跟讀練習: Sequence Variant Literature Search Tips and Tricks - 通過影片學習英語口語
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Hi, my name is Jessica Mester.
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I'm a genetic counselor at GeneDx and a member of the ClinGen Education Workgroup.
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This presentation will provide a brief introduction into performing a literature search for sequence variant interpretation.
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Our time today will focus on three main points relevant to
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both bio curators working to classify variants as well as clinicians
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might be searching for additional information on a variant picked up in one of their patients.
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We'll discuss how to incorporate nomenclature into an effective literature search, what resources to use to find articles,
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and we'll also talk about some common speed bumps you may hit during your literature search and ways to overcome them. But first,
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let's talk about the purpose of doing a literature search to help us wrap our heads around what we're looking for.
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As a biocurator, you're looking for articles that provide evidence for the purpose of applying ACMG criteria.
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These include papers describing functional studies or that characterize the potential molecular impact of the variant, as well as clinically focused papers giving patient phenotype,
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describing families that provide segregation evidence, or case control studies.
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Remember that you're looking for evidence that could either support or refute pathogenicity.
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As a clinician, in addition to helping you get a sense for what information about a variant may support a laboratory's classification,
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you may also do a literature search to help you understand more about the phenotypic spectrum associated with the disease,
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the types of variants associated with the disease, or one specific variant of interest.
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Before we begin, I also want to enforce the idea that there is no such thing as the perfect literature search tool.
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Using a combination of sources is generally necessary to be thorough and get the job done.
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However, there are a few resources
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that have already done some of the heavy lifting regarding compiling publications
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that describe a specific variant that provide a helpful starting point.
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HGMD, the human gene mutation database, has both a professional and a public version that provides variant level data with PubMed IDs and links to articles.
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The free version isn't as up - to -date as the paid version.
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Also, be aware
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that HGMD tends to be very generous with labeling variants seen in any patient with a phenotype as being disease -associated,
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but did not classify variants using the ACMG -AMP criteria.
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As such, HGMG is best used as a source to help you find literature that may help you classify a variant,
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but should not be considered a repository of curated pathogenic variants.
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There are also gene -specific databases, many listed at the link provided or you can find via a Google search,
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which may have compiled critical literature about a specific gene as well as variant -level evidence.
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If you expect to be curating
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or investigating a number of variants for a particular gene and a gene -specific database is available,
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I highly encourage you to familiarize yourself with this resource
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so you can fully understand where they get their information from and how to best utilize it.
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Finally, some ClinVar submitters provide citations with PubMed IDs or links to other evidence that support their classification.
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However, be cautious, as sometimes they'll link to an article not because it contains information on your variant,
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but because it describes a pathogenic variant at the same residue that was used as evidence to support classification.
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There are also tools that are working to try and simplify the literature search process.
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Two I wanted to highlight are Mastermind, for which ClinGen curators get access to the full version for a few months trial period,
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and LitVar, which is an NCBI tool, and other similar tools are in development.
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While searching PubMed for articles on a specific variant will find articles where the variant appears in the abstract or title,
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often for papers that list a number of variants identified in a population with a specific phenotype, the variant information is only contained within a table,
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sometimes just in supplemental data, and wouldn't be picked up on a PubMed search.
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As a result, the two tools
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that I've personally found to be the most effective for finding variant -specific literature are Google and Google Scholar.
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Now, I will say there is a bit of a learning curve with using Google search results, but with time and experience you'll start to recognize
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which search hits are worth looking into further and which don't lead you to useful links.
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For example, searching ATM variants finds scientific publications as well as local ATM machine locations.
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But sometimes you'll find a link that looks really helpful, such as a supplemental table to an article, but the source article isn't clearly specified.
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We'll walk through an example of that later in this talk.
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Google Scholar is more specific than Google
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because it is limited to published academic literature
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and tends to be more effective at finding variants listed in a table within the actual paper,
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but it may not find you publications where your variant is only in a supplemental table.
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When building your search term, you want to include the name of your gene as well as several versions of the variant nomenclature.
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I have some specific examples on the next slide, but want to preview a few helpful hints here.
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Using quotation marks and the Boolean operators AND and OR can help make sure your search output is comprehensive,
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but not so extensive that you're spending hours digging through search hits for a single variant.
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Quotation marks help you specifically find an exact match for the text within the marks.
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While we hope that publications will stick to defined HGVS nomenclature, sometimes it helps to be a little creative,
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especially for older publications, and use genomic position as well as variant nomenclature in your search string.
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If your gene has aliases or historic names, including those may help.
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You also need to be aware of alternate transcripts or nomenclature that might have been commonly used in addition to HGVS.
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Now, I won't belabor this point, as it could certainly merit its own separate talk,
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but you might be able to identify alternate transcripts or nomenclature on a laboratory report in ClinVar,
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or for biocurators who are curating in the variant curation interface, this information may also appear in the evidence view.
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I'll also direct you towards Dr. Marino DeStefano's excellent article
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and talks on alternate transcripts on the ClinGen YouTube channel for more information on this topic.
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So, here are examples of search strings you might use for specific types of variants.
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In addition to quotation marks and the AND or Boolean operators, you'll also see an asterisk here and there.
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In search language, this is called a wildcard operator, and will return anything that starts with the preceding text.
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Looking at a few examples, you'll see in the first row for the P10 nonsense variant ARG335 -TER,
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the CD nomenclature 1003C2T is used without the C that is a part of HGVS nomenclature,
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as some articles do not include the CDOT even though they should.
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You'll also see two versions of the CDOT nomenclature, one with a space between the nucleotide position and the nucleotide change, and one with no space.
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In addition to TER as the HGVS termination for a stop codon, I also included ARCH335 -STOP because,
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again, that nomenclature might be used for nonsense variants, particularly in older publications.
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And finally, the genomic position of the nucleotide change is included for good measure.
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Looking through the other examples, you'll see more of the same.
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Each includes nomenclature referring to the nucleotide change, protein change, and genomic position.
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Bringing your attention to the in -frame indel row, while the HGVS nomenclature specifies the nucleotides deleted .
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An author might have shortened this to say instead to save column space in a table.
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Now I want to take you through an example of Google search results for the MYBPC3 frameshift variant in the previous table.
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At first, you might think, oh no, I have to review 113 articles?
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I promise you, although that looks intimidating, it's actually not that bad.
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Trying this out, you'll see that the search output includes multiple links from the same source,
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many of which you'll instantly recognize as ClinVar entries for the variant, Nomad links, or other databases you might have already reviewed.
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Also note that these searches will pull up articles where your gene is mentioned and your variant is mentioned, but they don't line up.
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Many genes were looked at in the study and a variant with the same cDNA nomenclature was found in a different gene.
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When you first start learning this process, I do think it's helpful to explore most of the links,
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especially on the first few pages of your search result, to familiarize yourself with the kinds of search hits that are returned.
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Over time, you'll recognize which search hits are likely to lead you to useful information and really need to be explored.
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So using the search string for that MYBPC3 frameshift variant, one of your first Google hits looks really promising and and indeed,
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takes you directly to the actual article in PLAS 1 that contains your variant.
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This is the best case scenario.
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Other links you'll often see are to database entries for your variant in ClinVar, which tends to be at the top of Google search results.
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You may also find links to an LOVD entry, which when you click on the link, takes you into LOVD.
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Here for this variant, we see there is a reference cited which we'd want to find and review if we hadn't already.
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Clicking on this link takes you to the PubMed entry for the article, which you'd hopefully then be able to access to look for your variant.
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Another possible result of a Google search takes you on a bit of a treasure hunt.
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This link takes you to a Word document, which is a supplementary table to an article that appears to contain your specific variant.
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However, the name of the article, year of publication, etc. aren't clearly specified, but clues are given within the name of the word document.
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Taking these clues to the Genetics in Medicine journal website, journal websites typically have a search tool at the top of the page.
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Clicking this, let's add our possible author name, Funke, and possible publication date of 2010 to see what we get.
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And, lo and behold, it looks like we might have a match.
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And when you look at this article, indeed, it has our variant and the supplemental table matches what we found in Google.
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This same search phrase in Google Scholar only gives us one article, which is different from the other three we found using Google,
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but still looks like it might include a patient with our variant and HCM.
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Words of caution when looking at variant -specific literature.
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Although it's good practice as an author to state
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when a patient included in your paper has previously been published elsewhere and then cite that publication,
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perhaps an author did not realize the patient was already published, resulting in the same patient or family being presented in multiple separate publications.
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This is important, as seeing a variant in multiple independent probands might lead an expert panel to apply a higher level of phenotype -related evidence.
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Use your common sense.
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If the authors between the articles have some overlap, if the same study cohort is being utilized,
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or if specific clinical details like age diagnosis and phenotype are highly aligned, chances are it's just one family or patient that was reported multiple times.
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In these situations, it's best to err on the side of caution
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and take a conservative approach by only counting apparently similar probands or families once.
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In summary, I hope you come away from this talk knowing
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that developing literature search skills isn't something that you become highly skilled at overnight, but is a learning process that improves with time and practice.
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I hope you'll look to available database resources to increase your efficiency,
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as well as be able to build search strings to perform comprehensive searches using Google and Google Scholar.
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Finally, always look at the source publication to make sure your variant of interest is present
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and to understand how the information contained in the article relates to your needs.
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I hope this has been a useful introduction to literature searches for sequence variant interpretation.
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Please visit www .clinicalgenome .org for additional educational resources and to learn more about ClinGen initiatives.
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Our funding sources are listed at the bottom of this slide.
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Please feel free to contact ClinGen by email at ClinGen at clinicalgenome .org with questions or feedback.
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Thank you.
FOR YOU
推薦影片
本課的詞彙與口語要點
這節口語課以影片“Sequence Variant Literature Search Tips and Tricks”為素材。 影片中反覆出現的詞有:variant, search, article, Google, literature。 這段影片共有 5 個句子、2136 個單詞可供跟讀。 講話部分時長為 12:34。 說話人語速自然,每分鐘約 170 個詞,接近日常對話。 只有 79% 的單詞屬於英語最常用的 3,000 詞,詞彙難度較高。
影片中的重點詞彙
影片中 15 個值得學習的單詞,附發音和釋義:
| 單詞 | 發音 | 釋義 |
|---|---|---|
| variant 名詞 | /ˈvæɹi.ənt/ | 變體 /變體, 異體 /異體 |
| publication 名詞 | /ˌpʌblɪˈkeɪʃ(ə)n/ | 出版, 發表 /發表 |
| gene 名詞 | /d͡ʒiːn/ | 基因 |
| database 名詞 | /ˈdeɪtəˌbeɪs/ | 資料庫 /資料庫 |
| helpful 形容詞 | /ˈhɛlp.fl̩/ | 有幫助 /有幫助 |
| string 名詞 | /stɹɪŋ/ | 線 /線 |
| curator 名詞 | /kjʊəˈɹeɪtə(ɹ)/ | 館長 /館長, 策展人 |
| operator 名詞 | /ˈɑpəˌɹeɪtɚ/ | 話務員 /話務員, 接線員 /接線員 |
| classification 名詞 | /ˌklæsɪfɪˈkeɪʃən/ | 分類 /分類 |
| transcript 名詞 | /ˈtɹæn.skɹɪpt/ | 副本, 抄本 |
| quotation 名詞 | /kwoʊˈteɪʃn̩/ | 報價 /報價 |
| output 名詞 | /ˈaʊtpʊt/ | 輸出 /輸出 |
| comprehensive 形容詞 | /ˌkɑm.pɹəˈhɛn.sɪv/ | 全面的, 綜合的 /綜合的 |
| sequence 名詞 | /ˈsiː.kwəns/ | 序列, 順序 /順序 |
| explore 動詞 | /ɪkˈsploɹ/ | 探索, 探險 /探險 |
影片中的語法
說話人最常用的結構,並附上影片中的原話:
| 結構 | 影片中的用法 |
|---|---|
| 被動語態 be + 過去分詞 — 強調發生了什麼,而不是誰做的 | should not be considered · was used · is only contained |
| 現在完成時 have/has + 過去分詞 — 過去發生但與現在仍有關聯的事 | have already done · I've personally found · has previously been published |
| 定語從句 who / which + 從句 — 補充說明人或事物 | LitVar, which is · document, which is · article, which is |
需要注意的發音
說話人用了 34 次縮略和弱讀形式,例如 you'll, we'll, you're。請按聽到的簡短形式來說。
- “th” 音: thorough /ˈθʌɹoʊ/, pathogenic /pæθəˈd͡ʒɛnɪk/, pathogenicity /ˌpæθəd͡ʒəˈnɪsɪti/
- “sh” 和 “zh” 音: publication /ˌpʌblɪˈkeɪʃ(ə)n/, classification /ˌklæsɪfɪˈkeɪʃən/, quotation /kwoʊˈteɪʃn̩/, interpretation /ɪnˌtɜːpɹəˈteɪʃən/, caution /ˈkɔːʃ(ə)n/
- 長單詞——注意重音位置: publication /ˌpʌblɪˈkeɪʃ(ə)n/, operator /ˈɑpəˌɹeɪtɚ/, classification /ˌklæsɪfɪˈkeɪʃən/, comprehensive /ˌkɑm.pɹəˈhɛn.sɪv/, laboratory /ˈlæb(ə)ɹəˌtɔɹi/
中文母語者容易讀錯的音:
- /v/ — 不要讀成 /w/,上齒輕觸下唇: variant /ˈvæɹi.ənt/, comprehensive /ˌkɑm.pɹəˈhɛn.sɪv/, initiative /ɪˈnɪʃ.ə.tɪv/, investigate /ɪnˈvɛs.tə.ɡeɪt/, overcome /ˌəʊ.vəˈkʌm/
- 詞尾子音 — 要讀清楚,後面不要加母音: variant /ˈvæɹi.ənt/, database /ˈdeɪtəˌbeɪs/, alternate /ˈɔl.tɚ.nət/, transcript /ˈtɹæn.skɹɪpt/, output /ˈaʊtpʊt/
- /r/ 和 /l/ 的區別: explore /ɪkˈsploɹ/, laboratory /ˈlæb(ə)ɹəˌtɔɹi/, elsewhere /ˈɛlsˌʍɛɹ/, relate /ɹɪˈleɪt/, molecular /məˈlɛk.jə.ləɹ/
如何用這段影片練習
- 先完整聽一遍影片,不要開口,記下不認識的單詞。
- 先用 0.75 倍速逐句跟讀,熟練之後再回到正常速度。
- 錄下自己的聲音並與原聲對比,特別注意 variant, publication, gene 這類單詞。
什麼是跟讀法?
跟讀法 (Shadowing) 是一種有科學依據的語言學習技巧,最初開發用於專業口譯員的培訓,並由多語言者Alexander Arguelles博士普及。這個方法簡單而強大:您在聽英語母語原聲的同時立即大聲重複——就像是一個延遲1-2秒緊跟說話者的影子。與被動聽力或語法練習不同,跟讀法強迫您的大腦和口腔肌肉同時處理並模模擬實的講話模式。研究表明它能顯著提高發音準確性,語調,節奏,連讀,聽力理解和口語流利度——使其成為雅思口語備考和真實英語交流最有效的方法之一。












