Prática de Shadowing: SVINutes: VAN Score - Aprenda a falar inglês com vídeo
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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.
Olá, meu nome é Dra. Nidhi Ravi Shankar e eu falarei com vocês sobre o Vanscore e sua utilidade.
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There are many stroke scales that are currently used in the hospitals around the United States today.
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The National Institute of Health Stroke Scale is the most widely used deficit rating scale in modern neurology.
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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.
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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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Vocabulário e dicas de fala para esta lição
Este vídeo tem 29 frases e 419 palavras para praticar shadowing. A fala dura 2:55. O falante mantém um ritmo estável de cerca de 144 palavras por minuto, confortável para o shadowing. Apenas 73% das palavras estão entre as 3.000 mais comuns do inglês, por isso o vocabulário é exigente.
Vocabulário principal deste vídeo
15 palavras menos comuns do vídeo, com pronúncia e significado:
- assessment /əˈsɛsmənt/ (substantivo) — contabilização. The act of assessing or an amount (of tax, levy or duty etc) assessed.
- deficit /ˈdɛfəsɪt/ (substantivo) — déficit, défice. Deficiency in amount or quality; a falling short; lack.
- rapid /ˈɹæp.ɪd/ (adjetivo) — rápido. Very swift or quick.
- utility /juːˈtɪlɪti/ (substantivo) — utilidade. The state or condition of being useful; usefulness.
- accuracy /ˈæk.jɚ.ə.si/ (substantivo) — exatidão, precisão. The state of being accurate; being free from error; exactness; correctness
- provider /pɹəˈvaɪ.də(ɹ)/ (substantivo) — fornecedor. One who, or that which, provides a service, commodity, or the means for subsistence.
- neglect /nɪˈɡlɛkt/ (verbo) — negligenciar, descurar. To fail to care for or attend to something.
- assist /əˈsɪst/ (verbo) — assistir, prestar assistência. To help.
- resource /ɹɪˈzɔːs/ (substantivo) — recurso, expediente. Something that one uses to achieve an objective, e.g. raw materials or personnel.
- indicate /ˈɪndɪˌkeɪt/ (verbo) — indicar. To point out; to discover; to direct to a knowledge of; to show; to make known.
- ease /iz/ (verbo) — aliviar. To free (something) from pain, worry, agitation, etc.
- principle /ˈpɹɪn.sɪ.pəl/ (substantivo) — princípio. A fundamental assumption, fundamental law or guiding belief.
- sacrifice /ˈsæk.ɹɪ.faɪs/ (substantivo) — sacrifício. 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/ (substantivo) — colaboração. The act of collaborating.
- vessel /ˈvɛsəl/ (substantivo) — barco, navio. Any craft designed for transportation on or in water, such as a ship, boat, or submarine.
Pronúncia para ficar de olho
- Os sons de “sh” e “zh”: collaboration /kəˌlæbəˈɹeɪʃən/, identification /aɪˌdɛn(t)ɪfɪˈkeɪʃn̩/, circulation /ˌsɝkjʊˈleɪʃən/, notification /ˌnoʊtɪfɪˈkeɪʃn̩/, activation /ˌæktəˈveɪʃən/
- Palavras longas — acerte a sílaba tônica: utility /juːˈtɪlɪti/, accuracy /ˈæk.jɚ.ə.si/, collaboration /kəˌlæbəˈɹeɪʃən/, identification /aɪˌdɛn(t)ɪfɪˈkeɪʃn̩/, mandatory /ˈmæn.dəˌtɔɹ.i/
Como praticar com este vídeo
- Ouça o vídeo inteiro uma vez sem falar e anote as palavras que você não conhece.
- Faça shadowing frase por frase na velocidade normal, repetindo cada uma até o seu ritmo ficar igual ao do falante.
- Grave a sua voz e compare com o original, prestando atenção a palavras como assessment, deficit, rapid.
Gramática neste vídeo
As estruturas que o falante mais usa, com as palavras exatas do vídeo:
| Estrutura | No vídeo |
|---|---|
| Voz passiva be + particípio passado — o foco está no que acontece, não em quem faz | have been certified · was developed · have been developed |
| Present perfect have/has + particípio passado — uma ação passada que ainda importa agora | have been certified · have been developed · has shown |
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.