Pratica di Shadowing: A pediatric cerebrovascular approach: techniques and challenges - Impara a parlare inglese con i video
Scegli una modalità di pratica
Ogni modalità apre una sala di pratica a schermo intero.
138 frasi
Se le frasi sono troppo corte o troppo lunghe, clicca su Edit per modificarle.
1
Music My
2
practice is unique in the fact that I do about 90 percent,
3
85 percent of what I do is all children.
4
children with vascular malformations, both of the brain and the neck, maxillofacial areas.
5
We receive them from newborn actually to 19, 18 years of age.
6
We do of course also adults with vascular malformations,
7
but as things are evolving and you can see how fantastic this course is and the tremendous progress that has exist.
8
So children are not small adults and that has happened throughout medicine.
9
There was the general doctor first,
10
then became pediatricians, which was obviously that required different things.
11
So within the vascular lesions of the human body,
12
there's a certain amount of diseases that occur in children primarily,
13
and that affect children sometimes exclusively.
14
So, based on my practice,
15
I have dedicated myself to improve the treatment in those children,
16
decrease the radiation, decrease the time of the procedure,
17
being very meticulous with the technique, very meticulous with fluids.
18
For small children that are in severe heart problems with brain problems,
19
if you use the same techniques in adults,
20
you actually could have a lot of harm.
21
So there are dedicated, specific problems that occur in children.
22
There are specific, dedicated challenges,
23
technical, medical, physiological, that are specific for children.
24
And there's even difference between children and newborns.
25
We have newborns that are born in severe heart failure with a disease called vein of gallant malformation
26
that even treated is lethal within the first year of life.
27
So those children require techniques,
28
for example, we develop techniques to go through the umbilical artery.
29
So we can actually place a cathode from the umbilical artery to enter the body,
30
to then navigate into the brain.
31
In this pediatric population, the diseases are rare,
32
so it's very hard to do really trials.
33
We're more involved in developing devices,
34
actually because coming from children,
35
they can be translated towards adults.
36
We also have a lot of patients,
37
or practices, patients of rare diseases,
38
such as vascular malformation of the maxillofacial area.
39
very difficult to treat.
40
So we have developed techniques like direct percutaneous puncture.
41
Instead of going from the femoral artery and trying to catheterize them,
42
it's to actually use 3D angiography or the eye guide
43
or the different types of technologies that have been developed for adults
44
and try to use them to place catheters or needles directly into the malformation.
45
And that has changed the whole ballgame.
46
We also involve trying to develop things which are called sclerotherapy.
47
Sclerotherapy is a technique in which you inject something that will damage the endothelium.
48
And then the healing of that scarring,
49
that will produce scarring, will actually sclerose or thrombose or close and scar those vascular malformations that they cannot feel.
50
And that includes venous malformation.
51
That includes lymphatic malformations.
52
That includes arteriovenous malformation.
53
And we're using biological substances such as chemotherapeutic agents, bleomycin for example.
54
And they've made a tremendous change in the outcome of this patient.
55
Actually, we're trying to use more and more ultrasound to guide ourselves to do these procedures.
56
Also, within the medical industry of x-rays,
57
we're forcing the manufacturers to create things like last image hold.
58
And then with that last image hold,
59
will, for example, collimate, try to center memories so that we don't have to radiate these children.
60
Mothers come to me and ask me that,
61
will my child have a stroke while you're doing this horrible malformation?
62
They ask me how much radiation are they gonna get?
63
Or the anesthesia?
64
Well, there is a potential role for endovascular radiosurgery.
65
I worked like 15, 20 years ago to try to treat vascular malformations that way.
66
But radiation is a difficult thing to control.
67
It's a difficult thing to prove,
68
a difficult thing to get approved through a regulatory pathway like the Food and Drug Administration and so on.
69
And dangerous for everyone, including you as an operator.
70
Everything is dangerous if it's improperly used.
71
You know, if you have a genie and you let the genie out of the box and there's no control,
72
it can be very, very dangerous.
73
So I would say that radiation has a potential,
74
but it is not something that is around the corner.
75
The tools that we have today are pretty much adaptation of adults to children.
76
So we're still at the beginning.
77
We're very much interested in developing tools that are designed for newborns and for children,
78
which today do not exist.
79
So we take a catheter that is a meter and a half,
80
because it's the only catheter that we have.
81
The technology exists, but the market is so small
82
that industry is not very interested in developing high technology for a very small market.
83
And this is not simply the question of smaller arteries.
84
It's a whole question of a different anatomy that you're dealing with.
85
It's a different anatomy.
86
It's a different technology necessary for the stiffness, for example.
87
You know, the blood vessels in children are more fragile in a sense.
88
But on the other hand, they're more elastic.
89
So they have their own specific problems,
90
both technically as well as physiological.
91
One of the biggest questions that we have is if we take a device,
92
for example a stent, that is developed for adults which have stopped growing and we put them in small children,
93
what would happen to those vessels as we increase in size?
94
And therefore, personally, we have a lot of skepticism of using stents unless we are really forced.
95
And the other side of the coin is we're going to press
96
and push industry to develop bioactive or biodegradable devices so that
97
if I put a stent in a little child and that stent will then be reabsorbed,
98
it will permit then the normal physiologic growth.
99
Biodegradable, bioabsorbable, biocompatible.
100
It's one of the great, great, great potential expansion.
101
If we can develop it for children,
102
it can then be transferred to adults.
103
What is interesting is that we've done very small devices based on trying to do it for pediatrics,
104
and those have translated to go to the adult,
105
which permits you to go to more distal circulation.
106
I think that's very valuable for the training of physicians.
107
You know, when I started,
108
it was see one, do one,
109
teach one, that no longer applies.
110
We're not, it's just so much better to train,
111
and I'm very involved in the training of physicians,
112
training physicians in a in vitro model.
113
You know, get all, I mean,
114
you actually today, the reproduction is, Dr. Moret, so fantastic.
115
You know, it's literally like the real thing.
116
But then you get the physician to learn.
117
You get the physician to train,
118
you get the physician to try,
119
you get the physician to make the mistake in a model.
120
By the time you transfer that to the real patient,
121
you have a much better trained physician.
122
And I think industry is now more and more turning to these models.
123
And the regulatory agencies are saying,
124
wait a second, you not only have to go and train in a model first.
125
You know, it used to be sometimes an animal.
126
Then, you know, as you know,
127
there's a lot of movement against training in animals.
128
So these things have replaced a lot of the training.
129
The regulatory agencies will force us to train physicians in this type of models that are now readily available.
130
3D printing can make exactly the same aneurysm immediately, right away.
131
And not only that, I can make 20 of those,
132
or 50, or 100 to train physicians.
133
So that I do believe that following that comes the proctoring.
134
In other words, now you're going to go,
135
this individual who's trained in the model is going to go do humans.
136
So when you go humans,
137
you go with somebody experience,
138
the fracture you, I think that is absolutely the way to go.
Scarica l'app
Tutto ciò che serve per parlare fluentemente
Pronuncia con IAVoto per ogni frase
Pratica IPAPadroneggia ogni suono
VocabolarioCostruisci il tuo lessico
Gioco di vocabolarioImpara giocando
Stesso Canale
C11
Evidence and challenges in MeVO and distal occlusions, what do we know in 2026?
Daily ConversationWorking Adults
C12
Latest advances in AVM treatment - Uday LIMAYE
IELTS PrepTOEFL PrepUniversity Students
C28
How can we make AVM endovascular treatment great again?
Business EnglishUniversity StudentsWorking Adults
C11
How important is the Aruba Study for you today?
University StudentsWorking Adults
C22
Treatment of side wall aneurysms, IV thrombolysis for stroke
University StudentsWorking Adults
C2Decision-making in complex aneurysms: Guilherme Dabus on tools, techniques and safe strategy
University StudentsWorking Adults
C23
Experience with the pEGASUS for rescue stenting and treatment of ICAD
University StudentsWorking Adults
C1Thrombectomy in 2036, what I learned from my trip to the future
Business EnglishUniversity StudentsWorking Adults
FOR YOU
Video consigliato
B147 frasi
Blood Equipment | #Clip | TV Show for Kids | Operation Ouch
KidsDaily Conversation
B28
173 frasi
Japanese Parenting Secrets That Build Superior Brain Development Before Age 5
KidsDaily ConversationHigh School Students
B16
13 frasi
4-Year-Old Doing OK After Having 8 Heart Surgeries
KidsTeensHigh School Students
B120 frasi
Treating Minor Cuts and Bruises - First With Kids - Vermont Children's Hospital
KidsTeensDaily Conversation
B15
75 frasi
TEST 1. Part 1: Children´s Engineering Workshops.
KidsTeensDaily Conversation
C29
61 frasi
SVINutes: Pediatric Cerebrovascular Disease: Current Strategies, Future Directions
University StudentsWorking Adults
B23
62 frasi
Brain Science for Kids - Thinking and Feeling
Kids
B14
24 frasi
Video 1 - Why is handwriting important
KidsDaily ConversationHigh School Students
A1107
9 frasi
For Beginners| One Story A Day| Book 3 - 1 First Hospital Visit
KidsTeensDaily Conversation
B22
56 frasi
How play helps a kid’s brain grow - Jesse Ilhardt
KidsTeensDaily Conversation
C11
15 frasi
SurGenTec Bioskills lab
Daily ConversationWorking Adults
C11
18 frasi
Endoscopic Ultrasound (EUS) Procedure | Cincinnati Children's
Daily ConversationWorking Adults
Informazioni su questa lezione
In questa lezione, i partecipanti esploreranno argomenti riguardanti la pediatria e le malformazioni vascolari, in particolare nel contesto dei bambini. Saranno messi in evidenza alcuni metodi e tecniche utilizzate nel trattamento di queste condizioni, nonché le sfide specifiche che i professionisti medici devono affrontare. Gli studenti avranno l'opportunità di praticare la loro pronuncia e comprensione attraverso il metodo di shadowing.
Vocabolario e frasi chiave
- Malformazioni vascolari - Vascular malformations
- Pediatria - Pediatrics
- Tecniche percutanee - Percutaneous techniques
- Scleroterapia - Sclerotherapy
- Cateterismo - Catheterization
- Rischio per i bambini - Risks for children
- Procedura medica - Medical procedure
- Anestesia - Anesthesia
Consigli per la pratica
Quando utilizzi la tecnica di shadowing in inglese, è fondamentale prestare attenzione al ritmo e al tono del parlante. In questo video, il relatore parla in modo chiaro, con pause naturali tra le frasi. Per migliorare la pronuncia inglese, copia il parlante seguendo il suo modo di enfatizzare le parole chiave come "malformazioni" e "tecniche". Concentrati sull'intonazione, cercando di replicare non solo le parole, ma anche l’emozione e l’intensità nel discorso.
Puoi utilizzare il metodo di shadowspeak praticando a bassa velocità all'inizio, poi, man mano che ti senti più sicuro, aumentare il ritmo. Questo approccio ti permetterà di affinare la tua pronuncia e migliorare la fluidità nella tua pratica di conversazione in inglese. Non dimenticare di registrarti mentre parli; riascoltare le tue registrazioni ti aiuterà a identificare le aree da migliorare e a monitorare i tuoi progressi. Allena la tua voce ad emulare il tono e la dizione del relatore per una pratica più efficace.
La grammatica di questo video
Le strutture che chi parla usa di più, con le parole esatte del video:
| Struttura | Nel video |
|---|---|
| Present perfect have/has + participio passato — un’azione passata che conta ancora adesso | has happened · have dedicated · have developed |
| Forma passiva be + participio passato — conta ciò che accade, non chi lo fa | are born · can be translated · have been developed |
| Frasi relative who / which + frase — un’informazione in più su una persona o una cosa | pediatricians, which was · children that are · things which are |
Cos'è la tecnica dello Shadowing?
Shadowing è una tecnica di apprendimento delle lingue supportata da studi scientifici, originariamente sviluppata per la formazione dei traduttori professionisti e resa popolare dal poliglotta Dr. Alexander Arguelles. Il metodo è semplice ma potente: ascolti un audio in inglese di madrelingua e lo ripeti immediatamente ad alta voce — come un'ombra che segue il parlante con un ritardo di solo 1–2 secondi. A differenza dell'ascolto passivo o degli esercizi di grammatica, lo shadowing costringe il tuo cervello e i muscoli della bocca a elaborare e riprodurre simultaneamente i modelli di discorso reale. La ricerca dimostra che migliora significativamente la precisione della pronuncia, l'intonazione, il ritmo, il discorso connesso, la comprensione dell'ascolto e la fluidità del parlato — rendendolo uno dei metodi più efficaci per la preparazione alla prova di speaking dell'IELTS e per la comunicazione reale in inglese.