Shadowing Practice: SVINutes: VAN Score - Learn English Speaking with Video

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Hello, my name is Dr. Nidhi Ravi Shankar and will be speaking with you about the Vanscore and its utility.
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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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Bu dersin kelimeleri ve konuşma notları

Bu videoda gölgeleme çalışması için 29 cümle ve 419 kelime var. Konuşma bölümü 2:55 sürüyor. Konuşmacı dakikada yaklaşık 144 kelimelik dengeli bir hızla konuşuyor; gölgeleme için rahat bir tempo. Kelimelerin yalnızca %73’i İngilizcede en sık kullanılan 3.000 kelime arasında, bu yüzden kelime dağarcığı zorlayıcı.

Bu videodaki önemli kelimeler

Videodan daha az kullanılan 15 kelime, telaffuzu ve anlamıyla:

  • provider /pɹəˈvaɪ.də(ɹ)/ (isim) — sağlayıcı. One who, or that which, provides a service, commodity, or the means for subsistence.
  • assist /əˈsɪst/ (fiil) — asist. To help.
  • resource /ɹɪˈzɔːs/ (isim) — kaynak. Something that one uses to achieve an objective, e.g. raw materials or personnel.
  • indicate /ˈɪndɪˌkeɪt/ (fiil) — belirtmek, göstermek. To point out; to discover; to direct to a knowledge of; to show; to make known.
  • principle /ˈpɹɪn.sɪ.pəl/ (isim) — prensip, ilke. A fundamental assumption, fundamental law or guiding belief.
  • sacrifice /ˈsæk.ɹɪ.faɪs/ (isim) — kurban, kurbanlık. 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/ (isim) — imece, iş birliği. The act of collaborating.
  • vessel /ˈvɛsəl/ (isim) — tekne, gemi. Any craft designed for transportation on or in water, such as a ship, boat, or submarine.
  • implement /ˈɪmpləmənt/ (fiil) — tatbik etmek, uygulamak. To bring about; to put into practice; to carry out.
  • rat /ɹæt/ (isim) — sıçan, fare. 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…
  • mandatory /ˈmæn.dəˌtɔɹ.i/ (sıfat) — zorunlu. obligatory; required or commanded by authority.
  • assess /əˈsɛs/ (fiil) — değerlendirmek. To determine, estimate or judge the value of; to evaluate; to estimate.
  • circulation /ˌsɝkjʊˈleɪʃən/ (isim) — dönme. The act of moving in a circle, or in a course which brings the moving body to the place where its motion began.
  • anatomy /əˈnætəmi/ (isim) — anatomi, yapıbilim. The science that deals with the form and structure of organic bodies; anatomical structure or organization.
  • notification /ˌnoʊtɪfɪˈkeɪʃn̩/ (isim) — bildirme, bilgilendirme. The act of notifying.

Dikkat edilecek telaffuzlar

  • “sh” ve “zh” sesleri: collaboration /kəˌlæbəˈɹeɪʃən/, identification /aɪˌdɛn(t)ɪfɪˈkeɪʃn̩/, circulation /ˌsɝkjʊˈleɪʃən/, notification /ˌnoʊtɪfɪˈkeɪʃn̩/, activation /ˌæktəˈveɪʃən/
  • Uzun kelimeler — vurguyu doğru yere koyun: utility /juːˈtɪlɪti/, accuracy /ˈæk.jɚ.ə.si/, collaboration /kəˌlæbəˈɹeɪʃən/, identification /aɪˌdɛn(t)ɪfɪˈkeɪʃn̩/, mandatory /ˈmæn.dəˌtɔɹ.i/

Bu videoyla nasıl çalışılır

  1. Videonun tamamını konuşmadan bir kez dinleyin ve bilmediğiniz kelimeleri not edin.
  2. Normal hızda cümle cümle tekrar edin; ritminiz konuşmacıyla aynı olana kadar her cümleyi yineleyin.
  3. Kendinizi kaydedin ve orijinaliyle karşılaştırın; provider, assist, resource gibi kelimelere özellikle dikkat edin.

Bu videodaki dil bilgisi

Konuşmacının en çok kullandığı yapılar, videodaki sözcüklerin aynısıyla:

YapıVideoda
Edilgen yapı be + fiilin üçüncü hâli — kimin yaptığı değil, ne olduğu önemliare currently used · have been certified · is used
Present perfect have/has + fiilin üçüncü hâli — geçmişte olan ama şimdi de önemli olan bir eylemhave been certified · have been developed · has shown

Gölgeleme Tekniği Nedir?

Gölgeleme, başlangıçta profesyonel tercüman eğitimi için geliştirilen ve çok dilli Dr. Alexander Arguelles tarafından popüler hale getirilen, bilim destekli bir dil öğrenme tekniğidir. Yöntem basit ama güçlüdür: ana dili İngilizce olan bir sesi dinler ve hemen yüksek sesle tekrar edersiniz — konuşmacıyı 1-2 saniye gecikmeyle takip eden bir gölge gibi. Pasif dinleme veya dilbilgisi alıştırmalarının aksine, gölgeleme beyninizi ve ağız kaslarınızı gerçek konuşma kalıplarını eşzamanlı olarak işlemeye ve yeniden üretmeye zorlar. Araştırmalar, telaffuz doğruluğu, tonlama, ritim, bağlı konuşma, dinleme anlama ve konuşma akıcılığını önemli ölçüde geliştirdiğini göstermektedir — bu da onu IELTS Konuşma hazırlığı ve gerçek dünya İngilizce iletişimi için en etkili yöntemlerden biri yapar.

Shadowing tekniği: adım adım eksiksiz rehberi okuyun →