शैडोइंग अभ्यास: SVINutes: VAN Score - वीडियो के साथ अंग्रेजी बोलना सीखें

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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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इस पाठ की शब्दावली और बोलने के सुझाव

इस वीडियो में शैडोइंग के लिए 29 वाक्य और 419 शब्द हैं। बोला गया हिस्सा 2:55 लंबा है। वक्ता लगभग 144 शब्द प्रति मिनट की स्थिर गति से बोलता है, जो शैडोइंग के लिए आरामदायक है। केवल 73% शब्द अंग्रेज़ी के 3,000 सबसे आम शब्दों में से हैं, इसलिए शब्दावली कठिन है।

इस वीडियो की मुख्य शब्दावली

वीडियो के 15 कम प्रचलित शब्द, उच्चारण और अर्थ के साथ:

  • assessment /əˈsɛsmənt/ (संज्ञा) — निर्धारण, मूल्यांकन. The act of assessing or an amount (of tax, levy or duty etc) assessed.
  • deficit /ˈdɛfəsɪt/ (संज्ञा) — घाटा. Deficiency in amount or quality; a falling short; lack.
  • provider /pɹəˈvaɪ.də(ɹ)/ (संज्ञा) — प्रदाता, दाता. One who, or that which, provides a service, commodity, or the means for subsistence.
  • neglect /nɪˈɡlɛkt/ (क्रिया) — अवहेला, अवहेलना. To fail to care for or attend to something.
  • resource /ɹɪˈzɔːs/ (संज्ञा) — संसाधन. Something that one uses to achieve an objective, e.g. raw materials or personnel.
  • indicate /ˈɪndɪˌkeɪt/ (क्रिया) — सूचित करना, संकेत करना. To point out; to discover; to direct to a knowledge of; to show; to make known.
  • principle /ˈpɹɪn.sɪ.pəl/ (संज्ञा) — जड़सूत्र, असूल. A fundamental assumption, fundamental law or guiding belief.
  • sacrifice /ˈsæk.ɹɪ.faɪs/ (संज्ञा) — बलि. 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/ (संज्ञा) — पोत. Any craft designed for transportation on or in water, such as a ship, boat, or submarine.
  • identification /aɪˌdɛn(t)ɪfɪˈkeɪʃn̩/ (संज्ञा) — पहचान, शिनाख़्त. The act of identifying (i.e., which one, which thing).
  • rat /ɹæt/ (संज्ञा) — चूहा, मूश. 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/ (विशेषण) — अनिवार्य. obligatory; required or commanded by authority.
  • assess /əˈsɛs/ (क्रिया) — मूल्यांकन करना. To determine, estimate or judge the value of; to evaluate; to estimate.
  • sensitivity /ˌsɛn.səˈtɪv.ə.ti/ (संज्ञा) — संवेदनशीलता. The quality or state of being sensitive; sensitiveness.
  • anatomy /əˈnætəmi/ (संज्ञा) — शारीरिकी. The science that deals with the form and structure of organic bodies; anatomical structure or organization.

ध्यान देने योग्य उच्चारण

  • “sh” और “zh” की ध्वनियाँ: collaboration /kəˌlæbəˈɹeɪʃən/, identification /aɪˌdɛn(t)ɪfɪˈkeɪʃn̩/, circulation /ˌsɝkjʊˈleɪʃən/, notification /ˌnoʊtɪfɪˈkeɪʃn̩/, activation /ˌæktəˈveɪʃən/
  • लंबे शब्द — बलाघात सही रखें: utility /juːˈtɪlɪti/, accuracy /ˈæk.jɚ.ə.si/, collaboration /kəˌlæbəˈɹeɪʃən/, identification /aɪˌdɛn(t)ɪfɪˈkeɪʃn̩/, mandatory /ˈmæn.dəˌtɔɹ.i/

इस वीडियो से अभ्यास कैसे करें

  1. पहले बिना बोले पूरा वीडियो एक बार सुनें और जो शब्द नहीं आते उन्हें लिख लें।
  2. सामान्य गति पर एक-एक वाक्य की शैडोइंग करें और हर वाक्य तब तक दोहराएँ जब तक आपकी लय वक्ता से न मिल जाए।
  3. अपनी आवाज़ रिकॉर्ड करें और मूल से तुलना करें, ख़ासकर assessment, deficit, provider जैसे शब्दों पर ध्यान दें।

इस वीडियो का व्याकरण

वक्ता जिन संरचनाओं का सबसे अधिक प्रयोग करता है, वीडियो के असली शब्दों के साथ:

संरचनावीडियो में
Passive voice be + past participle — ज़ोर इस पर कि क्या होता है, न कि कौन करता हैhave been certified · was developed · have been developed
Present perfect have/has + past participle — बीता हुआ काम जिसका असर अभी भी हैhave been certified · have been developed · has shown

शैडोइंग तकनीक क्या है?

शैडोइंग (Shadowing) एक विज्ञान-समर्थित भाषा सीखने की तकनीक है जो मूल रूप से पेशेवर दुभाषिया प्रशिक्षण के लिए विकसित की गई थी। विधि सरल लेकिन शक्तिशाली है: आप मूल अंग्रेज़ी ऑडियो सुनते हैं और तुरंत इसे ज़ोर से दोहराते हैं — जैसे वक्ता की छाया 1-2 सेकंड की देरी से। शोध से पता चलता है कि यह उच्चारण सटीकता, स्वर, लय, जुड़ी हुई ध्वनियाँ, सुनने की समझ और बोलने की प्रवाहशीलता में काफ़ी सुधार करता है।

शैडोइंग तकनीक: पूरी चरण-दर-चरण गाइड पढ़ें →