grammar from books. That is why their sense of stress
remain undeveloped. One thing should necessarily kept in mind that English
word are pronounced with one dominant syllable while the other syllables
tend to get squashed and reduced. So to say to become a powerful
communicator of English one must be proficient in using stress.
What is stress?
Stress is the degree of force with which a syllable or a word is uttered. It can
more easily be defined as degree of prominence a syllable has. When we put
a greater breath force on a syllable it becomes a stressed syllable. Stress is
2. also called the word accent of a sentence. If a syllable has more than one
syllable then one of the syllables stands out from the rest and this causes
stress.
Examples:
In a word table the first syllable is /tei/. It is more prominent than the second
/bl/. Similarly in the word committee /k'miti/ the second syllable /mi/ is more
prominent. Taking example of recommend, the third syllable /mend/ is more
prominent than others and it is said to receive the accent.
Nature of Stress:
The nature of stress is simple enough. Everyone can easily understand that
first syllable of these words like father, open, camera is stressed. Then the
middle syllable in potato, apartment, and relation is stressed. Again we
notice that final syllable in about, receive, and perhaps are stressed.
Production and Perception of Stress Syllables:
We can study stress from the point of view of production and of perception.
Both are closely related but not identical. Production of stress is generally
believe to depend on the speaker using more muscular energy than is used for
unstressed syllables. Measurement of muscular effort is difficult but it seems
possible according to experimental study while producing stressed syllables
muscles that are used to expel air from the lungs are more active. Many
experiments have been carried out on the perception of stress. From
3. perceptual point of view all stressed syllable have one characteristic in
common and that is prominence. Stressed syllables are recognized as stressed
because they are more prominent than unstressed syllables.
Types of Stress:
There are two types of stress.
1) Word stress.
2) Sentence stress.
Word Stress:
Word stress shows what syllable or syllables in a word are stressed. e.g,
useful is stressed on the first syllable, mistake is stressed on the second
syllable, advantageous has a primary stress on the third syllable and a
secondary stress on the first syllable.
4. Rules of Word Stress:
Stress on words in English is not tied to any particular syllable for the entire
vocabulary. Stress pattern of the each word in English has to be learnt
individually. There are certain groups of words which follow some regular
stress patterns. These patterns allow so few exceptions that they may be
regarded as rules of word stress. These rules are based on the kinds of
prefixes and suffixes or word endings.
Rules Related to Suffixes:
There are two types of suffixes.
Inflexional Suffixes
Derivational Suffixes
1) Inflexional Suffixes:
These are those suffixes when attached towards do not change their parts of
speech or grammatical status. Another feature of these suffixes is that once
they have been attached to a word, no other suffix can be added. Such
suffixes do not affect the stress of words.
5. Examples:
'Picture 'pictures
'enter 'entering
'Table 'tables
'play 'played
'Simple 'simpler
'heavy 'heavier
2) Derivational Suffixes:
Derivational suffixes are those which we use to derive new words. They may
or may not change the part of speech of the word to which they are attached.
Some derivational suffixes do not affect the stress while others do.
a) The following derivational suffixes do not affect the stress.
Examples:
'Persona 'personage
'Hermit 'hermitage
'Differ 'difference
'Utter 'utterance
6. b) The derivational suffixes that bring change in stress are given below.
Examples:
Millio 'nair engi 'neer
addres 'see Cava 'lier
ru 'pee tru 'stee
Sentence Stress:
Sentence stress indicates what words in a sentence are stressed. Look at the
following example:
Examples of sentence stress
1) It’s a `door.
2)`Take a `book out of the `bag.
3) The `dog is a `faithful `animal.
4) `Bring me a `pencil.
Which Words are stressed and which are not?
In English speech some words are stressed and others are not. In normal
speech all nouns, demonstrative and interrogative pronouns, main verbs,
adjectives and adverbs are stressed. The pronouns, prepositions,
conjunctions, helping verbs are not stressed.
7. Examples:
1) Her complexion is fair. (Adjective)
2) Who is there? (Interrogative)
3) I went to Multan. (Main Verb)
4) Ahmad is a good boy. (Noun)
5) Marry went there quickly. (Adverb)
Morpheme
Words
Simple Complex Compound
8. Types of Complex Words
Words made from a basic word form (which we call the stem), with
the addition of an affix (Prefix + suffix)
e.g. reopen, Opened.
Which are made of two (or more than two) independent English words
e.g. Ice-Cream, Arm-Chair
In 1st type
(3 possible effects)
The affix itself receives the primary stress
(e.g. semi + circle=semicircle, ÈsùÎ kl` ---ÈsemisùÎ kl` )
The word is stressed just as if the affix were there
(e.g. pleasant, Èplezn` t, unpleasant, ÃnÈplezn` t)
The stress remains on the stem, not the affix, but is shifted to a
different syllable.
e.g. magnet, ÈmQ t, magnetic, mQ netI k.
gn« gÈ`
9. Suffixes
It is observed that there are a number of suffixes in English language but
some are more productive.
Productive means that by using those suffixes, we generate hundreds of new
words.
Problems
As we already have discussed that English has borrowed a
lot of words from other languages which made things so
much ambiguous
Example # 1
e.g. if we consider word “audacity”.
It is not easy to divided it into Stem + affix.
Example #2
Person + al
Or
Person + al + ity
Or
Personal + ity