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A General American accent is not a specific well-defined standard English in the way that Received Pronunciation (RP) has historically been the standard prestigious variant of the English language in England; rather, accents with a variety of features can all be perceived by Americans as "General American" so long as they lack certain ...
Differences in pronunciation between American English (AmE) and British English (BrE) can be divided into . differences in accent (i.e. phoneme inventory and realisation).See differences between General American and Received Pronunciation for the standard accents in the United States and Britain; for information about other accents see regional accents of English.
North American English is a collective term for the dialects of the United States and Canada. It does not include the varieties of Caribbean English spoken in the West Indies. Rhoticity: Most North American English accents differ from Received Pronunciation and some other British dialects by being rhotic.
The International Phonetic Alphabet (IPA) can be used to represent sound correspondences among various accents and dialects of the English language. These charts give a diaphoneme for each sound, followed by its realization in different dialects. The symbols for the diaphonemes are given in bold, followed by their most common phonetic values.
Many carotid bruits are discovered incidentally in an otherwise asymptomatic patient. The presence of a carotid bruit alone does not necessarily indicate the presence of stenosis, and the physical examination cannot be used to estimate the degree of stenosis, if present; therefore, any bruit must be evaluated by ultrasound or imaging. [4]
The early 20th-century accent of the Inland North was the basis for the term "General American", [6] [7] though the regional accent has since altered, due to the Northern Cities Vowel Shift: its now-defining chain shift of vowels that began in the 1930s or possibly earlier. [8]
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English-language scholar William A. Kretzschmar Jr. explains in a 2004 article that the term "General American" came to refer to "a presumed most common or 'default' form of American English, especially to be distinguished from marked regional speech of New England or the South" and referring especially to speech associated with the vaguely-defined "Midwest", despite any historical or present ...