تدريب Shadowing: SVINutes: VAN Score - تعلم التحدث بالإنجليزية عبر الفيديو

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29 جمل
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1
Hello, my name is Dr. Nidhi Ravi Shankar and will be speaking with you about the Vanscore and its utility.
2
There are many stroke scales that are currently used in the hospitals around the United States today.
3
The National Institute of Health Stroke Scale is the most widely used deficit rating scale in modern neurology.
4
Over 500,000 healthcare professionals have been certified to administer it using a web-based platform.
5
It is used in the hospital setting to guide therapeutic options when patient presents with ischemic stroke.
6
While useful, the scale is quite extensive and not pre-hospital friendly.
7
For the pre-hospital setting, the Cincinnati Pre-Hospital Stroke Scale was developed as a rapid way to identify strokes.
8
It is a scale based on the NIHSS, RAPID, but has a particular affinity towards anterior circulation strokes.
9
There are many other stroke scales that have been developed in order to identify the location of strokes.
10
The VAN score, however, as you can see, can be accounted for all the cortical areas.
11
The VAN score, mnemonic for verbal,
12
aphasia, and neglect, is a screening tool to assess for neurovascular anatomy for emergent LVO or large vessel occlusion.
13
It is quick and allows for early and specific emergency notifications for mobilization of appropriate teams and resources.
14
In order to determine whether the VAN test is positive, certain criteria must be met.
15
Step 1.
16
Just like the CPSS, if the patient presents with deficits in motor function, we move on to the second step.
17
Any deficits in vision or presence of neglect and aphasia, along with motor deficits, indicates a positive VAN score.
18
A positive VAN score assessment, assessment, the stroke designation protocol is implemented.
19
A positive VAN score assessment hopes to accurately identify patients with LVO
20
and result in early activation of the ELVO team so that door-to-groin puncture times were improved.
21
While both CPSS and VAN should be performed in any stroke patient, the utility of one scale can assist consistency among paramedics,
22
ED triage, and hospital providers.
23
The VAN tool for identification of ELVO has shown high sensitivity,
24
specificity, and accuracy in large number of patients and follows basic principles of neurological localization.
25
In comparison to previously published tools, the VAN tool offers simplicity,
26
speed, ease of use, and exclusion of mandatory scoring without sacrificing accuracy.
27
While regional stroke systems of care are uniquely designed,
28
ELVO pre-hospital assessments and bypass time windows allows for collaboration among primary and secondary stroke providers and prompt application to treatment.
29
Thank you.

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المفردات وملاحظات التحدث لهذا الدرس

يحتوي هذا الفيديو على 29 جملة و419 كلمة للتدرب على الترديد. مدة الكلام 2:55. يتكلم المتحدث بسرعة ثابتة، نحو 144 كلمة في الدقيقة، وهي سرعة مريحة للترديد. 73% فقط من الكلمات ضمن أكثر 3,000 كلمة شيوعًا في الإنجليزية، فالمفردات صعبة نسبيًا.

أهم المفردات في هذا الفيديو

15 كلمة أقل شيوعًا من الفيديو، مع النطق والمعنى:

  • assessment /əˈsɛsmənt/ (اسم) — تَقْيِيم. The act of assessing or an amount (of tax, levy or duty etc) assessed.
  • rapid /ˈɹæp.ɪd/ (صفة) — سَرِيع. Very swift or quick.
  • accuracy /ˈæk.jɚ.ə.si/ (اسم) — دِقَّة. The state of being accurate; being free from error; exactness; correctness
  • neglect /nɪˈɡlɛkt/ (فعل) — أَهْمَلَ. To fail to care for or attend to something.
  • resource /ɹɪˈzɔːs/ (اسم) — مَوْرِد. Something that one uses to achieve an objective, e.g. raw materials or personnel.
  • indicate /ˈɪndɪˌkeɪt/ (فعل) — دَلَّ عَلَى, رَمَزَ إِلَى. To point out; to discover; to direct to a knowledge of; to show; to make known.
  • principle /ˈpɹɪn.sɪ.pəl/ (اسم) — مَبْدَأ, قاعِدَة. A fundamental assumption, fundamental law or guiding belief.
  • sacrifice /ˈsæk.ɹɪ.faɪs/ (اسم) — تَضْحِيَة, قُرْبَان. Originally, the killing (and often burning) of a human being or an animal as an offering to a deity; later, also the offering of an object to a deity.
  • vessel /ˈvɛsəl/ (اسم) — فُلْك. Any craft designed for transportation on or in water, such as a ship, boat, or submarine.
  • implement /ˈɪmpləmənt/ (فعل) — نَفَّذَ, نَجَزَ. To bring about; to put into practice; to carry out.
  • rat /ɹæt/ (اسم) — جُرَذ, فَأْر. Any of the numerous members of several rodent families that usually have short limbs, a pointy snout, a long, hairless tail, and a body length greater than…
  • mandatory /ˈmæn.dəˌtɔɹ.i/ (صفة) — إِجْبَارِيّ, مَفْرُوض. obligatory; required or commanded by authority.
  • assess /əˈsɛs/ (فعل) — يُقَدِّر. To determine, estimate or judge the value of; to evaluate; to estimate.
  • consistency /kənˈsɪs.tən.si/ (اسم) — اِتِّسَاق. Local coherence.
  • anatomy /əˈnætəmi/ (اسم) — تَشْرِيح. The science that deals with the form and structure of organic bodies; anatomical structure or organization.

نطق يحتاج إلى انتباه

  • أصوات “sh” و“zh”: collaboration /kəˌlæbəˈɹeɪʃən/, identification /aɪˌdɛn(t)ɪfɪˈkeɪʃn̩/, circulation /ˌsɝkjʊˈleɪʃən/, notification /ˌnoʊtɪfɪˈkeɪʃn̩/, activation /ˌæktəˈveɪʃən/
  • الكلمات الطويلة — انتبه لموضع النبر: utility /juːˈtɪlɪti/, accuracy /ˈæk.jɚ.ə.si/, collaboration /kəˌlæbəˈɹeɪʃən/, identification /aɪˌdɛn(t)ɪfɪˈkeɪʃn̩/, mandatory /ˈmæn.dəˌtɔɹ.i/

كيف تتدرب بهذا الفيديو

  1. استمع إلى الفيديو كاملًا مرة واحدة دون أن تتكلم، ودوّن الكلمات التي لا تعرفها.
  2. ردّد جملة جملة بالسرعة العادية، وكرّر كل جملة حتى يتطابق إيقاعك مع المتحدث.
  3. سجّل صوتك وقارنه بالأصل، مع الانتباه إلى كلمات مثل assessment, rapid, accuracy.

القواعد في هذا الفيديو

أكثر التراكيب التي يستخدمها المتحدث، مع العبارات نفسها من الفيديو:

التركيبفي الفيديو
المبني للمجهول be + اسم المفعول — التركيز على ما يحدث لا على من يفعلهhave been certified · was developed · have been developed
المضارع التام have/has + اسم المفعول — حدث ماضٍ ما زال له أثر الآنhave been certified · have been developed · has shown

ما هي تقنية التظليل الصوتي؟

التظليل الصوتي (Shadowing) تقنية تعلم لغة مدعومة علمياً، طُورت أصلاً لتدريب المترجمين الفوريين المحترفين. الطريقة بسيطة لكنها قوية: تستمع لصوت إنجليزي أصلي وتكرره فوراً بصوت عالٍ — كظل يتبع المتحدث بتأخير 1-2 ثانية. تُظهر الأبحاث تحسناً كبيراً في دقة النطق والتنغيم والإيقاع وربط الأصوات والاستماع والطلاقة.

تقنية الشادوينغ: اقرأ الدليل الكامل خطوة بخطوة →