跟讀練習: SVINutes: VAN Score - 通過影片學習英語口語

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29 句

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Hello, my name is Dr. Nidhi Ravi Shankar and will be speaking with you about the Vanscore and its utility.

There are many stroke scales that are currently used in the hospitals around the United States today.

The National Institute of Health Stroke Scale is the most widely used deficit rating scale in modern neurology.

Over 500,000 healthcare professionals have been certified to administer it using a web-based platform.

It is used in the hospital setting to guide therapeutic options when patient presents with ischemic stroke.

While useful, the scale is quite extensive and not pre-hospital friendly.

For the pre-hospital setting, the Cincinnati Pre-Hospital Stroke Scale was developed as a rapid way to identify strokes.

It is a scale based on the NIHSS, RAPID, but has a particular affinity towards anterior circulation strokes.

There are many other stroke scales that have been developed in order to identify the location of strokes.

The VAN score, however, as you can see, can be accounted for all the cortical areas.

The VAN score, mnemonic for verbal,

aphasia, and neglect, is a screening tool to assess for neurovascular anatomy for emergent LVO or large vessel occlusion.

It is quick and allows for early and specific emergency notifications for mobilization of appropriate teams and resources.

In order to determine whether the VAN test is positive, certain criteria must be met.

Step 1.

Just like the CPSS, if the patient presents with deficits in motor function, we move on to the second step.

Any deficits in vision or presence of neglect and aphasia, along with motor deficits, indicates a positive VAN score.

A positive VAN score assessment, assessment, the stroke designation protocol is implemented.

A positive VAN score assessment hopes to accurately identify patients with LVO

and result in early activation of the ELVO team so that door-to-groin puncture times were improved.

While both CPSS and VAN should be performed in any stroke patient, the utility of one scale can assist consistency among paramedics,

ED triage, and hospital providers.

The VAN tool for identification of ELVO has shown high sensitivity,

specificity, and accuracy in large number of patients and follows basic principles of neurological localization.

In comparison to previously published tools, the VAN tool offers simplicity,

speed, ease of use, and exclusion of mandatory scoring without sacrificing accuracy.

While regional stroke systems of care are uniquely designed,

ELVO pre-hospital assessments and bypass time windows allows for collaboration among primary and secondary stroke providers and prompt application to treatment.

Thank you.

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本課的詞彙與口語要點

這段影片共有 29 個句子、419 個單詞可供跟讀。講話部分時長為 2:55。說話人語速平穩，每分鐘約 144 個詞，很適合跟讀。只有 73% 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 個不太常見的單詞，附發音和釋義：

assessment /əˈsɛsmənt/ (名詞) — 評價 /評價, 評估 /評估. The act of assessing or an amount (of tax, levy or duty etc) assessed.
deficit /ˈdɛfəsɪt/ (名詞) — 赤字, 虧損. Deficiency in amount or quality; a falling short; lack.
rapid /ˈɹæp.ɪd/ (形容詞) — 快, 迅速. Very swift or quick.
utility /juːˈtɪlɪti/ (名詞) — 效用, 用處 /用處. The state or condition of being useful; usefulness.
accuracy /ˈæk.jɚ.ə.si/ (名詞) — 準確度 /準確度, 準確性 /準確性. The state of being accurate; being free from error; exactness; correctness
neglect /nɪˈɡlɛkt/ (動詞) — 忽略, 忽視. To fail to care for or attend to something.
assist /əˈsɪst/ (動詞) — 幫 /幫, 幫助 /幫助. To help.
resource /ɹɪˈzɔːs/ (名詞) — 資源 /資源. Something that one uses to achieve an objective, e.g. raw materials or personnel.
indicate /ˈɪndɪˌkeɪt/ (動詞) — 表明, 表示. To point out; to discover; to direct to a knowledge of; to show; to make known.
principle /ˈpɹɪn.sɪ.pəl/ (名詞) — 原理, 原則 /原則. A fundamental assumption, fundamental law or guiding belief.
sacrifice /ˈsæk.ɹɪ.faɪs/ (名詞) — 犧牲 /犧牲. 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/ (名詞) — 合作, 協作 /協作. The act of collaborating.
vessel /ˈvɛsəl/ (名詞) — 船隻 /船隻, 船. Any craft designed for transportation on or in water, such as a ship, boat, or submarine.
implement /ˈɪmpləmənt/ (動詞) — 實施 /實施, 執行 /執行. To bring about; to put into practice; to carry out.
identification /aɪˌdɛn(t)ɪfɪˈkeɪʃn̩/ (名詞) — 辨識 /辨識, 鑑定 /鑑定. The act of identifying (i.e., which one, which thing).

需要注意的發音

“sh” 和 “zh” 音: collaboration /kəˌlæbəˈɹeɪʃən/, identification /aɪˌdɛn(t)ɪfɪˈkeɪʃn̩/, circulation /ˌsɝkjʊˈleɪʃən/, notification /ˌnoʊtɪfɪˈkeɪʃn̩/, activation /ˌæktəˈveɪʃən/
長單詞——注意重音位置: utility /juːˈtɪlɪti/, accuracy /ˈæk.jɚ.ə.si/, collaboration /kəˌlæbəˈɹeɪʃən/, identification /aɪˌdɛn(t)ɪfɪˈkeɪʃn̩/, mandatory /ˈmæn.dəˌtɔɹ.i/

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。
用正常速度逐句跟讀，每句重複到你的節奏與說話人一致為止。
錄下自己的聲音並與原聲對比，特別注意 assessment, deficit, rapid 這類單詞。

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	have been certified · was developed · have been developed
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 been certified · have been developed · has shown

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。

影子跟讀法: 閱讀完整分步指南 →

跟讀練習: SVINutes: VAN Score - 通過影片學習英語口語

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