English Recordings

Question, express, address, sam school, s, v and w pronunciations. You can use these letters in any kind of sentence. Venti( size of coffee for Starbucks).

S pronunciation:

silly,sister, cellar, simply, simple, cinema, Sicily, traces, services, smilies [:)], school, assess.

V pronunciation:

however, vicious, villain, victory, give, live, love, television, devote, fever.

W pronunciation:

wary, wanderer, websites, wonderful world, sweet, snow, wood, wheat, meadow, water.

Sample Sentences:

-My sister wakes up very early.
-I'ts a wonderful and silly world.
-You should be wary when surfing the World Wide Web. Some sites are nasty.
-My cell phone service is simply bad.
-I'm scared of the cellar.
-A Starbucks Venti beverage costs way to much.
-The villains on T.V. are never victorious.
-Evil never wins.
-Teens fall in love easily.
- I caught a fever when I went to Spain.
- I want to wade in the meadow water.
- Our visitor Violet just spilled vinegar on my favourite vest. [Sarcasm] That's just lovely.
[Note: I would usually say " Our guest violet", not "our visitor violet".]
-This villager devoted his life to giving to others.

Assessing depression in physically disabled adults

I will start by briefly describing what this presentation is about.
First I will outline the purpose of the research. Then I will discuss the methods and results of the study. Finally, I will conclude my presentation by stating the implications of these results for nursing care.

Introduction

For you to understand fully the subject of this paper, I will begin by outlining the assessment tool used in this study: the CES-D scale.
CES-D scale stands for Centre for Epidemiologic Studies Depression scale. It is a self-report depression scale designed to measure depression symptoms in the general population. It is made up of twenty questions, named symptom items.
The purpose of this study is to evaluate whether it is appropriate to use the CES-D scale to assess depression in physically disabled adults.

In order to do so it is necessary to confirm or refute two hypothesis:
First, the elevated rate of depression in physically disabled adults may be due to the fact that symptoms associated with their disability, for example loss of appetite, may have them produce positive answers to CES-D items, thus distorting the results.

Second, strain accompanying physical incapacity may be likely to create temporary symptoms. As data shows that only persistent symptoms point to depression, the latter could be overrated among the physically disabled.

I. Methods
Using the CES-D scale, a group of disabled persons have been interviewed.
The items were divided into two sets of categories: Somatic and Psychological symptoms along with Present and Persistent symptoms. The results were compared to those of a non-disabled population deriving from a previous study.

II. Results
When we look at the results, they show that the physically disabled suffer more from depression than general population.
This elevated risk of presenting depression is more manifest regarding psychological and persistent symptoms than somatic and temporary ones.

III. Discussion
The results make it possible to draw the conclusion that the original problematic issues can be rejected.
This conclusion suggests that the use of the CES-D scale is appropriate with physically disabled persons as well as the general population.
IV. Conclusion
After analysing the results of this study, we can conclude that the important rate of depression among physically disabled persons is real rather than a product of measurement bias.
Acknowledging this conclusion, it is necessary that nurses be conscious of the signs and the effects of depression on their disabled patients. Most importantly, if such signs should be detected, it is essential to adapt the care approach and perhaps refer the patient to a mental health specialist.

Look! there is a wall around the town. It was to protect the people from enemies.

There were also gates that were closed at night. Curfews were imposed to keep the peace.

In the big towns there was a market place. Markets were noisy and busy. Merchants had to "cry their wares" as their only means of advertising.

Once or twice a year there was a big fair that would last several days. Merchants sometimes came from other countries. Fair days were very festive.

There were many shops in the towns, shopekeepers often sold goods they made themselves. The men who made one type of thing all lived on the same street. There were streets called "Candlemakers's Row, or "Honey Lane," or "Milk Street".

There was signs outside of the shops like a fish, or a boot, or a hat but no names as most people could not read.

The streets were narrow and very dirty. People threw their rubbish in the streets: dirty water, sweepings from the stable, the remains of dead animals, the contents of chamber pots... Pigs and chickens wandered in the rubbish along with rats. Sanitation was a real problem.

As there was no running water, the people had to go to the river or well to get water. Water carriers brought water in carts or buckets and could be seen everywhere in the town.

The houses were tall and close together. They were often made of wood. Fire was the main fear of town people.

Crime was also a constant problem of the towns. The larger the city, the higher the incidence of crime. But most crime in cities was theft, not violent crime.

Look! there is a wall around the town. It was to protect the people from enemies.

There were also gates that were closed at night. Curfews were imposed to keep the peace.

In big towns there was a market place. Markets were noisy and busy. Merchants had to "cry the wares" as their only means of advertising.

Once or twice a year there was a big fair that could last several days. Merchants sometimes came from other countries. Fair days were very festive.

There were many shops in the towns, shopekeepers often sold the goods that they made themselves. The men who made one type of thing lived in the same street so there were streets called Candlemakers's row or Honey lane or Milk street....

There was a sign outside the shop like a fish or a boot or a hat but no names as most people could not read.

The streets were narrow and very dirty. People threw their rubbish in the streets: dirty water, sweepings from the stable, rests of dead animals, contents of chamber pots... Pigs and chickens wandered in the rubbish along with rats. Sanitation was a real problem.

As there was no running water, people had to go to the river or well to get some water. Water carriers brought water in carts or buckets and could be seen everywhere in the town.

The houses were tall and close together. They were often made of wood. Fire was the main fear of town people.

Crime was also a constant problem of the towns. the larger the city, the higher the incidence of crime. but most crime in cities was theft, not violent crime.

To be honest, my husband and I didn't like the dog at all! And the children were totally scared. He was always barking and sometimes very aggressive!
I don't know who would want to hurt Mrs. Shears. Perhaps you should be talking to Mr. Boone about this!