쉐도잉 연습: SVINutes: VAN Score - 영상으로 영어 말하기 배우기
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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.
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It is used in the hospital setting to guide therapeutic options when patient presents with ischemic stroke.
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While useful, the scale is quite extensive and not pre-hospital friendly.
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For the pre-hospital setting, the Cincinnati Pre-Hospital Stroke Scale was developed as a rapid way to identify strokes.
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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.
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The VAN score, however, as you can see, can be accounted for all the cortical areas.
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The VAN score, mnemonic for verbal,
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aphasia, and neglect, is a screening tool to assess for neurovascular anatomy for emergent LVO or large vessel occlusion.
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It is quick and allows for early and specific emergency notifications for mobilization of appropriate teams and resources.
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In order to determine whether the VAN test is positive, certain criteria must be met.
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Step 1.
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Just like the CPSS, if the patient presents with deficits in motor function, we move on to the second step.
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Any deficits in vision or presence of neglect and aphasia, along with motor deficits, indicates a positive VAN score.
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A positive VAN score assessment, assessment, the stroke designation protocol is implemented.
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A positive VAN score assessment hopes to accurately identify patients with LVO
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and result in early activation of the ELVO team so that door-to-groin puncture times were improved.
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While both CPSS and VAN should be performed in any stroke patient, the utility of one scale can assist consistency among paramedics,
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ED triage, and hospital providers.
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The VAN tool for identification of ELVO has shown high sensitivity,
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specificity, and accuracy in large number of patients and follows basic principles of neurological localization.
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In comparison to previously published tools, the VAN tool offers simplicity,
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speed, ease of use, and exclusion of mandatory scoring without sacrificing accuracy.
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While regional stroke systems of care are uniquely designed,
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ELVO pre-hospital assessments and bypass time windows allows for collaboration among primary and secondary stroke providers and prompt application to treatment.
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Thank you.
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이 레슨의 어휘와 말하기 포인트
이 영상에는 섀도잉할 문장 29개와 단어 419개가 있습니다. 말하는 구간의 길이는 2:55입니다. 화자는 분당 약 144단어의 일정한 속도로 말해서 섀도잉하기에 편한 속도입니다. 영어에서 가장 많이 쓰이는 3,000단어에 속하는 단어가 73%뿐이라 어휘가 어려운 편입니다.
이 영상의 핵심 어휘
영상에 나오는 덜 흔한 단어 15개를 발음, 뜻과 함께 정리했습니다.
- assessment /əˈsɛsmənt/ (명사) — 평가. The act of assessing or an amount (of tax, levy or duty etc) assessed.
- deficit /ˈdɛfəsɪt/ (명사) — 적자. Deficiency in amount or quality; a falling short; lack.
- rapid /ˈɹæp.ɪd/ (형용사) — 빠르다. Very swift or quick.
- neglect /nɪˈɡlɛkt/ (동사) — 소홀히 하다, 등한히 하다. To fail to care for or attend to something.
- assist /əˈsɪst/ (동사) — 돕다. To help.
- resource /ɹɪˈzɔːs/ (명사) — 자원. Something that one uses to achieve an objective, e.g. raw materials or personnel.
- indicate /ˈɪndɪˌkeɪt/ (동사) — 가리키다. To point out; to discover; to direct to a knowledge of; to show; to make known.
- principle /ˈpɹɪn.sɪ.pəl/ (명사) — 원리, 원칙. A fundamental assumption, fundamental law or guiding belief.
- sacrifice /ˈsæk.ɹɪ.faɪs/ (명사) — 희생. 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.
- collaboration /kəˌlæbəˈɹeɪʃən/ (명사) — 콜라보레이션, 콜라보. The act of collaborating.
- vessel /ˈvɛsəl/ (명사) — 배, 선박. Any craft designed for transportation on or in water, such as a ship, boat, or submarine.
- identification /aɪˌdɛn(t)ɪfɪˈkeɪʃn̩/ (명사) — 식별. The act of identifying (i.e., which one, which thing).
- rat /ɹæt/ (명사) — 쥐. 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…
- protocol /ˈpɹoʊtəˌkɑl/ (명사) — 의정서. An amendment to an official treaty.
- mandatory /ˈmæn.dəˌtɔɹ.i/ (형용사) — 의무적인. obligatory; required or commanded by authority.
주의할 발음
- “sh”와 “zh” 소리: collaboration /kəˌlæbəˈɹeɪʃən/, identification /aɪˌdɛn(t)ɪfɪˈkeɪʃn̩/, circulation /ˌsɝkjʊˈleɪʃən/, notification /ˌnoʊtɪfɪˈkeɪʃn̩/, activation /ˌæktəˈveɪʃən/
- 긴 단어 — 강세 위치에 주의: utility /juːˈtɪlɪti/, accuracy /ˈæk.jɚ.ə.si/, collaboration /kəˌlæbəˈɹeɪʃən/, identification /aɪˌdɛn(t)ɪfɪˈkeɪʃn̩/, mandatory /ˈmæn.dəˌtɔɹ.i/
이 영상으로 연습하는 방법
- 먼저 말하지 않고 영상을 끝까지 듣고 모르는 단어를 적어 둡니다.
- 보통 속도로 한 문장씩 섀도잉하고, 화자의 리듬과 맞을 때까지 반복합니다.
- 자신의 목소리를 녹음해 원본과 비교하고, assessment, deficit, rapid 같은 단어에 특히 주의합니다.
이 영상의 문법
화자가 가장 많이 쓰는 문형을 영상 속 실제 표현과 함께 정리했습니다.
| 문형 | 영상 속 표현 |
|---|---|
| 수동태 be + 과거분사 — 누가 하는지보다 무슨 일이 일어나는지에 초점 | have been certified · was developed · have been developed |
| 현재완료 have/has + 과거분사 — 과거의 일이 지금도 관련이 있을 때 | have been certified · have been developed · has shown |
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.