쉐도잉 연습: SVINutes: VAN Score - 영상으로 영어 말하기 배우기

Hello, my name is Dr. Nidhi Ravi Shankar and will be speaking with you about the Vanscore and its utility.

There are many stroke scales that are currently used in the hospitals around the United States today.

The National Institute of Health Stroke Scale is the most widely used deficit rating scale in modern neurology.

Over 500,000 healthcare professionals have been certified to administer it using a web-based platform.

It is used in the hospital setting to guide therapeutic options when patient presents with ischemic stroke.

While useful, the scale is quite extensive and not pre-hospital friendly.

For the pre-hospital setting, the Cincinnati Pre-Hospital Stroke Scale was developed as a rapid way to identify strokes.

It is a scale based on the NIHSS, RAPID, but has a particular affinity towards anterior circulation strokes.

There are many other stroke scales that have been developed in order to identify the location of strokes.

The VAN score, however, as you can see, can be accounted for all the cortical areas.

The VAN score, mnemonic for verbal,

aphasia, and neglect, is a screening tool to assess for neurovascular anatomy for emergent LVO or large vessel occlusion.

It is quick and allows for early and specific emergency notifications for mobilization of appropriate teams and resources.

In order to determine whether the VAN test is positive, certain criteria must be met.

Step 1.

Just like the CPSS, if the patient presents with deficits in motor function, we move on to the second step.

Any deficits in vision or presence of neglect and aphasia, along with motor deficits, indicates a positive VAN score.

A positive VAN score assessment, assessment, the stroke designation protocol is implemented.

A positive VAN score assessment hopes to accurately identify patients with LVO

and result in early activation of the ELVO team so that door-to-groin puncture times were improved.

While both CPSS and VAN should be performed in any stroke patient, the utility of one scale can assist consistency among paramedics,

ED triage, and hospital providers.

The VAN tool for identification of ELVO has shown high sensitivity,

specificity, and accuracy in large number of patients and follows basic principles of neurological localization.

In comparison to previously published tools, the VAN tool offers simplicity,

speed, ease of use, and exclusion of mandatory scoring without sacrificing accuracy.

While regional stroke systems of care are uniquely designed,

ELVO pre-hospital assessments and bypass time windows allows for collaboration among primary and secondary stroke providers and prompt application to treatment.

Thank you.

쉐도잉이란? 영어 실력을 빠르게 키우는 과학적 방법

쉐도잉(Shadowing)은 원래 전문 통역사 훈련을 위해 개발된 언어 학습 기법으로, 다언어 학자인 Dr. Alexander Arguelles에 의해 대중화된 방법입니다. 핵심 원리는 간단하지만 매우 강력합니다: 원어민의 영어를 들으면서 1~2초의 짧은 지연으로 즉시 소리 내어 따라 말하는 것——마치 '그림자(shadow)'처럼 화자를 따라가는 것입니다. 문법 공부나 수동적인 청취와 달리, 쉐도잉은 뇌와 입 근육이 동시에 실시간으로 영어를 처리하고 재현하도록 훈련합니다. 연구에 따르면 이 방법은 발음 정확도, 억양, 리듬, 연음, 청취력, 말하기 유창성을 크게 향상시킵니다. IELTS 스피킹 준비와 자연스러운 영어 소통을 원하는 분들에게 특히 효과적입니다.

쉐도잉 연습: SVINutes: VAN Score - 영상으로 영어 말하기 배우기

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