Letter (alphabet) of sounds to make words. A letter is classed as either a consonant or a vowel, depending on how its sound is produced (vowels are "a", "e", "i", "o", "u", and sometimes "y" and "w"). The basic Roman alphabet is used by about one hundred languages, with slight variations. Some versions contain as few as twenty-one characters, some as many as thirty. Letters have specific names associated with them, which may differ with language, dialect, and history. "Z", for example, is usually called "zed" in all English-speaking countries except the US, where it is named "zee". As elements of alphabets,
Morse code and used in a speaking communication aid. In some cases, this means alternately blowing into and sucking on a plastic tube ("sip-and-puff" interface). An important advantage of Morse code over row column scanning is that once learned, it does not require looking at a display. Also, it appears faster than scanning. In one case reported in the radio amateur magazine "QST", an old shipboard radio operator who had a stroke and lost the ability to speak or write could communicate with his physician (a radio amateur) by blinking his eyes in Morse. Two examples of communication in intensive care units