Rising and Falling Intonation in Pronunciation

Use punctuation to help your pronunciation skills by adding a pause after each period, comma, semi-colon or colon. By using punctuation to guide when you pause while reading, you will begin to speak in a more natural manner. Make sure to read the example sentences on this page out loud using the pronunciation tips provided.  Lets look at an example sentence: Im going to visit my friends in Chicago. They have a beautiful house, so Im staying with them for two weeks. In this example, pause after Chicago and house. This will help anyone whos listening to you follow you more easily. On the other hand, if you rush through the periods and commas (and other punctuation marks), your pronunciation will sound unnatural and it will be difficult for listeners to follow your thoughts. Punctuation that marks the end of a sentence also has specific intonation. Intonation means the rising and the lowering of the voice when speaking. In other words, intonation refers to the voice rising and falling. Lets take a look at the different types of intonation used with pronunciation. Asking Questions Follows Two Patterns Rising Voice at the End of a Question If the question is a yes / no question, the voice rises at the end of a question. Do you like living in Portland?Have you lived here a long time?Did you visit your friends last month? Falling Voice at the End of a Question If the question is an information question—in other words, if you are asking a question with where, when, what, which, why, what/which kind of.., and questions with how—let your voice fall at the end of a question. Where are you going to stay on vacation?When did you arrive last night?How long have you lived in this country? Question Tags Question tags are used to either confirm information or to ask for clarification. The intonation is different in each case.   Question Tags to Confirm If you think you know something, but would like to confirm it, let the voice fall in the question tag. You live in Seattle, dont you?This is easy, isnt it?You arent coming to the meeting, are you? Question Tags to Ask for Clarification When using a question tag to clarify, let the voice rise to let the listener know that you expect more information. Peter isnt going to be at the party, is he?You understand your role, dont you?We arent expected to finish the report by Friday, are we? End of Sentences The voice usually falls at the end of sentences. However, when making a short statement with a word that is only one syllable the voice rises to express happiness, shock, approval, etc. Thats great!Im free!I bought a new car. When making a short statement with a word that is more than one syllable (multi-syllabic) the voice falls. Mary is happy.Were married.Theyre exhausted. Commas We also use a specific type of intonation when using commas in a list. Lets take a look at an example: Peter enjoys playing tennis, swimming, hiking, and biking. In this example, the voice rises after each item in the list. For the final item, let the voice fall.  In other words, tennis, swimming, and hiking all rise in intonation. The final activity, biking, falls in intonation. Practice with a few more examples: We bought some jeans, two shirts, a pair of shoes, and an umbrella.Steve wants to go to Paris, Berlin, Florence, and London. Pause After an Introductory Subordinate Clause Subordinate clauses begin with subordinating conjunctions. These include because, though, or time expressions such as when, before, by the time, as well as others. You can use a subordinating conjunction to introduce a subordinate clause at the beginning of a sentence, or in the middle of a sentence. When beginning a sentence with a subordinating conjunction (as in this sentence), pause at the end of ​the  introductory subordinating clause. When you read this letter, I will have left you forever.Because its so expensive to travel in Europe, I have decided to go to Mexico for my vacation.Although the test was very hard, I got an A on it.

Of Mice And Men Isolation - 1219 Words

Isolation, or loneliness, is a prevalent feeling shared by many individuals in societies of older generations and future generations. It is commonly misunderstood that every individual has someone to talk to, someone to express themselves to, however, that is a misconception. There are many who suffer from the pain that isolation brings forth. In addition, there are several divisions in society that cause an emptiness in certain individuals. In society, categories such as race, gender, age, and even the lack of intelligence are all reasons behind isolation’s occurrence. The idea of isolation is further explained in John Steinbeck’s 1937 novel, Of Mice and Men, and in â€Å"Alone†, composed by the artist, I Prevail, in 2016. Although both†¦show more content†¦Despite what the men on the ranch say about her, she makes great effort to make a friend or have a simple conversation with someone but she consecutively fails adding more to her depression caused by the isolation she faces due to her gender. Furthermore, Candy is also a victim of isolation because of his age. He is constantly excluded out of any plans the men make. For instance, when George, Slim, Curley, Carlson, and Whit decided to go into town for the cathouse, Candy is left behind, including Lennie, Curley’s wife, and Crooks all because of their internal and external traits. Candy also doesn’t participate in the horseshoe tenements. These deliberate yet subtle exclusions of Candy that Steinbeck reinforces in the text show how isolation is a common result of old age. To contrast and compare, the song, â€Å"Alone†, explores loneliness in several ways throughout the song. The lines, â€Å"I’ve been sleeping on my own/Spending all these nights alone knowing you’re not coming home† depicts loneliness caused by the abandonment of someone who was special to the narrator. This is an isolation completely different from the isolation the ch aracters face in Steinbeck’s novel. The tone of this song is more emotional. The isolation described in the song is caused by a traumatic and painful event causing the artist to feel extreme loneliness. The song explores the idea of a more emotional isolation but doesn’t take into account all the otherShow MoreRelatedIsolation In Of Mice And Men1092 Words   |  5 Pages Egbu 1 While reading and evaluating Of Mice and Men (1937) by the famed novelist John Steinbeck, the several relationships in the story reveal both true, authentic friendship, as well as the opposite, sad, desperate degrees of loneliness and plummeting isolation. Similar to the people that we come across in our lives, a handful of the characters in Of Mice and Men portray false faces of contentment, yet in actuality, they are alone and caught feeling stuck and empty on the inside. On the otherRead MoreLoneliness Isolation in of Mice and Men862 Words   |  4 PagesAn idea I found interesting in the novel ‘Of Mice And Men,’ by John Steinbeck was loneliness and isolation. I found this idea interesting because it helped me understand how important it is to be surrounded by people. George and Lennie’s friendship contrasts this idea as they are friends and they have each other, whereas most of the other ranch workers travel alone. The idea of loneliness was strongly convey ed through the characters Crooks and Curley’s wife, they are both key examples of lonely andRead MoreOf Mice And Men Isolation Analysis759 Words   |  4 Pages Of Mice and Men: Isolation Mental Illness, Isolation, and Loneliness. 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John Steinbeck captures the hopelessness of Depression-era farm life in his novella Of Mice and Men. Throughout the novella, most characters have a disability crippling them and pushing them away from other workers on the farm. Their disabilities are a physical embodiment of their isolation. Steinbeck uses his disabled characters to illustrate the depth of their loneliness, as well as to exemplify different types of loneliness. Candy,Read MoreIsolation And Of Mice And Men By James Joyce2480 Words   |  10 PagesExplore the ways in which the theme of isolation is presented in Dubliners and Of Mice and Men. Isolation - a complete, or near-complete lack of contact with people or society. People can either ostracise you, deliberately shunning you out, which is mainly the type which can be found in the books which we have studied, or it can be very accidental. From The Dubliners, a collection of short stories, I have selected two that I feel can be related to themes of isolation and withdrawal: First, The Dead, writtenRead MoreThe Great Depression Isolation In Steinbecks Of Mice And Men1547 Words   |  7 PagesThe Great Depression isolation â€Å" A guy needs somebody- to be near him.† He whined, â€Å" A guy goes nuts if he ain t got nobody. Don’t make no difference who the guy is, long’s he’s with you† (Steinbeck 72). In the 1930s through the Great Depression, many people struggled to survive. They often became poor and fought with financial aid along with isolation. In the story â€Å"Of Mice And Men†, Steinbeck has many of the characters experience a form of isolation. Whether it is power, segregation, or discriminationRead MoreJohn Steinbecks Presentation of the Themes of Isolation and in Of Mice and Men1518 Words   |  6 PagesGeorge and Lennie Steinbeck’s uses of language and setting to highlight the isolation of experienced ranch workers like George Milton and Lennie Small. â€Å"On the sand-banks the rabbits sat as quietly as little grey sculptured stones.† â€Å"And then from that direction of the state highway came the sound of sycamore leaves. The rabbits hurried noiselessly to cover.† Above I have quoted a portion of what I think is isolation, George Milton and Lennie Small are in an isolated area here, when he says â€Å"andRead MoreHow Does John Steinbeck Portray Loneliness and Isolation in the Novel â€Å"of Mice and Men†?1698 Words   |  7 Pagesloneliness and isolation in the novel â€Å"Of Mice and Men†? The novel of â€Å"Of Mice and Men† was written in the time of the great depression in the 1930’s in America, this was the time in which Professional workers became Migrant workers due to the Wall Street crash in 1929. The great depression caused many professional workers to turn to working in farmland harvesting wheat. John Steinbeck published the novel of â€Å"Of Mice and Men† in 1937 it is set in Salinas, California. The title of the novel â€Å"Of Mice and Men†

What Is Risk Stratification Health And Social Care Essay Free Essays

Accurate stratification of the hazard involved with the patient is a cardinal constituent in wellness attention appraisal of the procedural results.An increasing no of wellness attention organisations are acquiring dependant on the wellness attention appraisal through such plans as a agency for aid in doing patient risk-stratification determinations. The lone trouble persist that the procedure of outcome theoretical account development is both clip consuming and hard due to the preliminary phase. We will write a custom essay sample on What Is Risk Stratification Health And Social Care Essay or any similar topic only for you Order Now Many techniques can be used for medical appraisal of hazard like patterning techniques ( logistic arrested development, unreal nervous web ( ANN ) , and Bayesian ) to quickly develop theoretical accounts for hazard stratifying patients. The lone difference is their method of analysis. The job pertains that none of the technique give accurate consequences or are or hundred per centum dependable. Thresholds are mark based research technique based on grounds that provides numerical marks for healthy development. Targets are derived by careful rating of the given literature on history of the instance surveies agree on a peculiar phenomenon. Assorted different bomber populations like Hazard stratification theoretical accounts can help clinicians in doing determinations on the topic of the demand for extra testing one time a preliminary clinical estimation has been performed. The American Society of Anaesthesiologists ( ASA ) classification of Physical Status was the first clinical manifestation developed to calculate hazard. Introduced in 1941, it was remodelled to its current signifier in 1962 [ 4 ] . Patients are categorized into one of 5 major categories based upon the presence and manifestations of attached medical upsets and whether exigency surgery is required. The public-service corporation of this index is limited by intra spectator incompatibility in evaluation and fluctuations in the prognostic power for postoperative enlistments. Disease Stage, Prevention, and The Care Management Process are correlated in a manner where at an initial phase the patient visits a GP based on early symptoms or hurt at this phase the practician accesses the patients intervention needs or suggest certain trials t the patient. At the following phase where after rating of the disease the future postulation is made on the demand of hospitalization and therefore the population is sorted into the religious orders required. On meeting a major disease where reoccurrence of disease or mortality is a status a set of rules for disease direction in performed by the practicians if hospitalization is required an operative demand arises instance direction under infirmary disposal is the concluding phase which may take to either complete intervention of the high hazard patient or mortality, complication or reoccurrence. Models are specified utilizing the PRISM modeling linguistic communication for the Reactive Modules formalism based on province alteration. Systems are described faculties arranged parallely for treating. Each faculty ‘s province is controlled by the assigned probabilistic guarded bids. The linguistic communication besides supports assorted procedure algebraic operations with agencies of planetary variables and synchronism. See the PRISM certification and illustration depository at [ 6 ] for more information. The PRISM model identifies strengths and failings in RHIS public presentation bridging the spreads hence found, taking to the sweetening of wellness system public presentation. Routine wellness information systems ( RHIS ) attempt record and present quality information about the wellness sector organisations. This information is so used as a usher to daily interventions, path modus operandi, rectifying the past consequences, and therefore increasing the answerability. But the information available in such instances falls short the ideal demands to bring forth high quality systems, informations quality may be low, intermediate procedures of informations other may non be, or directors and staff may hold limited cognition sing information public-service corporation and usage of systems, inducements to give attending to the direction of information system processes may be few. Looking narrowly at proficient issues such as informations aggregation forms we understand the troubles associated with bettering the RHIS systems through PRISM. Refined ways to place and use multiple, frequently aggressive, therapies to accomplish maximum malignant neoplastic disease control its indispensable to assist bad patient. Clinician can besides give these patients the option to inscribe in clinical tests that offer fresh therapies. Classification of patients into established and consistent hazard classs is besides of cardinal importance in doing comparings between patients in clinical databases. Sophisticated analytical instruments incorporate hazard grouping of similar preoperative clinic pathologic parametric quantities like pre-treatment serum PSA, biopsy mark and capacity parametric quantities, and medical tumor phase. Stiring research in the word picture of prostate malignant neoplastic disease may one twenty-four hours supply more accurate and individual-specific hazard appraisal. First introduced in 1966, Gleason mark was introduced to measure prostate malignant neoplastic disease. In many multivariate instances, the Gleason mark proves to be an independent forecaster of both diseased tumor phase and clip to biochemical return. Gleason class may be the most powerful preoperative predictive factor. Preoperative hazard tonss are a critical tool for hazard rating, cost-benefit analysis, and foreword of new tendencies. A series of mark systems have been developed to foretell mortality after executing an grownup bosom surgery these mark systems are based on patient derived informations, such as age, gender, and so forth, but there are considerable differences between tonss with respect to their design and cogency for bosom surgery with respect to their prognostic values and clinical pertinence for our patient population. Although most of the peculiar mark systems were first and first designed to foretell mortality, postoperative morbidity has been acknowledged as the major determiner of infirmary cost and quality of life after surgery. Therefore, we analyzed the selected hazard scores non merely with respect to their prognostic value for mortality, but for postoperative morbidity every bit good. Diabetess may be nowadays for up to 7 old ages before diagnosing early diagnosing, lifestyle alteration, and tight glycemic control are necessary to cut down complications ; nevertheless, these can non happen if diabetes remains undiagnosed. There is deficient grounds for or against everyday diabetes testing. Reason being the load and incommodiousness caused by fasting visits to run into the diagnostic Centres. Diabetess is normally diagnosed by fasting plasma glucose, values which require verification on a 2nd visit [ 7 ] . Opportunist programme for bad persons during unscheduled outpatient, pressing attention, or hospital visits may better rates of diagnosing. From the family interview informations, we analyzed information on self-reported age, sex, race/ethnicity, instruction, and income. While suppliers may take to utilize different tools for hazard stratification, the rule of deducing a low ( A ; lt ; 0.5 % ) , moderate ( 4 % to 5 % ) and high pre-test chance ( A ; gt ; 10 % ) could stay similar. [ 8 ] Prior studies of diabetes testing in community and clinical locales have yielded assorted consequences, frequently limited by low prevalence rates and hapless followup. Similar to any disease showing, patient attachment with collateral testing and subsequent therapy is critical to the successful execution. Additionally, the cost-effectiveness of timeserving diabetes testing is ill-defined and will necessitate farther probe. The proposed algorithm of hazard stratification relied on practical logical thinking and reading of the informations ; others may propose thresholds matching to different prognostic values, and cost effectivity analysis would farther clear up optimum thresholds for clinical pattern. Finally, this analysis provides a proposed algorithm, which, if validated, can function as a guideline for suppliers, but should non replace for sound clinical judgement for single patients. As disease direction plans have started maturating in size and capacity at that place exceeds an importance in the undertaking of warranting their disbursal by showing fiscal. It is no longer sufficient to support a plan based on an illustrated ROI. Insurers and investors seek in bend the factual relevancy, about which members are being identified, the hence taken intercessions that can perchance be applied to them with most effectivity, and which approach leads to genuine public presentation alteration and nest eggs. These demands for informations will merely magnify in the hereafter, which will take to insurance companies and plan designers deriving extra concern about economic optimisation of disease direction attempts. Intensive hazard profiling, prognostic modeling and stratification will be therefore mandatory demands on the portion of all who are involved in plan design and executing. [ 2 ] Hazard stratification and prognostic modeling applications are used in a assortment of disease province categorization systems derived utilizing claims informations. Algorithms based merely on pharmaceutics claims have the recompense of seasonableness, hygiene, and handiness, while still being robust and efficient in the anticipation of prospective health care results and the costs relative to their incorporated curative and pharmaceutics opposite numbers. How to cite What Is Risk Stratification Health And Social Care Essay, Essay examples