Portfolio Entry 3

Review and translate the following passage from the book Evidence of Harm. Identify and underline at least two words or phrases for which you could not find an exact formal equivalent. Compare your translation with the entry immediately before yours. What strategies did you use to achieve dynamic equivalency in the absence of a formal equivalent?

Does mercury in vaccines cause autism in children? A definitive answer has proven elusive, and it remains so to this day. No one can say with certainty that thimerosal, the vaccine preservative made with 49.6 percent mercury, helped fuel an explosion in reported cases of autism, attention deficit disorder (ADD), speech delay, and other disorders over the past decade. But no one can say for certain that it did not.
On May 18, 2004, the respected Institute of Medicine issued a much heralded report stating that the bulk of evidence “favors rejection of a causal relationship” between thimerosal and autism. The independent panel, commissioned by the government to investigate alleged links between vaccines and autism, delivered a harsh blow to advocates of the thimerosal-autism hypothesis. But despite its authoritative certainty, the report failed to close the books on this simmering medical controversy. Indeed, recently published animal and test tube studies provide compelling biological evidence of harm (though certainly not proof) from thimerosal-containing vaccines.
Exactly five years ago, the federal government disclosed in a “Joint Statement” that some American children were being exposed to levels of mercury in vaccines above one of the federal safety limits. Since then, officials have moved to phase out mercury from childhood vaccines, and to determine if thimerosal exposure in infants could cause autism and other neurological development disorders. To date, neither goal has been fully attained.
Thimerosal has been removed from most routine vaccinations give to American children. But it is still found in the majority of flu shots, which the U.S. government now recommends for pregnant women and children between six months and twenty-three months of age. In 2004, the Center for Disease Control and Prevention (CDC) declined to state a preference for mercury-free flu shots in infants. Mercury is also found in some tetanus, diphtheria-tetanus, pertusis, and meningitis vaccine, which are sometimes, though not routinely, given to children. It is also used in many over-the-counter products including nasal sprays, ear and eye drops, and even hemorrhoid treatment.
Meanwhile, the CDC has been unable to definitively prove or disprove the theory that thimerosal causes autism, ADD, speech delays, or other disorders. Several studies, funded or conducted by the agency have been published in the past year, all of them suggesting that there is no connection between the preservative and the disease. The CDC insists that it has looked into the matter thoroughly and found “no evidence of harm” from thimerosal in vaccines.
But “no evidence of harm” is not the same as proof of safety. No evidence of harm is not a definitive answer; and this is the story that cries out for answers.
 
From David Kirby No Evidence of Harm (New York: St. Martins, 2005)

 

Portfolio Entry 2

Perla González es hija de José y Amanda González. José trabaja en la construcción. Terminó la secundaria en México y luego fue adiestrado como albañil por su tío. Amanda fue a la escuela de belleza en México y trabajó como estilista por varios años. Ambos se vinieron a los Estados Unidos pocos meses antes de que naciera Perla. Perla ha sufrido convulsiones desde los 4 años. Los convulsiones son violentos y han ido aumentando en duración y en frecuencia durante los últimos 4 años. Ahora, Perla tiene 8 años y sufre alrededor de 100 ataques convulsivos por día. Cada ataque dura entre 5 y 8 minutos. El neurólogo ha diagnosticado el síndrome de Rasmussen y ha recomendado una hemisferectomía funcional. Traduzca el siguiente artículo teniendo en cuenta el nivel de competencia para la salud de José y Amanda.

Rasmussen's syndrome usually begins between 14 months and 14 years of age and is associated with slowly progressive neurologic deterioration and seizures. Seizures are often the first problem to appear. Simple partial motor seizures are the most common type, but in one-fifth of these children, the first seizure is an episode of partial or tonic-clonic status epilepticus. Although Rasmussen's syndrome is rarely fatal, its effects are devastating. Progressive weakness on one side (hemiparesis) and mental handicap are common. Language disorder (aphasia) often occurs if the disorder affects the side of the brain that controls most language functions, which is usually the left side. Mild weakness of an arm or leg is the most common initial symptom besides seizures. The weakness and other neurologic problems begin 1 to 3 years after the seizures start. CT and MRI scans of the brain show evidence of a slow loss (atrophy) of brain substance. Recent studies suggest that the cause of Rasmussen's syndrome is an autoimmune disorder (antibodies are produced agains the body's own tissues) directed against receptors of the brain cells. The process may be triggered by a viral infection. A blood test can be helpful in making the diagnosis. Treatement of thise disease with antiepileptic drugs is disappointing. Steroids may be effective, but additional studies are needed. Immunologic therapies (gamma globulin, palamapheresis) may be helpful in some cases. In children with severe weakness and loss of touch and vision on the side of the body opposite the involved hemisphere of the brain, a surgical procedure called a functional hemispherectomy may be successful. The dramatic procedure of hemispherectomy originally involved the removal of one whole side of the brain. Now, it usually involves disconnecting one cerebral hemsiphere from the rest of the brain, with removal of only a limited area. It is only considered in patients, usually children, with severe epilepsy in whom seizures arise from only side of the brain and in which that hemisphere functions poorly. The results of the hemispherectomy are quite good. More than 75% of the patients experience  complete or nearly complete seizure control. If the patient has a progressive disorder, such as Rasmussen's syndrome, the prognosis for seizure control is not as good.

 

First Translation Exercise (Oral and Written Language)

You're best friend is concerned because her aging mother is beginning to forget things very frequently. She is concerned that her mother may be showing signs of Alzheimers Disease. She asks you for advice. Review the following information on Alzheimers Disease. Summarize this information and write out what you would tell her.

 

 

 

 

La enfermedad de Alzheimer (EA) es la forma más común de demencia entre las personas mayores. La demencia es un trastorno cerebral que afecta gravemente la capacidad de una persona de llevar a cabo sus actividades cotidianas.

La EA comienza lentamente. Primero afecta las partes del cerebro que controlan el pensamiento, la memoria y el lenguaje. Las personas con EA pueden tener dificultades para recordar cosas que ocurrieron recientemente o los nombres de personas que conocen. Con el tiempo, los síntomas empeoran. Las personas pueden no reconocer a sus familiares o tener dificultades para hablar, leer o escribir. Pueden olvidar cómo cepillarse los dientes o peinarse el cabello. Más adelante, pueden volverse ansiosos o agresivos o deambular lejos de su casa. Finalmente, necesitan cuidados totales. Esto puede ser muy estresante para los familiares que deben encargarse de sus cuidados.

La EA suele comenzar después de los 60 años. El riesgo aumenta a medida que la persona envejece. El riesgo es mayor si hay personas en la familia que tuvieron la enfermedad.

Ningún tratamiento puede detener la enfermedad. Sin embargo, algunos fármacos pueden ayudar a impedir por un tiempo limitado que los síntomas empeoren.

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