Cambridge 18 Listening Test 4
PART 1 Questions 1-10
Complete the notes below.
Write ONE WORD AND/ OR A NUMBER ONLY for each answer.
Job details from employment agency
Role: 1 ………………
Location: Fordham 2 …………………… Centre, 3 …………………….. Road, Fordham
Work involves
- dealing with enquiries
- making 4 …………………..and reorganising them
- maintaining the internal 5 ………………………
- general administration
Requirements
- 6 …………………..(essential)
- a calm and 7 ……………………..manner
- good IT skills
Other information
- a 8 …………………job – further opportunities may be available
- hours: 7.45 am to (9) p.m. Monday to Friday
- 10 …………………..is available onsite
PART 2 Questions 11-20
Questions 11-14
Choose the correct letter, A, B or C.
- 11. The museum building was originally
- a factory.
- a private home.
- a hall of residence.
- 12. The university uses part of the museum building as
- teaching rooms.
- a research library.
- administration offices.
- 13. What does the guide say about the entrance fee?
- Visitors decide whether or not they wish to pay.
- Only children and students receive a discount.
- The museum charges extra for special exhibitions.
- 14. What are visitors advised to leave in the cloakroom?
- cameras
- coats
- bags
Questions 15-20
What information does the speaker give about each of the following areas of the museum?
Choose SIX answers from the box and write the correct letter, A-H, next to Questions 15-20.
Information
- Parents must supervise their children.
- There are new things to see.
- It is closed today.
- This is only for school groups.
- There is a quiz for visitors.
- It features something created by students.
- An expert is here today.
- There is a one-way system.
Areas of museum
- Four Seasons ……………………
- Farmhouse Kitchen …………………….
- A Year on the Farm …………………….
- Wagon Walk ……………………….
- Bees are Magic ……………………
- The Pond ……………………….
PART 3 Questions 21-30
Questions 21 and 22
Choose TWO letters, A-E.
Which TWO educational skills were shown in the video of children doing origami?
- solving problems
- following instructions
- working cooperatively
- learning through play
- developing hand-eye coordination
Questions 23-27
Which comment do the students make about each of the following children in the video?
Choose FIVE answers from the box and write the correct letter, A-G, next to Questions 23-27.
Comments
- demonstrated independence
- asked for teacher support
- developed a competitive attitude
- seemed to find the activity calming
- seemed pleased with the results
- seemed confused
- seemed to find the activity easy
Children
- Sid …………………….
- Jack ………………………
- Naomi ……………………….
- Anya ……………………….
- Zara ……………………….
Questions 28-30
Choose the correct letter, A, B or C.
- 28. Before starting an origami activity in class, the students think it is important for the teacher to
- make models that demonstrate the different stages.
- check children understand the terminology involved.
- tell children not to worry if they find the activity difficult.
- 29. The students agree that some teachers might be unwilling to use origami in class because
- they may not think that crafts are important.
- they may not have the necessary skills.
- they may worry that it will take up too much time.
- 30. Why do the students decide to use origami in their maths teaching practice?
- to correct a particular misunderstanding
- to set a challenge
- to introduce a new concept
PART 4 Questions 31-40
Complete the notes below.
Write ONE WORD ONLY for each answer.
Victor Hugo
His novel, Les Miserables
- It has been adapted for theatre and cinema.
- We know more about its overall 31 …………………than about its author.
His early career
- In Paris, his career was successful and he led the Romantic movement.
- He spoke publicly about social issues, such as 32 ……………….. and education.
- Napoleon III disliked his views and exiled him.
and His exile from France
- Victor Hugo had to live elsewhere in 33 …………………..
- He used his income from the sale of some 34 …………………..he had written to buy a house on Guernsey.
His house on Guernsey
- Victor Hugo lived in this house until the end of the Empire in France.
- The ground floor contains portraits, 35 …………………..and tapestries that he valued.
- He bought cheap 36 ………………….made of wood and turned this into beautiful wall carvings.
- The first floor consists of furnished areas with wallpaper and 37 ……………………..that have a Chinese design.
- The library still contains many of his favourite books.
- He wrote in a room at the top of the house that had a view of the 38 ……………………..
- He entertained other writers as well as poor 39 ……………………in his house.
- Victor Hugo’s 40 ………………….gave ownership of the house to the city of Paris in 1927.
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– Désormais, les études sont claires à ce sujet, il faut dormir
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Exit les méthodes où l’on vous dit de dormir 5 h par
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Les mouvements polyarticulaires comme les squats et les soulevés de terre stimulent davantage sa
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Soyez affected person et persévérant dans votre démarche de régulation de votre testostérone.
Le sommeil joue un rôle essential dans la régulation de la production de testostérone.
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Le sport apporte beaucoup de bienfaits et il est
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Les athlètes l’utilisent parfois pour améliorer leurs performances et leur récupération, et il est également utilisé en soins de la peau pour
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Largement disponibles à l’achat en ligne, les suppléments contenant du pollen d’abeille sont vendus dans de nombreux magasins d’aliments naturels, pharmacies et magasins spécialisés dans les
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Ces habitudes de vie, associées à un suivi médical
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Il est notamment très prisé des pratiquants de musculation qui en consomment pour ses effets sur la testostérone.
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d’abeille. Ceux-ci n’interfèrent pas avec les autres traitements
et créent ainsi un pouvoir de résistance naturel de votre corps.
Étant donné que le pollen d’abeille contient également de nombreux antioxydants,
il réduit les effets des radicaux libres et améliore ainsi l’immunité.
Le pollen désigne la substance nice et poudreuse produite
par les organes reproducteurs mâles des plantes à fleurs, notamment les
arbres, les graminées et les mauvaises herbes. Dans les
contextes nutritionnels et médicinaux, ce terme désigne généralement
le pollen récolté par les abeilles (également appelé pollen d’abeille), un mélange de
grains de pollen, de nectar, de salive et d’enzymes.
Ces granules sont ensuite mélangées avec de la salive et du nectar pour former des pelotes,
puis transportées jusqu’à la ruche pour servir de nourriture aux abeilles.
Plutôt que de se tourner vers des compléments dont l’efficacité n’est
pas prouvée, il existe de nombreuses alternatives naturelles pour prendre soin de sa santé et
optimiser son bien-être. Ces approches, souvent plus sûres et plus efficaces à long terme, méritent d’être cherchées.
Bien entendu, le pollen d’abeille ne doit pas être vu comme une answer miracle, mais comme un complément naturel à une hygiène de vie saine.
Bien que le pollen soit très bénéfique, il est crucial de savoir
comment le doser correctement pour éviter certains inconvénients
éventuels comme les allergy symptoms. Le choix entre ces formes dépend des
préférences personnelles et des objectifs recherchés.
On pense qu’il présente un sure nombre d’avantages sur différents
paramètres physiologiques. En médecine traditionnelle chinoise (MTC),
le pollen d’abeille est utilisé pour nourrir le sang, soutenir l’énergie (Qi) et renforcer l’immunité.
Il est souvent prescrit en cas de fatigue, de digestion difficile et de déséquilibre
émotionnel. Le pollen de pin, également connu
sous le nom de pollen de pin maritime, est une substance récoltée
à partir des cônes mâles des pins.
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The individuals took 50 mg of DHEA every day for six months, and the results showed a modest
improve in testosterone ranges. This suggests that DHEA supplementation may be extra helpful for individuals with decrease baseline testosterone levels.
To begin, it is necessary to seek the guidance of with a healthcare professional before contemplating DHEA supplementation. They can assess your particular person wants and supply personalised recommendations.
In basic, the recommended dosage of DHEA to raise testosterone ranges is round
25-50mg per day for men. Ladies, then again, usually require decrease doses of round 10-25mg per day.
Bromocriptine, which lowers prolactin also lowers
DHEA and DHEA-S however to not the same extent (R). Nonetheless,
dopamine boosting and prolactin lowering drugs don’t have this effect if prolactin is already regular.
But, by all means, don’t attempt to increase your prolactin as it’s finest saved low and dopamine high for
general well being and well-being. 14) Thyroid – Proper thyroid
hormone ranges are important for steroidogenesis. 12) Vitamin B2 – The
enzyme that creates pregnenolone from cholesterol requires FAD of
which vitamin B2 is a precursor. Most diets are may meet the RDA for vitamin B2, however the RDA is severalfold too low
and we’d like about 6-8mg day by day especially if we’re energetic as properly.
8) Tribulus Terrestris (TT) (R) – TT successfully increases DHEA and DHT levels.
Neither estradiol nor estrone concentrations modified in girls taking
AIs and were not considerably different than those on PM.
Nonetheless, girls taking AIs who acquired DHEA skilled the identical level
of enchancment in their vaginal symptoms as those not on AIs27.
This discovering would help the speculation that
vaginal DHEA isn’t working through estrogenic
means. The higher limit of normal for DHEA-S values per Mayo laboratories for a girl aged
50 and 60 are 200 mcg/dL and 157 mcg/dL, respectively.
Post-treatment values in both DHEA arms have been considerably elevated from
baseline but nonetheless well throughout the regular vary for post-menopausal women. DHEA resulted in increased hormone concentrations,
although still in the lowest half or quartile
of the postmenopausal range, and supplied more favorable effects on vaginal cytology, in comparability with PM.
As assigned males get older, their ranges of testosterone gradually decline by 10% per decade after age 30.
Via the usage of DHEA supplements, many people aim to counter the effects of declining
testosterone levels. A 12-week double-blind randomized medical trial of
vitamin D3 supplementation on physique fats mass in wholesome chubby and obese women. Low
ranges of those hormones, called androgens, can cause low sex
drive and erectile dysfunction, per the Cleveland Clinic.
DHEA, brief for dehydroepiandrosterone, is a hormone
produced naturally in the adrenal glands, which are
situated on top of every kidney, as described by the Mayo Clinic.
A Quantity Of research confirmed that a high-protein food regimen really decreased testosterone ranges.
But researchers say those studies had been based mostly on extremely excessive servings of protein every day — past what even folks on paleo
diets and athletes in coaching take in. It’s unclear whether or not the amounts of protein that individuals
sometimes eat make any distinction. If you’re overweight, you’re four instances extra more probably to
benefit from testosterone substitute than non-obese males.
Aging 10 years will increase your odds of getting
low testosterone by 36%, however a 4-inch improve in waist size might enhance your probabilities by as much as
75%.
The AMH fashions showed that the AMH levels
had been additionally excessive in the ladies with PP. It was
thought that due to the excessive insulin focus, the adrenal and the ovary would produce extra androgen than ordinary, causing PCOS to be
part of PCOS [42]. PCOS, a fertility concern that incessantly happens to
girls, is a frequent one. It is a incontrovertible
fact that a number of elements, together with anovulation, menstrual irregularities, and infertility, affect the disorder.
Moreover, acne and a high amount of insulin within the body’s blood are
sequential occasions [43]. Determine 2 is a abstract of
the totally different therapies that trigger
ovulation and the management of infertility in PCOS sufferers with signs similar
to weight problems, insulin resistance, hirsutism, and acne.
This is very regarding for older males, as prostate enlargement is a typical concern that may lead to urinary issues.
Moreover, high testosterone levels also can result
in an elevated risk of creating prostate cancer.
Produced naturally by the adrenal glands, DHEA (dehydroepiandrosterone) is a Steroid Statistics 2016 hormone converted by the physique into
testosterone and other intercourse hormones. For this purpose, males looking
to improve their testosterone levels often turn to DHEA dietary supplements.
Natural DHEA can enhance testosterone levels — which are crucial to muscle tissue development — so some people think taking DHEA
supplements will help scale back body fat and enhance lean physique mass.
The paper reporting the first clinical endpoint related to symptom improvement,
total sexual function, and unwanted effects
is being printed separately.
In Ayurveda, CUR and Emblica officinalis are thought-about first-line therapies for
diabetes. Gupte et al., in their exploratory medical trial, hypothesized that these herbs might additionally enhance insulin sensitivity in ladies
with PCOS. Moreover, the combination decreased
serum testosterone, LH, and IL- 6 levels while increasing TNF-α.
It additionally helped normalize the estrous cycle
and lowered ovarian volume in women with PCOS [65]. The study confirmed that Emblica officinalis, together with Terminalia bellirica and Terminalia chebula, had significant inhibitory activity towards CYP17-α, with binding affinities starting from − 3.7 to − 9.5.
These findings highlight the potential of CUR and Emblica officinalis as an effective natural therapy for managing PCOS, significantly in addressing metabolic and hormonal imbalances.
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Using TestoPrime accurately might help optimize your results — particularly if
your aim is to improve libido, fight erectile dysfunction,
and restore confidence in your sexual well being.
Vitamin D is essential for sustaining general well being, together with testosterone
production. Many men with low testosterone even have low vitamin D levels, and supplementation may help restore both.
TestoPrime contains the optimal quantity of Vitamin D to boost testosterone and
overall well being. So in girls earlier than the menopause, we sometimes have to deal with their PCOS to lower the
testosterone. This can involve lifestyle modifications, medication to treat insulin resistance and contraceptive hormones that regulate the menstrual cycle and decrease testosterone ranges.
In each sexes, the one dependable approach
to know if you have excessive testosterone is to take a testosterone blood test.
According to the American Urological Association,
hCG is suitable for these MAABs with testosterone deficiency who additionally desire to
maintain up fertility. Injections of hCG are also
typically used as a substitute for testosterone products in MAABs
with testosterone deficiency. With exogenous testosterone
supplementation, the pulsatile release of gonadotropin-releasing hormone is
blunted and the discharge of follicle-stimulating hormone and luteinizing hormone
are depressed. As such, a lower in spermatogenesis is seen.[64] Whereas this impact may not be of significance to many men who’ve completed their families, physicians prescribing
TRT must be conscious.
Testosterone Substitute Therapy (TRT) is a therapy that helps
men with low testosterone ranges. Whereas TRT can have many advantages, you will want
to understand how it might have an effect on different parts of the physique, together with the kidneys.
This section will explain how TRT can affect kidney operate, what the present scientific understanding is,
and summarize some key research linking TRT to adjustments
in kidney operate.
The pituitary gland sends a signaling hormone to the testicles to produce more testosterone.
Testosterone therapy could also be prescribed for women with low T ranges,
nonetheless, the treatment’s effectiveness on bettering
sexual operate or cognitive function among postmenopausal ladies is unclear.
When we are stressed, our body releases stress hormones
corresponding to cortisol, which can raise our overall body temperature.
This is why some individuals might expertise a “stress sweat” when they’re beneath strain.
Imbalances in these hormones can interfere with regular ovulation and menstruation cycles, making it
difficult for women to conceive. Moreover, high testosterone ranges
in ladies could cause polycystic ovary syndrome (PCOS), a situation that may additional have an result on fertility.
Having balanced hormone ranges is essential for general health and
well-being. However, when each estrogen and testosterone
ranges are high, there can be potential health consequences for both women and men.
That Is made it attention-grabbing as a possible treatment for menopause signs
like melancholy, bone loss, and sexual issues. Our cross-sectional evaluation was unable to address whether or not testosterone supplementation and CC would improve
particular hypogonadal signs. Due To This Fact, we performed a potential cohort examine
comparing hypogonadal signs and treatment efficacy
in males receiving testosterone supplementation therapy (TST) and CC.
A control group of eugonadal males, who did not receive TST or
CC, was included to improve the validity of the research.
Researchers have discovered that men, who naturally have larger testosterone
ranges than ladies, are inclined to have a better pink blood
cell depend. Testosterone ranges are inclined to peak during puberty and early maturity,
which can be when red blood cell production is at its highest.
As men age and testosterone levels decrease, purple blood cell manufacturing additionally tends to decline.
Consuming a balanced diet wealthy in fruits, greens, complete grains, and lean proteins
supports kidney operate. Limiting salt intake
can forestall hypertension, which is a danger factor for kidney disease.
Processed foods usually contain excessive quantities of sodium, so it’s helpful to prepare meals
at residence using fresh elements whenever possible. By preserving
monitor of kidney well being by way of common checks,
potential issues could be recognized early and managed promptly.
Sufferers should also inform their medical doctors
of any current kidney circumstances before starting TRT, as this
may help tailor the remedy to individual needs.
In conclusion, this article provides a detailed overview of the consequences of TRT on kidney operate.
Merely rising testosterone ranges with out addressing the underlying hormonal
imbalance might not successfully treat gynecomastia. In reality, testosterone replacement remedy in men with gynecomastia caused by
decreased testosterone ranges could worsen the condition.
A complete method, together with figuring out and addressing the root explanation for the hormonal imbalance, is critical for effective management of gynecomastia.
Studies to reply these questions are under way, however
it is going to be years before we know the outcomes.
In the meantime, do not forget that testosterone substitute hasn’t been conclusively shown to enhance any well being situation aside from testosterone deficiency and its signs.
For males with low testosterone levels as measured by a blood take a look
at who also have symptoms of low testosterone, the decision to take testosterone replacement is one to make along with your physician. Throughout puberty in folks assigned male
at start, testosterone is likely one of the primary drivers of bodily modifications like muscle growth, voice adjustments, and hair growth.
Testosterone performs a vital function in modulating mood fluctuations and
aggressive behavior, which might negatively impression psychological well-being.
Low testosterone levels are a typical explanation for erectile dysfunction in men. Testosterone is vital for libido and sexual
operate, and when its levels dip, men often experience issue maintaining erections or a decreased sexual need.
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Thus, a PCT for Anadrol should begin 49.5 hours after the final dose.
If other medication are combined with Anadrol, you
want to calculate once they may even leave the physique. In this state of affairs,
start the PCT when the last steroid has left your system, i.e., the one with the longest half-life.
With Anadrol being a harsh steroid, it might be wiser to stack it with a mild injectable steroid similar to Deca Durabolin,
as opposed to trenbolone.
Many customers report 6 to 12 kilos of lean muscle over an 8-week cycle — and since Deca Max enhances protein utilization and nutrient partitioning, much of it
comes without extra fats or bloat. Legal steroids can take your muscle-building
journey and athletic efficiency to the subsequent stage.
Authorized steroids however are 100% pure merchandise that do not contain any
testosterone. They have the constructing blocks of testosterone that help your body to synthesize the testosterone.
When you stack it with Deca-Durabolin, Dianabol might be
placed at the beginning of the cycle for the primary 4-6 weeks solely.
This kicks off your positive aspects, whereas Deca-Durabolin takes longer to kick in. One of Nandrolone’s
most valuable results is its optimistic benefits for your
joints. Some individuals (both bodybuilders and males on TRT) use it at low doses purely for joint assist advantages to
alleviate ache in the knees, shoulders, and elbows.
Nandrolone won’t convert to DHT, which implies
it’s a well-liked steroid by those eager to avoid DHT-related unwanted facet effects like hair loss.
Customers principally observe quicker recovery and higher sporting efficiency.
Trenbolone has never been approved for human consumption because
of its toxic nature, and subsequently, customers are risking their
short- and long-term well being when taking this compound.
In our experience, combining trenbolone with different
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has resulted in further health deterioration. These who aren’t skilled steroid users could have
prominent gains in regard to muscle mass. Whereas experienced steroid users shall be less delicate by
way of years of cycles and can experience milder positive aspects.
In our expertise, Winstrol and trenbolone cycles are extremely poisonous AAS and solely appropriate for advanced steroid customers.
We find a more aggressive PCT is needed with this cycle to kickstart pure testosterone production. The duo of Clomid and HCG has additionally been utilized in analysis to treat hypogonadism by
Dr. Michael Scally with success. Nevertheless, as a outcome of some likely water retention from the addition of testosterone, it’s extra appropriate
for bulking. HGH does not produce virilization in women, whereas
many anabolic steroids do. HGH is mostly administered
through injection; nonetheless, a quantity of anabolic steroids can be found in oral kind.
We regularly see endogenous T3 ranges become
suppressed post-cycle after taking exogenous T3.
Larger testosterone ranges permit you to build more muscle
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Positive Aspects will be average and gradual, with noticeable dimension positive aspects often within three to four weeks.
Deca-Durabolin is normally stacked with Dianabol and testosterone for max muscle positive
aspects and to achieve greater anabolic results.
Since Nandrolone has helpful medical benefits, it has been the topic of
several studies and is usually thought to be well-tolerated by most participants.
As with all anabolic steroids, Deca-Durabolin should be used at your personal risk.
They may not work as fast as anabolic steroids, but with the
proper stack of natural elements, you must be in a
position to velocity up your bulking and chopping process significantly.
I also seen that, unlike anabolic steroids, many
customers say they have used it long-term with no unwanted
effects whereas nonetheless building lean muscle mass.
When administered intramuscularly, the half-life for Equipoise (Boldenone undecylenate)
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If you compete in sports with performance-enhancing compound policies, DHEA is a no-go.
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