Technically, a diphthong is a vowel with two different targets: that is, the tongue (and/or other parts of the speech apparatus) moves during the pronunciation of the vowel. In most dialects of English, the phrase no highway cowboys /ËnoÊ ËhaÉªweÉª ËkaÊbÉÉªz/ has five distinct diphthongs, one in every syllable.
Dr. Busso: VANQUISH M.E.â¢ is painless, and the device does not physically contact your body. Patients describe a warming sensation like a heating pad. You may feel warm and sweat a bit, but treatment is very tolerable and even pleasant.
The HandiHaler device is an inhalation device used to inhale the dry powder contained in the SPIRIVA capsule. The dry powder is delivered from the HandiHaler device at flow rates as low as 20 L/min. Under standardized in vitro testing, the HandiHaler device delivers a mean of 10.4 mcg tiotropium when tested at a flow rate of 39 L/min for 3.1 seconds (2L total).