Prática de Shadowing: How can we make AVM endovascular treatment great again? - Aprenda a falar inglês com o YouTube
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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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Sobre Esta Lição
Nesta lição, os alunos terão a oportunidade de praticar as habilidades de escuta e fala em inglês com um foco especial na técnica de shadowspeak. Através do vídeo que discute o tratamento endovascular de AVM, os estudantes serão expostos a um vocabulário técnico e avançado, que ampliará seu conhecimento na área médica, além de ajudá-los a melhorar a pronúncia em inglês. O vídeo apresenta um ritmo claro e uma tonalidade acessível, o que facilita a compreensão mentre se pratica o shadow speech.
Vocabulário e Frases-chave
- AVM (malformação arteriovenosa): Uma condição médica que envolve uma conexão anormal entre artérias e veias.
- Embolização: Um procedimento médico que bloqueia vasos sanguíneos.
- Cateter guia: Um dispositivo utilizado para acessar vasos sanguíneos durante procedimentos médicos.
- Técnica do plug: Método para evitar que agentes embólicos regressem durante um procedimento.
- Imagens por ressonância magnética (MR): Técnica de imagem utilizada para visualizar estruturas internas do corpo.
- Radioterapia: Tratamento que utiliza radiações para eliminar células doentes.
- Nidus: A massinha central de uma AVM onde as veias se conectam.
Dicas de Prática
Para maximizar sua prática com shadowing, siga estas dicas enquanto assiste ao vídeo:
- Assista o vídeo em uma velocidade reduzida: Isso permitirá que você capte nuances na pronúncia e entonação.
- Repita em voz alta: Sempre que o professor falar, faça uma pausa e tente repetir o que ele disse imediatamente. Este é o enfoque principal do shadow speak.
- Preste atenção à técnica: Observe como o Professor Chapeau explica conceitos complexos e tente emular sua cadência de fala.
- Use o vocabulário: Tente incorporar as palavras e frases listadas na sua própria fala. Isso ajuda na memorização e na prática contextual.
- Grave-se: Ouça suas gravações para identificar áreas onde você pode melhorar a pronúncia em inglês e ajustar sua entonação.
Seguindo estas estratégias, você estará em um caminho mais eficiente para aprimorar suas habilidades de fala em inglês através do método shadowspeak.
O que é a Técnica de Shadowing?
Shadowing é uma técnica de aprendizado de idiomas com base científica, originalmente desenvolvida para o treinamento de intérpretes profissionais. O método é simples, mas poderoso: você ouve áudio em inglês nativo e repete imediatamente em voz alta — como uma sombra seguindo o falante com 1-2 segundos de atraso. Pesquisas mostram melhora significativa na precisão da pronúncia, entonação, ritmo, sons conectados, compreensão auditiva e fluência na fala.
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