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Subsequently, the word was used in Frank Scully's puzzle book Bedside Manna, after which time, members of the N.P.L. campaigned to include the word in major dictionaries. [ 9 ] [ 10 ] This 45-letter word, referred to as "p45", [ 11 ] first appeared in the 1939 supplement to the Merriam-Webster New International Dictionary, Second Edition .
It is also sometimes called a stricture (as in urethral stricture). [ 3 ] Stricture as a term is usually used when narrowing is caused by contraction of smooth muscle (e.g. achalasia , prinzmetal angina ); stenosis is usually used when narrowing is caused by lesion that reduces the space of lumen (e.g. atherosclerosis ). [ 4 ]
In order to open the stricture, a surgeon can insert a bougie – a weighted tube used to dilate the constricted areas in the esophagus. [3] It can sometimes be treated with other medications. For example, an H2 antagonist (e.g. ranitidine) or a proton-pump inhibitor (e.g. omeprazole) can treat underlying acid reflux disease.
A word like immediately, for example, is variously pronounced by Americans as: ihMEEdeeuhtlee; uhMEEdeeuhtlee; eeMEEdeeuhtlee; The Merriam-Webster Online Dictionary suggests the first pronunciation. Similarly, this pronunciation markup guide will choose the most widely used form. NOTE: This guide is designed to be simple and easy to use.
Rhotacism is a difficulty producing rhotic consonants sounds in the respective language's standard pronunciation. [2] [5] In Czech there is a specific type of rhotacism called rotacismus bohemicus which is an inability to pronounce the specific sound ř /r̝/. [6] Sigmatism is a difficulty of producing /s/, /z/ and similar sounds. [2]
The conservative star cleared up the tricky pronunciation of her name during a recent interview with FOX News' Jesse Watters. Tomi Lahren teaches Jesse Watters how to pronounce her name (video ...
Saliva stagnates and forms a mucus plug behind the stricture during sleep when the salivary output of the parotid is reduced. Then, when salivary secretion is stimulated, the mucus plug becomes stuck in the stricture. [1] The backlog of saliva behind the blockage causes the swelling, and the increased pressure inside the gland causes the pain.
Dysarthria is often caused by strokes, Parkinson's disease, [9] ALS, head or neck injuries, surgical accident, or cerebral palsy. Aphasia; Dysprosody is an extremely rare neurological speech disorder. It is characterized by alterations in intensity, in the timing of utterance segments, and in rhythm, cadence, and intonation of words.