シャドーイング練習: How can we make AVM endovascular treatment great again? - YouTubeで英語スピーキングを学ぶ
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Hello, here we are for Lincoln Line.
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Hello, here we are for Lincoln Line.
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Today we are a very special guest.
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It's Professor René Chapeau from Alpha Group ESL at MNESEN.
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Professor Chapeau, I saw you wearing a cap some months ago that says let's make AVM great again.
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Yes, hello.
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The cap was offered to me to Fatsala that I just said hello to.
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He stayed one year with us, says bye bye gift.
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Okay, it's really a bit trumpy,
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so that's not the goal.
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But indeed the text passage is good because AVM is now the pathology,
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disease which is less treated and an AVM,
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our field is exploding in AVM,
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we've never been able to do so many things
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that we can do now so there's really a huge ability to transform today's way of treating AVMs.
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And what do you think have been the advances
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that allow us a better treatment for AVM from the endovascular point of view?
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On many things.
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First of all, I would say understanding.
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Understanding is based on images.
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MR is not possible to understand an AVM on MR. ANGEL,
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yes, but ANGEL, either we see through the guiding catheter,
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we see all vessels together,
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or we take a micro catheter and everything is so much diluted that we don't see it.
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And we're doing what we call 6D,
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which is a fusion of different volumes and different colors.
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And suddenly we had the impression to be able to see inside,
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to understand how the so-called nidus is organized,
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how all those veins come together.
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Because we can say it in a very simple way,
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an AVM is a connection of veins that all come together to the same vein,
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with a lot of arteries around around.
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It's not much more than this and the problem is how to understand this and it takes time,
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it takes effort, but we can do so.
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This is one thing.
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The other thing is transvenous symbolization has been pushed forward by Yitzvan Houdak,
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by Charbel, who are contributing to
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the way to understand AVM by the vein is completely different and this you realize
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whenever you start to do so that when you block your vein
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and when you push the embolic agent you see
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that you push from the trunk to all primary veins
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and you understand something that you cannot understand how you get it by the arteries
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so not only understanding but the ability to cure AVMs by the artery is not
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so good I mean
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if it would be good we would know AVMs will all be cured by embolization
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and the question of surgery or radiosurgery would not be as prominent as it is today.
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So we've got a lot to improve but by handling techniques like pressure cooker or let's call it plug technique,
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by avoiding liquid embolic to go backwards but to be pushed inside,
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that you determine whenever you stop or not and not the technical limitation
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which is more reflux limited we can gain much more
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but this together with access by the veins
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and occlusion by the veins enables to treat AVMs
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that are not surgical and not radiosurgical so if we can treat AVMs that are too difficult for surgery and for radiosurgery,
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then no doubt that you can also treat the ones
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that are more easy and can be treated by surgery or radiosurgery or not.
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And do you think that the difficulty or the potential difficulty of AVM,
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should we concentrate experiences of AVM or should we democratize a little bit more?
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At a good point, AVM treatment is not simple.
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The first time you see an AVM,
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you see vessels everywhere and you wonder what is this.
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Trying to understand an AVM is trying to understand the plate of spaghetti
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and to understand how each spaghetti is connected to the other ones.
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It's not exactly this, but it takes a lot of time to invest for training,
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for learning, but also for each procedure.
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if you train it for many years and be doing it for many years,
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each procedure is a long procedure.
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There's nothing to do about quickie aspiration for a stroke,
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fast slow diversion or web for an aneurysm.
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You must think on the opposite to take as long as you need to take hours,
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three, four, five, six, must be completely secondary aspect to invest enough time until you have a given understanding
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and once you have understood how it looks like then you
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have to find a way to proceed to get what you want
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what do you foresee for the up for the upcoming future in the in reine bmt it's a it's
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so what changes are going to be first of all this treatment is progressively enlarging there are more
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and more persons that are wondering whether it should not be done
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which is good take care it's not something to be done
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when you've got a large AVM so better you select education
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when you start so less there will be discussions on having a complication where someone else
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and they've been able able to treat AVM on a better way.
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But I think that the technical evolutions from point of view of imaging with the Siemens 6D,
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9D, I mean, the fusion of different volumes is an important thing.
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Obviously, liquid embolix, which radio opacity disappear with time, is fabulous.
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Not only that when we reduce the radiation dose,
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but once we've been treating a lot,
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it becomes very difficult to understand,
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and then we can understand it.
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And this is probably a way to make treatment more democratic,
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because if it's to be understandable because it's visible,
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then it will enlarge this field, which is our goal.
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Professor Jabal, thank you for your time.
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Thank you.
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Thank you.
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you
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この動画で話す練習をする理由は？
この動画では、AVM（動静脈奇形）の末梢治療に関する専門的な知識を持つ教授がインタビューされています。専門的な話題でありながら、この会話を通じて様々な技術的な表現や専門用語を学ぶことができます。英語スピーキング練習において、実際の医療現場での会話を模倣することは非常に価値があります。医療英語を学ぶことで、専門用語をスムーズに使用できるようになり、将来的には海外でのキャリアを考える際にも大いに役立つでしょう。さらに、YouTubeで英語学習をすることによって、リスニング能力を向上させつつ、発音やイントネーションにも注意を払うことができます。
文法と表現の文脈
このインタビューでは以下のような重要な文法構造や表現が使用されています：
- 過去分詞形による受動態: “are treated” のように、過去分詞を使って他動的なアクションを表しています。
- 現在進行形: “is exploding” という表現は、現在進行中の現象を示し、今まさに起こっていることを強調しています。
- カジュアルな省略: “Yes, hello” のような短い応答は、会話の自然さを取り入れつつ、相手の意見を引き出すための効果的な表現です。
これらの文法構造を理解し、自分でも使用できるように練習することで、より洗練された英会話ができるようになります。また、shadow speakを実践する際にも、文の構造を意識することで、自然な流れの会話を模倣しやすくなります。
一般的な発音の落とし穴
この動画では特に難しい単語やアクセントがありますので、注意が必要です。例えば、「AVM」と「embolization（塞栓術）」という単語は、発音が難しく、特に日本人にとっては注意を要します。正しい発音を身につけることで、英語の発音を良くするだけでなく、医療の専門用語を正確に伝えることができるようになります。リスニングやシャドウイングを通じて、自分の発音をチェックし、繰り返し練習することが重要です。これによって、自然な英語を話す力を向上させることができます。
シャドーイングとは？英語上達に効果的な理由
シャドーイング（Shadowing）は、もともとプロの通訳者養成プログラムで開発された言語学習法で、多言語習得者として知られるDr. Alexander Arguelles によって広く普及されました。方法はシンプルですが非常に効果的：ネイティブスピーカーの英語を聞きながら、1〜2秒の遅延で声に出してすぐに繰り返す——まるで「影（shadow）」のように話者を追いかけます。文法ドリルや受動的なリスニングと異なり、シャドーイングは脳と口の筋肉が同時にリアルタイムで英語を処理・再現することを強制します。研究により、発音精度、抑揚、リズム、連音、リスニング力、そして会話の流暢さが大幅に向上することが確認されています。IELTSスピーキング対策や自然な英語コミュニケーションを目指す方に特におすすめです。