Pratica di Shadowing: Bitch Spay Video Uterine Disaster vet cpd® 28 - Impara a parlare inglese con i video
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58 frasi
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1
Thank you.
2
Thank you.
3
Slide down the suspensory with your left index going around the kidney
4
and press down at insertion or hook under suspensory and push up.
5
Check you have good clearance of the ovary.
6
Now separate the uterus for better exposure.
7
Form the first millers, nudge down, tighten and then raise the clamp, place the second ligature, which can either be a miller's or a surgeon's.
8
Thank you.
9
Thank you.
10
Release top clamp, mop up any blood and then raise ovarian clamp clamp.
11
As we no longer have the pressure in the ovarian artery, either a millers or surgeons can be placed.
12
Rotate this clamp by placing forceps in the handle.
13
You can visualize the knot and see the tightness.
14
Thank you.
15
This is great.
16
We can check for bleeding and if any concerns, replace the clamp and add an extra ligature.
17
Easy peasy.
18
Better than the conventional way of hanging onto a thread of the pedicle.
19
This is the scary traditional way to check for bleeding, not easy peasy, to reapply the clamp and add a ligation.
20
Swab removed, and now ligation of the broad ligament, but this one has no fat or vessels, so is just torn.
21
Watching this carefully will help you with deeper ovaries, push down on the abdominal wall with your left hand and pinch the ovary.
22
Once you have pinched the ovary, you can pull hard on it, as the vessels are protected by the suspensory and renal ligament.
23
The ovary is a slippery sucker, hence the swab.
24
Hold the ovary with your right hand, slide down the suspensory ligament with your left index finger near the insertion, hook your finger under and push the ligament upwards.
25
There are two ligaments, suspensory and renal.
26
Obviously, the renal runs to the cadenet knot break this as this protects the vessel.
27
Walk the clamp down rather than forcing it.
28
Clamp and separate the uterus.
29
Thank you.
30
Thank you.
31
Thank you.
32
Thank you.
33
Thank you.
34
Thank you.
35
But this is the way you are taught to check for bleeding.
36
Exteriorizing the pedicle from this position is very difficult.
37
The first ligature is a surgeon's, as this is less likely to cut through the uterus and than I usually follow with a Miller's.
38
Thank you.
39
Yep, that's not good.
40
It's cut clean through the uterus, but I will still use the knot to ligate the uterine vessels as it will not cut through these.
41
I feel I need something a little extra for the vessels, so just place an extra surgeon's.
42
I am just checking there is no visual bleeding from the user uterine stump, the swab I send in returns with minimum blood.
43
So all good.
44
Thank you.
45
Thank you.
46
A simple interrupted was enough to finish the muscle layer, but to spice things up, I ran this into the fat.
47
The advantage of this is the dead space closure.
48
Also, when closing the fat, I will take a nick of the muscle, again to close the dead space, removing any chance of a seroma.
49
I will be unable to tie off and run the this into the skin as the needle is too large.
50
The only problem I am going to have is a large knot to cover.
51
As we are starting with a new suture, the subdermal anchor is made above the large fat knot so as to hide it.
52
I went straight into the intradermals as I felt the skin knot would sit cordially before the intradermal entry point.
53
I usually say two steps forward, one step back.
54
Thank you.
55
Thank you.
56
To help burial, pull with some force on the suture, but mainly push the skin over the knot with forceps.
57
You're looking for that tug.
58
If it doesn't bury, retrace the needle out and try again.
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Vocabolario e note di pronuncia per questa lezione
Questa lezione di conversazione di livello C1 si basa sul video “Bitch Spay Video Uterine Disaster vet cpd® 28”. Le parole che ritornano più spesso: clamp, knot, ligament, ovary, suspensory. Questo video contiene 58 frasi e 636 parole da ripetere con lo shadowing. Il parlato dura 18:57. Solo il 74% delle parole rientra nelle 3.000 più comuni dell’inglese, quindi il lessico è impegnativo.
Vocaboli chiave di questo video
Le 15 parole più avanzate del video, con pronuncia e significato:
| Parola | Pronuncia | Significato |
|---|---|---|
| clamp sostantivo | /ˈklæmp/ | morsetto |
| knot sostantivo | /nɑt/ | nodo |
| ligament sostantivo | /ˈlɪɡəmənt/ | legamento, benderella |
| ovary sostantivo | /ˈoʊvəɹi/ | ovaia, ovaio |
| bleed verbo | /ˈbliːd/ | sanguinare |
| ligature sostantivo | /ˈlɪɡət͡ʃɚ/ | legatura |
| renal aggettivo | /ˈɹi.nəl/ | renale |
| swab sostantivo | /swɒb/ | tampone |
| forceps sostantivo | /ˈfoɹsɛps/ | forcipe |
| insertion sostantivo | /ɪnˈsɝʃən/ | inserzione |
| intradermal aggettivo | intradermico | |
| ovarian aggettivo | /oʊˈvɛɹi.ən/ | ovarico |
| suture sostantivo | /ˈsu.t͡ʃɚ/ | sutura |
| uterine aggettivo | /ˈjutəɹaɪn/ | uterino |
| pinch verbo | /pɪnt͡ʃ/ | pizzicare |
Pronuncia a cui fare attenzione
- I suoni “sh” e “zh”: insertion /ɪnˈsɝʃən/, ligation /lɪˈɡeɪʃən/, visualize /ˈvɪʒuəˌlaɪz/
- Parole lunghe — attenzione all’accento: ovarian /oʊˈvɛɹi.ən/, exteriorize /ɪkˈstɪɹi.əˌɹaɪz/
I suoni difficili per chi parla italiano:
- Consonante finale — senza aggiungere una vocale dopo: clamp /ˈklæmp/, knot /nɑt/, ligament /ˈlɪɡəmənt/, uterus /ˈjuː.tə.ɹəs/, bleed /ˈbliːd/
- /æ/ — più aperta della “e”: clamp /ˈklæmp/, abdominal /æbˈdɑm.ə.nl̩/, anchor /ˈæŋ.kəː/
Come esercitarsi con questo video
- Ascolta tutto il video una volta senza parlare e annota le parole che non conosci.
- Fai shadowing frase per frase a velocità normale, ripetendo ognuna finché il tuo ritmo coincide con quello di chi parla.
- Registrati e confronta con l’originale, facendo attenzione a parole come clamp, knot, ligament.
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.