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On Thu, Sep 13, 2018 at 8:01 AM Alice Walker <[email protected]> wrote:
要求:
Need to cited the reading 
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· Readings:
· Phonetics and Phonology - Chapter 3 
· PDF: 
Teaching Pronunciation--Consonants (pp. 28-30)
 
· Web: 
Sounds of American English: Audio & IPA Transcription
Wk3 DQ1 one page 
Describe one (1) of the following signals of stress” (Gilbert), indicating how you might incorporate this signal when teaching pronunciation in an ESL/EFL classroom: vowel length; vowel clarity; pitch change. 
Wk3 DQ2 One page 
Select one (1) of the major consonant types from the reading --e.g. glottal stops, fricatives, liquids--and explain why this type of sound may be difficult for English L2 learners to duplicate. You may wish to use a specific L1 student population as the basis of your discussion.
Teaching 
Pronunciation
Using the Prosody Pyramid
Judy B. Gilbert
cambridge university press
Cambridge, New York, Melbourne, Madrid, Cape Town, Singapore, São Paulo
Cambridge University Press
32 Avenue of the Americas, New York, NY 10013-2473, USA
www.cambridge.org
© Cambridge University Press 2008
This book is in copyright. Subject to statutory exception
and to the provisions of relevant collective licensing agreements,
no reproduction of any part may take place without
the written permission of Cambridge University Press.
First published 2008
Printed in the United States of America
isbn-13 978-0-521-98927-5 paperback
Book layout services: Page Designs International
  
 
Table of Contents
  Introduction 1
 1 The Functions of Prosody 2
 2 The Prosody Pyramid 10
 3 The Prosody Pyramid and Individual Sounds 21
 4 Ideas for Implementing the Prosody Pyramid 31
  Appendix 1: Pronunciation FAQ 42
  Appendix 2: Focus Rules and Thought Group Rules 45
  Appendix 3: How Often Do the Vowel Rules Work? 47
  Appendix 4: Table of Figures 48
  References 49
Introduction 1
  
 
Introduction
Teaching pronunciation involves a variety of challenges. To begin with, teachers 
often find that they do not have enough time in class to give proper attention 
to this aspect of English instruction. When they do find the time to address pro-
nunciation, the instruction often amounts to the presentation and practice of a 
series of tedious and seemingly unrelated topics. Drilling sounds over and over 
again (e.g., minimal pair work) often leads to discouraging results, and discour-
aged students and teachers end up wanting to avoid pronunciation altogether.
There are also psychological factors that affect the learning of pronun-
ciation in ways that are not so true of studying grammar or vocabulary. For one 
thing, the most basic elements of speaking are deeply personal. Our sense of 
self and community are bound up in the speech-rhythms of our first language 
(L1). These rhythms were learned in the first year of life and are deeply rooted 
in the minds of students. Therefore, it is common for students to feel uneasy 
when they hear themselves speak with the rhythm of a second language (L2). 
They find that they “sound foreign” to themselves, and this is troubling for 
them. Although the uneasiness is usually unconscious, it can be a major barrier 
to improved intelligibility in the L2.
A teacher can help overcome this psychological barrier and other 
challenges by thinking of the goal of pronunciation instruction not as helping 
students to sound like native speakers but as helping them to learn the core 
elements of spoken English so that they can be easily understood by others. In 
other words, teachers and students can overcome the frustrations, difficulties, 
and boredom often associated with pronunciation by focusing their attention on 
the development of pronunciation that is “listener friendly.” After all, English 
pronunciation does not amount to mastery of a list of sounds or isolated words. 
Instead, it amounts to learning and practicing the specifically English way of 
making a speaker’s thoughts easy to follow.
This booklet presents an approach to pronunciation that highlights the 
interrelatedness of various aspects of English speech. The approach addresses 
the individual elements of pronunciation but always within the framework of a 
larger system that uses all these individual elements to make speakers’ ideas clear 
and understandable to their listeners.
2 Teaching Pronunciation
 1    The Functions of Prosody
Communication in spoken English is organized by “musical signals.” There 
are two aspects to these signals – rhythm and melody – and the combination of 
these two aspects may be called prosody. Often, the term prosody is used to mean 
rhythm alone, while the term intonation is used to refer specifically to melody 
(or pitch patterns). However, in this booklet, prosody will refer to the combina-
tion of both rhythm and melody. The reason is that for the purposes of teaching 
pronunciation, the teacher needs to understand that both these aspects of spo-
ken English work together and are vitally linked. The term prosody provides us 
with a handy way to refer to the interconnected aspects of rhythm and melody 
with a single label.
Rhythm and Melody as Road Signs
In English, rhythmic and melodic signals serve as “road signs” to help the lis-
tener follow the intentions of the speaker. These signals communicate emphasis 
and make clear the relationship between ideas so that listeners can readily iden-
tify these relationships and understand the speaker’s meaning. Unfortunately, 
when English learners speak in class, they are typically not thinking about how 
to help their listeners follow their meaning. Instead, they are often thinking 
about avoiding mistakes in grammar, vocabulary, and so on. Native speakers 
also commonly make this error when delivering a presentation or when read-
ing aloud in a classroom, a business meeting, or in some other setting. They 
become preoccupied with making “mistakes” and may ignore their listeners 
altogether. But it is particularly important for English learners to think about 
their listeners and master the rhythmic and melodic signals essential to “listener-
friendly” pronunciation.
Learners typically do not use or recognize the cues that native listeners 
count on to help them follow meaning in a conversation. As a result, con-
versational breakdowns occur. Emphasis that conveys the wrong meaning, or 
thought groups that either run together or break in inappropriate places, cause 
extra work for the listener who is trying to follow the speaker’s meaning. If the 
burden becomes too great, the listener simply stops listening. The principle of 
“helping the listener to follow,” therefore, is a vital one. It is so central to com-
munication, in fact, that time spent helping students concentrate on the major 
rhythmic and melodic signals of English is more important than any other 
efforts to improve their pronunciation.
Teaching Pronunciation 3
Melody
All languages have some way to highlight the most important piece of informa-
tion in an utterance. They all have a way to help listeners distinguish between 
old information and new information and thereby draw the listener’s atten-
tion to that piece of information that is new, and therefore, more important. 
But few languages rely on melody for this function as much as English. In 
English, changes in pitch help listeners follow the speaker’s meaning because 
these melodic signals provide cohesion and contrast. Not only do they tell 
listeners what is new information, but they also tell listeners how ideas relate to 
each other. They help listeners to understand how the speaker intends to make 
connections with what came before (orientation) and what will follow in the 
conversation (prediction).
Efficient listening comprehension, therefore, depends on the ability 
to “read” melodic cues in order to sort out these aspects of the incoming lan-
guage. The orientation aspect helps listeners to clue into what must have been 
assumed, and the prediction aspect helps listeners to find out quickly if they 
have misunderstood the point of the conversation. In addition, these aspects 
are similar to the skills needed to be an efficient reader (e.g., to recognize the 
significance of furthermore or on the other hand which are “road signs” for the 
reader). But in spoken English, the “road signs” are prosodic!
Consider the following example sentences.
Example
a. Jane said, “Is that Mister Fogg?”
b. Jane said, “Is that mist or fog?”
Question: What was Jane talking about?
(Gilbert 2005, 136)
In sentence (a), Jane is asking about a person. In sentence (b), she is asking 
about something altogether different, the weather. In terms of pronunciation, 
however, the only difference between the two utterances is a melodic one. The 
pitch pattern of each sentence distinguishes it from the other and makes the 
meaning clear for the listener.
Rhythm
Children learn the rhythm of their L1 very early in life. By the time they reach 
the age of one, that rhythm is deeply familiar to them, and they will uncon-
sciously apply it to any L2 that they learn (Aoyama et al. 2007). Since English 
learners will be predisposed to use the rhythm of their L1, it is highly important 
that they be made consciously aware of the English system of rhythm.
4 Teaching Pronunciation
The basic unit of English rhythm is the syllable. A syllable is most 
simply explained as something with a vowel sound at its center. And while the 
number of syllables in a word is usually obvious to a native speaker of English, 
learners accustomed to different phonological rules may not hear the syllable 
divisions in the same way. Since this seriously affects both intelligibility and 
listening comprehension, time must be spent training students’ ears to notice 
the number of syllables in the words they learn. For instance, students should 
be taught to count syllables and thereby notice the rhythmic difference between 
words in pairs, such as ease and easy, or wait and waited.
Notice in the picture of a school bus in Malaysia below that the 
English word school has been re-syllabified to fit the Bahasa Malaysia language 
(sekolah), which does not allow a final /l/ sound. That is to say, the word has 
been transformed into 3 syllables, rather than the English version, which is one 
syllable. Another common source of added syllables is that consonant clusters 
are not allowed in many languages and yet occur very often in English. This can 
cause systematic errors in pronunciation based on the student’s L1 rules (e.g., 
eschool or estudent, or even Espanish for Spanish) and can also cause confusion 
(e.g., parade instead of prayed, and forest instead of first).
Figure 1: School Bus in Bahasa Malaysia language
Listening comprehension is increased when students learn to notice the rhyth-
mic effect of the number of syllables, including small words such as articles, 
auxiliaries, and affixes (e.g., the; do; -er; etc.). In easily confused words like 
this is/this and late/later the number of syllables is different, so the rhythm is 
different. These small words and affixes are typically difficult to hear in spoken 
English because of the systematic use of contrastive highlighting/obscuring, 
which is essential to the English stress and emphasis system. For this reason, 
these small words are often missing from students’ speech (and writing), and 
this indicates that they are not hearing them well.
Teaching Pronunciation 5
Example
1. Yest’day I rent’ ‘car. (Yesterday I rented a car.)
2. Where’ ‘book? (Where is the book?)
3. We’ been here’ long time. (We’ve been here a long time.)
But an understanding of English rhythm involves more than the ability to iden-
tify and count syllables. It also involves an ability to hear and produce the word 
stress patterns of English.
English speakers tend to store vocabulary items according to their 
stress patterns (Brown 1990; Levelt 1989). Therefore a stress error is particu-
larly damaging to communication. Brown puts it this way:
The stress pattern of a polysyllabic word is a very important identifying 
feature of the word . . . We store words under stress patterns . . . and 
we find it difficult to interpret an utterance in which a word is 
pronounced with the wrong stress pattern – we begin to “look up” possible 
words under this wrong stress pattern. (1990, 51)
Only a little imagination is needed to realize that the failure to hear and pro-
duce stress patterns accurately could cause confusion between words such as 
those in the following pairs:
dessert/desert  foreign/for rain  his story/history
It might seem that context would clarify any confusion over words like these, 
but in fact stress errors rarely exist in isolation from other pronunciation or 
grammatical problems. The combination of stress errors with other types of 
errors can seriously disrupt communication. For example, the following instance 
of confusion actually occurred during an English language learning class in the 
workplace, when a student took the teacher aside and asked for private advice.
Example
Student: Mrs. Stiebel, can you help me with comedy?
Teacher: Comedy?
Student: Yes, comedy is big problem.
Teacher: I don’t quite follow.
Student: (Patiently) Problem – this is worry.
Teacher: Yes, a worry. Um . . . you mean you have a 
problem with comedy on TV?
Student: TV? (Trying again) The boss put me on 
department comedy. Everybody on comedy, all the 
time argue.
Teacher: Oh, you mean committee!
Student: Yes, what I told you, comedy.
6 Teaching Pronunciation
Although good will and patient attempts to clarify may often help speakers and 
listeners overcome this sort of disruption, wrong stress is an added burden for 
listeners and can, in many cases, lead to conversational breakdown.
Unfortunately, learners tend to ignore stress patterns when they learn 
vocabulary. Not only can this lead to pronunciation problems, as in the example 
above, but it can also lead to problems with comprehension. After all, if learners 
have failed to learn the stress pattern for a new word, they may also fail to recog-
nize that word when it occurs in spoken form. Brown makes this observation:
From the point of view of the comprehension of spoken English, the 
ability to identify stressed syllables and make intelligent guesses about 
the content of the message from this information is absolutely essential. 
(1977, 52)
The importance of prosodic instruction is further supported by the findings of 
Derwing and Rossiter. In 2003, they conducted a study on the effects of dif-
ferent types of English pronunciation instruction. As part of that study, a group 
of students was instructed in segmentals (i.e., individual consonant and vowel 
sounds). They were taught to distinguish between English sounds and produce 
these sounds as accurately as possible. Another group was primarily taught 
the prosodic features of English. They learned about the rhythm and melody 
of English and practiced using the prosodic signals that native speakers use to 
guide their listeners. The authors comment on their findings:
We do not advocate eliminating segment-based instruction altogether, 
but, if the goal of pronunciation teaching is to help students become 
more understandable, then this study suggests that it should include a 
stronger emphasis on prosody. (2003, 14)
The Relationship Between Speaking and 
Listening Comprehension
While it may be easy to see the benefit of good pronunciation instruction for 
increasing intelligibility, it is just as useful for increasing listening comprehen-
sion. Students who are taught about English prosodic patterns often report 
improved understanding of speech on TV, in movies, and in face-to-face con-
versation. Why is this?
One reason is that prosodically-trained students have learned to 
understand how rhythmic and melodic cues are used to organize information 
and guide the listener. Another reason is that these students have learned to 
notice how prosody changes how words sound. Most English learners who suf-
fer from inadequate training in listening comprehension complain that “native 
speakers talk too fast.” What this often means is that learners are unable to 
process important grammatical signals, (e.g., past tense markers) or effectively 
process contracted speech. Contractions and reductions are a normal part of 
Teaching Pronunciation 7
spoken English. Furthermore, difficulty keeping up with what was said also 
occurs from the inability to recognize the intonational signals of “what goes 
with what” or “what disagrees with what.” These signals are an important part 
of helping the listener to follow (i.e., creating cohesion). An example of miss-
ing the signals of grouping would be failing to recognize who is being spoken 
about in a remark like “John,” said the Boss, “is lazy.” This is a quite different 
sentence than “John said, ‘The Boss is lazy’.” Aside from intonational thought 
grouping signals, another reason to miss the point of what the speaker just 
said is the inability to recognize the implications of emphasis. Emphasis signals 
what is new, or especially important, as opposed to what is already understood. 
Cohesion in English conversation depends both on signals of grouping and on 
the pitch contrast between new information and old information.
A dramatic example of “not noticing the implications of empha-
sis” occurred at a major point in Francis Coppola’s detective movie “The 
Conversation.” The detective thinks he heard the beautiful young wife say to 
her lover “If my husband finds out, he’ll KILL us!” The detective is so worried 
about the young woman’s safety from her jealous husband that he misinterprets 
the remark. But later, after the husband’s corpse is discovered, and a small smile 
is seen on the wife’s face, the detective realizes he had misheard the emphasis. 
What she had actually said was “If my husband finds out, HE’LL kill US.” The 
emphasis on pronouns implied something far different from the usual emphasis 
on a content word (the verb). The two young lovers were not afraid of the 
husband; they were plotting a murder.
The individual sounds of spoken English are constantly changed by 
the communication pressures inherent in the prosody. Put another way, prosody 
often distorts sounds so much that they are unrecognizable from the sounds of 
a word when it is said in isolation. For example, to find out how a word is pro-
nounced a learner will often look in a dictionary. But it is important to realize 
that actual pronunciation of that word may be dramatically changed depend-
ing on its importance to the speaker at a particular moment. In actual speech, 
words run together, consonants or vowels disappear or change in sounds all in 
relation to the prosody pressures. Also, the word stress pattern as indicated in 
the dictionary is actually only a “potential” stress pattern; the potential is acti-
vated in specific contexts, but it is not necessarily realized in every context. So 
if students depend on the “dictionary pronunciation” of words, they will likely 
fail to recognize a spoken vocabulary item when they hear it, even though they 
“know” the item in print. In fact, they do not really know the word until they 
can identify it in actual speech.
Brown explains the problem this way:
From the point of view of understanding ordinary spoken English, the 
failure to move beyond the basic elementary pronunciation of spoken 
English must be regarded as disastrous for any student who wants to 
8 Teaching Pronunciation
be able to cope with a native English situation. If the student is only 
exposed to carefully articulated English, he will have learnt to rely on 
acoustic signals which will be denied him when he encounters the normal 
English of native speakers. (1977, 159)
Her point, at least in part, is that the individual sounds of words are affected by 
the surrounding language, and often are said quite differently than an English 
learner depending on the dictionary would expect. For this reason, effective 
listening comprehension is greatly enhanced by learning (through explanation 
and adequate practice) how the sounds actually change according to the pro-
sodic influence of the speaker’s intentions. The focus of English pronunciation 
instruction, therefore, should be to give learners the prosodic framework within 
which the sounds are organized. Instruction should concentrate on the way 
English speakers depend on rhythm and melody to organize thoughts, high-
light important words, and otherwise guide their listener.
In addition to helping learners understand words in context and to 
recognize prosodic “road signs” in spoken English, instruction about prosody 
also helps learners develop improved ability to clear up misunderstandings in 
the middle of a conversation. This is because when learners understand how 
prosody affects sounds and meaning, they are made more aware of poten-
tial sources of confusion in conversation. When there has been a breakdown, 
instead of focusing strictly on pronouncing individual sounds correctly and 
not making grammatical mistakes, they are able to identify prosodic elements 
that may have sent a wrong signal. Further, students can make adjustments to 
rhythm and melody and correct the sounds in the most important syllables in 
order to correct the confusion. Since correction of a conversational breakdown 
has to be rapid, knowledge of the prosody system gives students the tools to 
efficiently scan what was just said and make a quick repair.
Conclusion
Without a sufficient, threshold-level mastery of the English prosodic system, 
learners’ intelligibility and listening comprehension will not advance, no matter 
how much effort is made drilling individual sounds. That is why the highest 
priority must be given to rhythm and melody in whatever time is available for 
teaching pronunciation. If there is more time, then other lower priority topics 
can be addressed (e.g., the sound of the letters th, the difference between the 
sounds associated with r and l, etc.), but priority must be given to prosody.
Teachers are often hesitant to tackle rhythm and melody in class 
because these topics are perceived as complicated and full of nuance. Textbooks 
on the subject tend to be intimidating because they present so many rules. 
However, while intonation analysis can get very complicated, teaching a thresh-
old level of understanding of the core system is actually quite simple at its most 
basic level.
Teaching Pronunciation 9
If there is only time to teach awareness of the core system and practice 
these vital rhythmic and melodic cues, as well as certain critical sounds (e.g., 
the grammar cues at the end of words), students will have achieved a great deal 
of communicative competence. But if these prosodic cues are not taught, then 
efforts at achieving communicative competence by drilling individual sounds 
will prove frustrating. After all, practicing pronunciation by focusing only on 
individual sounds is like using only part of the language. As one teacher trainee 
put it after training course, “Practicing pronunciation without prosody is like 
teaching ballroom dancing, only the students must stand still, practice without 
a partner, and without music.”
10 Teaching Pronunciation
 2    The Prosody Pyramid
The English prosodic system can be illustrated visually with a pyramid shape. 
We will call it the Prosody Pyramid. The base of the system is the thought group. 
This is a group of words that may be a short sentence, a clause, or a phrase 
within a longer sentence (Chafe 1970, Bolinger 1989, Brown 1990, Cauldwell 
1992). Within that base unit, there is a focus word – the most important word in 
the thought group. Within the focus word, one syllable is given the main stress. 
That syllable functions as the peak of information within the thought group. It 
is sometimes called the nucleus, or the peak. The sounds in this syllable must be 
clear and easily recognized, because this is the center of meaning of the thought 
group. All the processes of spoken English work together to make this syllable 
easy for the listener to notice and recognize.
While the various levels of pronunciation are interdependent, they will 
be more easily understood if separated and presented one step at a time. In the 
sections that follow, we will consider each level of the Prosody Pyramid in turn 
and explain how each level relates to the others.
THOUGHT GROUP
FOCUS WORD
STRESS
PEAK
Figure 2: The Prosody Pyramid
The Thought Group
Perhaps the most important way that English speakers help their listeners to 
follow their meaning is by grouping words so that they can be more easily 
processed. The stream of talk in English does not flow smoothly; it is composed 
of a series of brief spurts. Interestingly, when native speakers listen to English 
Teaching Pronunciation 11
speech, they do not generally notice this intermittent quality. Rather they get an 
impression of smooth continuity. But this seeming stream is really made up of 
longer and shorter chunks. These chunks of speech are the organization of the 
speaker’s thoughts into groups. As mentioned earlier, a thought group of words 
can be a short sentence, a clause, or even a phrase. While, the English system 
for grouping words seems logical to native speakers of English, many languages 
either do not rely on the same signals to indicate thought boundaries, or they 
put the boundaries in different places (Ballmer 1980).
In written English, punctuation is used to help readers separate 
thought groups. For instance, in the following example a comma and a period 
are used to mark the end of each thought group.
Example
Danny arrived late, so he missed half the movie.
Not only does written English use punctuation as an aid, but readers can always 
reread a piece of text if they become confused about the organization or group-
ing of information. But in spoken English there is neither punctuation nor the 
opportunity to recheck the words, so listeners must rely entirely on prosodic 
markers in order to know which words are grouped together.
Prosodic Markers for Thought Groups
Thought groups generally start on a higher pitch and then drop at the end. To 
clearly mark the end of the group, there are several prosodic signals:
(a) a pause
(b) a drop in pitch
(c) lengthening of the last stressed syllable (the most subtle signal)
In slow speech, the pause is the most obvious indicator that a thought group 
has ended. But during rapid speech, there is no time for pauses, so pitch drops 
are essential signals.
Example
(from Gilbert 2005, 132)
In general, a pitch drop means “the end,” and there is a relationship between 
the degree of finality and the size of the drop. For instance, a slight drop in 
intonation typically marks the end of a thought group within a sentence; a 
12 Teaching Pronunciation
bigger drop marks the end of a sentence or an entire comment; a major drop 
indicates, “I have finished my remarks, and it is now your turn to speak.”
In a more subtle (but equally systematic) way, spoken English uses the 
lengthening of the final stressed syllable in a thought group to signal the end of 
that group. This lengthening may exist in order to give time for the pitch drop 
(Lehiste 1977, 260), which helps the listener to notice that the thought group 
is finished.
Teachers sometimes ask for rules to give their students about how to 
decide where to begin and end a thought group. Although linguists have been 
studying this question for decades, no one seems to have developed rules that 
are sufficiently simple and practical for language learners. Instead of attempting 
to teach complex rules, it is far more useful to help students learn to hear the 
signals of thought grouping and think about grouping in their own speech. One 
way to build awareness of thought group boundaries is to have students analyze 
a piece of recorded speech to determine where the thought groups begin and 
end. When students work in pairs or in small groups to analyze a dialogue or 
a paragraph, their individual choices about grouping will likely be different. 
Nevertheless, awareness of the concept is raised when they have to explain their 
choices about how the words are grouped.
The Focus Word
Every English thought group has a focus word. This is the most important 
word in the group. It is the word that the speaker wants the listener to notice 
most, and it is therefore emphasized. To achieve the necessary emphasis on the 
focus word, English makes particular use of intonation.
The basic principle at play when emphasizing a focus word is contrast. 
Notice the drawings in the Figure below.
 
Figure 3: Illustrates emphasizing a focus word (from Gilbert 2005, 44)
The butterfly in the picture on the right is easy to see because it is highlighted, 
and the rest of the drawing is shaded. The butterfly in the picture on the 
left blends in with the rest of the drawing and is therefore difficult to see. 
Intonational emphasis, when properly applied in a thought group, highlights 
Teaching Pronunciation 13
the focus word so that it stands out, leaving less important information in the 
thought group to fade into the background.
Emphasis and De-emphasis
Since other languages use other signals to call attention to the important idea 
in an utterance, learners of English as an L2 often do not notice this specifically 
English system for signaling emphasis. Because the English system of sentence 
emphasis may be quite foreign to student intuition, it helps to present a set of 
basic rules about how this system works. Several simple focus rules are presented 
in Clear Speech (Gilbert 2005), and those rules are reproduced in Appendix 2 
of this booklet. Among these rules is the basic principle that the focus word in a 
thought group is usually a content word (i.e., a noun, verb, adverb, or adjective). 
Content words …
				    	
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Conclusions
References (8 References Minimum)
*** Words count = 2000 words.
*** In-Text Citations and References using Harvard style.
*** In Task section I’ve chose (Economic issues in overseas contracting)"
        	Electromagnetism 
        	w or quality improvement; it was just all part of good nursing care.  The goal for quality improvement is to monitor patient outcomes using statistics for comparison to standards of care for different diseases
        	e a 1 to 2 slide Microsoft PowerPoint presentation on the different models of case management.  Include speaker notes... .....Describe three different models of case management.
        	visual representations of information. They can include numbers
        	SSAY
        	ame workbook for all 3 milestones. You do not need to download a new copy for Milestones 2 or 3. When you submit Milestone 3
        	pages):
Provide a description of an existing intervention in Canada
        	making the appropriate buying decisions in an ethical and professional manner.
Topic: Purchasing and Technology
You read about blockchain ledger technology. Now do some additional research out on the Internet and share your URL with the rest of the class 
        	be aware of which features their competitors are opting to include so the product development teams can design similar or enhanced features to attract more of the market. The more unique
        	low (The Top Health Industry Trends to Watch in 2015) to assist you with this discussion. 
  
    https://youtu.be/fRym_jyuBc0
Next year the $2.8 trillion U.S. healthcare industry will   finally begin to look and feel more like the rest of the business wo
        	evidence-based primary care curriculum. Throughout your nurse practitioner program
        	Vignette
Understanding Gender Fluidity
Providing Inclusive Quality Care
Affirming Clinical Encounters
Conclusion
References
Nurse Practitioner Knowledge
        	Mechanics 
        	and word limit is unit as a guide only.
The assessment may be re-attempted on two further occasions (maximum three attempts in total). All assessments must be resubmitted 3 days within receiving your unsatisfactory grade. You must clearly indicate “Re-su
        	Trigonometry 
        	Article writing
        	Other
        	5. June 29
        	After the components sending to the manufacturing house
        	1. In 1972 the Furman v. Georgia case resulted in a decision that would put action into motion. Furman was originally sentenced to death because of a murder he committed in Georgia but the court debated whether or not this was a violation of his 8th amend
        	One of the first conflicts that would need to be investigated would be whether the human service professional followed the responsibility to client ethical standard.  While developing a relationship with client it is important to clarify that if danger or
        	Ethical behavior is a critical topic in the workplace because the impact of it can make or break a business
        	No matter which type of health care organization
        	With a direct sale
        	During the pandemic
        	Computers are being used to monitor the spread of outbreaks in different areas of the world and with this record
        	3. Furman v. Georgia is a U.S Supreme Court case that resolves around the Eighth Amendments ban on cruel and unsual punishment in death penalty cases. The Furman v. Georgia case was based on Furman being convicted of murder in Georgia. Furman was caught i
        	One major ethical conflict that may arise in my investigation is the Responsibility to Client in both Standard 3 and Standard 4 of the Ethical Standards for Human Service Professionals (2015).  Making sure we do not disclose information without consent ev
        	4. Identify two examples of real world problems that you have observed in your personal
        	Summary & Evaluation: Reference & 188. Academic Search Ultimate
        	Ethics
        	We can mention at least one example of how the violation of ethical standards can be prevented. Many organizations promote ethical self-regulation by creating moral codes to help direct their business activities
        	*DDB is used for the first three years
        	For example
        	The inbound logistics for William Instrument refer to purchase components from various electronic firms. During the purchase process William need to consider the quality and price of the components. In this case
        	4. A U.S. Supreme Court case known as Furman v. Georgia (1972) is a landmark case that involved Eighth Amendment’s ban of unusual and cruel punishment in death penalty cases (Furman v. Georgia (1972)
        	With covid coming into place
        	In my opinion
        	with
        	Not necessarily all home buyers are the same! When you choose to work with we buy ugly houses Baltimore & nationwide USA
        	The ability to view ourselves from an unbiased perspective allows us to critically assess our personal strengths and weaknesses. This is an important step in the process of finding the right resources for our personal learning style. Ego and pride can be 
        	· By Day 1 of this week
        	While you must form your answers to the questions below from our assigned reading material
        	CliftonLarsonAllen LLP (2013)
        	5 The family dynamic is awkward at first since the most outgoing and straight forward person in the family in Linda
        	Urien
        	The most important benefit of my statistical analysis would be the accuracy with which I interpret the data. The greatest obstacle
        	From a similar but larger point of view
        	4 In order to get the entire family to come back for another session I would suggest coming in on a day the restaurant is not open
        	When seeking to identify a patient’s health condition
        	After viewing the you tube videos on prayer
        	Your paper must be at least two pages in length (not counting the title and reference pages)
        	The word assimilate is negative to me. I believe everyone should learn about a country that they are going to live in. It doesnt mean that they have to believe that everything in America is better than where they came from. It means that they care enough 
        	Data collection
        	Single Subject Chris is a social worker in a geriatric case management program located in a midsize Northeastern town. She has an MSW and is part of a team of case managers that likes to continuously improve on its practice. The team is currently using an
        	I would start off with Linda on repeating her options for the child and going over what she is feeling with each option.  I would want to find out what she is afraid of.  I would avoid asking her any “why” questions because I want her to be in the here an
        	Summarize the advantages and disadvantages of using an Internet site as means of collecting data for psychological research (Comp 2.1) 25.0\% Summarization of the advantages and disadvantages of using an Internet site as means of collecting data for psych
        	Identify the type of research used in a chosen study
        	Compose a 1
        	Optics
        	effect relationship becomes more difficult—as the researcher cannot enact total control of another person even in an experimental environment. Social workers serve clients in highly complex real-world environments. Clients often implement recommended inte
        	I think knowing more about you will allow you to be able to choose the right resources
        	Be 4 pages in length
        	soft MB-920 dumps review and documentation and high-quality listing pdf MB-920 braindumps also recommended and approved by Microsoft experts. The practical test
        	g
        	One thing you will need to do in college is learn how to find and use references. References support your ideas. College-level work must be supported by research. You are expected to do that for this paper. You will research
        	Elaborate on any potential confounds or ethical concerns while participating in the psychological study 20.0\% Elaboration on any potential confounds or ethical concerns while participating in the psychological study is missing. Elaboration on any potenti
        	3 The first thing I would do in the family’s first session is develop a genogram of the family to get an idea of all the individuals who play a major role in Linda’s life. After establishing where each member is in relation to the family
        	A Health in All Policies approach
        	Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum
        	Chen
        	Read Connecting Communities and Complexity: A Case Study in Creating the Conditions for Transformational Change
        	Read Reflections on Cultural Humility
        	Read A Basic Guide to ABCD Community Organizing
        	Use the bolded black section and sub-section titles below to organize your paper.  For each section
        	Losinski forwarded the article on a priority basis to Mary Scott
        	Losinksi wanted details on use of the ED at CGH. He asked the administrative resident