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Translation, Editing/proofreading, Subtitling, Voiceover (dubbing), Transcription, MT post-editing, Language instruction
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Specializes in:
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Sample translations submitted: 1
English to Russian: Heart Stent Risks & Benefits (Medical Subtitles) General field: Medical
Source text - English "Angioplasty Heart Stent Risks vs. Benefits"
What do physicians and stent companies have to say for themselves, given that they are promoting expensive, risky procedures, such as heart stents, with no benefit?
Angioplasty and stent placement continue to be frequently performed for patients with non-emergency coronary artery disease, despite clear evidence that it provides minimal benefit. For example, it does not prevent heart attacks or death, yet as many as 9 out of 10 patients mistakenly believed that the procedure would reduce their chances of having a heart attack.
But at the same time, the cardiologists weren’t stupid. Those who referred them for the stent and those who performed the procedure didn’t believe that. Okay, then why were they doing it? Focus groups of cardiologists have documented a chasm between knowledge and behavior. While aware of the evidence to the contrary, they recommend and perform PCI (angioplasty and stents), because they somehow believe it helps in some ill-defined way. “[P]hysicians tended to justify a non-evidence-based approach (“I know the data shows there is no benefit, but...”) by focusing on [how easy it is to do the procedure] and belief that an open artery was better” even if it didn’t actually affect outcomes, all the while minimizing the risks. I mean the procedure only kills 1 in 150. So, here some are blaming the patients for not listening, but maybe it’s the physicians who are the ones ignoring the evidence. Or maybe physicians have too poor a grasp of the relevant statistics to adequately inform the patient? Regardless, what we've got here is a failure to communicate.
So, tools have been developed. For example, a sample informed consent document that lays out the potential benefits and risks, even laying out how many procedures your doctors have done and your out-of-pocket costs. Note there's a lot of blanks to be filled in, though.
What are some concrete numbers? The Mayo Clinic came up with some prototype decision-making tools. In terms of benefits, will having a stent placed in my heart prevent heart attacks or death? No, stents will not lower the risk of heart attack or death, but a week later those getting stents report they feel better at least, though a year later even the symptomatic-relief benefit appears to disappear. Okay, so there appeared to be this temporary-relief-in-chest-pain benefit.
What about the risks? During the stent procedure, out of 100 people, two will have bleeding or damage to a blood vessel, and one will have a tad more serious complication such as heart attack, stroke, or death. And then, after that, during the first year after the stent, three will have a bleeding event because the blood thinners you have to take, because you have this foreign material in your heart. But that doesn’t always work, and so two will have their stent clogged off leading to a heart attack.
What does the world’s number one stent manufacturer have to say for itself? They acknowledge the evidence shows stents don’t make people live longer, but living longer is overrated. Look, if that's all we cared about, living longer, entire disciplines of medicine would disappear. Why go to the dentist? Of course, the difference is that 80% don’t believe that getting a cavity filled is going to save their life, like they mistakenly do for stents, and there isn’t a one in a hundred chance you won’t make it out of the dentist chair.
The stent companies actively misinform with ads like this. “Open your heart and your life.” “Life wide open.” “Freedom begins here.” Their TV ad mentioned a few side effects. Turns out they missed a few, but more importantly, they’re giving the false impression that stents are more than just expensive, risky band aids for temporary symptom relief.
But what’s wrong with symptom relief? Look at those smiling faces. Even if the benefits are only symptomatic and don’t last long, if people think that outweighs the risk, what’s the problem? What if I told you that even the symptom relief may just be an elaborate placebo effect, and you could get the same relief with a fake surgery. So, there really weren’t any benefits at all? We’ll see what the science says next.
Translation - Russian «Риски и преимущества коронарных стентов при ангиопластике»
Что врачи и производители стентов могут сказать в свое оправдание, учитывая, что они продвигают дорогие и рискованные процедуры, такие как коронарные стенты, не имеющие никаких преимуществ?
Ангиопластика и установка стента по-прежнему часто выполняются для пациентов с неэкстренной ишемической болезнью сердца, несмотря на четкие доказательства того, что эти процедуры имеют минимальную пользу. Например, они не предотвращает сердечные приступы или смерть, однако 9 из 10 пациентов ошибочно полагают, что процедура снизит их шансы сердечного приступа.
Но в то же время кардиологи не были дураками. Те, кто направил поциентов на установку стента, и те, кто проводил процедуру, не верили в это. Хорошо, тогда зачем они это делали? Фокус-группы кардиологов зафиксировали пропасть между знаниями и поведением. Они вопреки рекомендуют и проводят ЧКВ (ангиопластика и установка стентов), потому что почему-то считают, что это помогает каким-то неопределенным образом. «Врачи имели тенденцию оправдывать не основанные на доказательствах подходы («Я знаю, что данные показывают, что пользы нет, но...»), сосредотачиваясь на том, насколько легко выполнить процедуру, и веря в то, что открытая артерия была лучше», даже если это на самом деле не повлияло на результаты, при этом сводя к минимуму риски. Процедура убивает только 1 из 150. Здесь некоторые обвиняют пациентов в том, что они не слушают, но, возможно, это врачи, которые игнорируют доказательства. Или, может быть, врачи слишком плохо разбираются в соответствующей статистике, чтобы должным образом информировать пациента? Как бы то ни было, здесь мы сталкиваемся с неспособностью общаться.
И поэтому были разработаны определенные инструменты. Например, образец документа об информированном согласии с изложением потенциальных преимуществ и рисков, даже с указанием количества процедур, которые сделали ваши врачи, и ваших личных расходов. Обратите внимание, что есть много пробелов, которые нужно заполнить.
Какие есть конкретные цифры? Клиника Мэйо разработала несколько прототипов инструментов для принятия решений. Что касается преимуществ, сможет ли установка стента в мое сердце предотвратить сердечные приступы или смерть? Нет, стенты не снизят риск сердечного приступа или смерти, но через неделю те, кому установили стенты, сообщают, что чувствуют себя как минимум лучше, хотя через год, кажется, исчезает даже польза от облегчения симптомов. Итак, похоже, что есть это временное облегчение боли в груди.
А как насчет рисков? Во время установления стента у 2 из 100 человек может возникнуть кровотечение или повреждение кровеносного сосуда, а у одного могут быть более серьезные осложнения, такие как сердечный приступ, инсульт или смерть. А затем, после этого, в течение первого года после установки стента, у трех человек может возникнуть кровотечение, потому что необходимо принимать препараты для разжижения крови, потому что у них есть этот посторонний предмет в сердце. Но данная процедура не всегда успешно работает, поэтому у двоих будет забит стент, что приведет к сердечному приступу.
Что производитель стентов номер один в мире может сказать в свою защиту? Они признают, что доказательства показывают, что стенты не продлевают жизнь людей, но продолжительность жизни переоценена. Если бы все, о чем мы заботились, - это жить дольше, целые дисциплины медицины уже исчезли бы. Зачем идти к стоматологу? Конечно, разница в том, что 80% людей не верят, что промбирование зуба спасет им жизнь, как они ошибочно думают со стентами, и нет ни единого шанса из ста, что вы не выживите из-за похода к стоматологу.
Компании по производству стентов активно дезинформируют с помощью такой рекламы. «Прочистите свое сердце и свою жизнь». «Все жизнь перед вами» «Свобода начинается здесь» В их рекламе по телевизору упоминалось несколько побочных эффектов. Оказывается, они пропустили кое-что, но, что более важно, они создают ложное впечатление, что стенты - это больше, чем просто дорогие и опасные пластыри для временного облегчения симптомов.
Но что плохого в облегчении симптомов? Посмотрите на эти улыбающиеся лица. Даже если преимущества носят лишь симптоматический характер и длятся недолго, если люди думают, что они перевешивают риск, в чем проблема? Что, если бы я сказал вам, что даже облегчение симптомов может быть просто тщательно продуманным эффектом плацебо, и вы можете получить такое же облегчение с помощью ненастоящей операции. Значит, никаких преимуществ все таки нет? Посмотрим, что скажет наука в будущем.
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Translation education
Bachelor's degree - Higher School of Economics
Experience
Years of experience: 7. Registered at ProZ.com: Feb 2021.
memoQ, Microsoft Excel, Microsoft Office Pro, Microsoft Word, Trados Studio, Wordfast
Professional objectives
Meet new translation company clients
Screen new clients (risk management)
Network with other language professionals
Meet new end/direct clients
Work for non-profits or pro-bono clients
Bio
My professional background is in Anthropology and Social Work and enjoy reading a variety of other subjects, including social sciences, history, and law. I have professional translation experience in the legal and business fields, and previously served as the editor of an internationally distributed otology magazine.
I have a particular interest in, and flair for, marketing copy.
In addition to literature, I provide exceptional translation services in the medical, marketing/advertising and business fields.
Translator by trade, I am a nutritionist at heart. My professional, academic, and personal interests revolve around nutrition and what is more broadly known as health & wellness. Thus, my experience includes work for nutrition portals like NutritionFacts.org, The Shadow Project, and other wellness brands.
Keywords: english to russian translator, medical translator, native Russian speaker, Russian native speaker, medical translations, CAT tools, SDL Trados, SDL Studio, Wordfast, MemoQ. 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