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Working languages: Spanish to English |
| JEAN HUTCHINGS
professional scientific translator
ARAZURI, Navarra Local time: 03:50 CET (GMT+1)
Native in: English  | |
| Freelancer | | Translation, Editing/proofreading | | Specializes in: | | Medical (general) | Medical: Pharmaceuticals | | Poetry & Literature | Biology (-tech,-chem,micro-) | | Zoology | Botany | | Medical: Health Care | Psychology |
| Also works in: | | Science (general) | Medical: Cardiology | | Other | Nutrition | | Social Science, Sociology, Ethics, etc. | Genetics | | Environment & Ecology |
More Less | Spanish to English - Standard rate: 0.05 EUR per word / 25 EUR per hour
| | Questions answered: 50, Questions asked: 0 Easy / 66 PRO, PRO-level points: 16 | Sample translations submitted: 2| Spanish to English: Skin Cancer Abstract | Source text - Spanish
Abstract:
Introduction: El aumento espectacular de la incidencia del cáncer cutáneo unido al aprovechamiento máximo de los recursos sanitarios disponibles han condicionado que la cirugía mayor ambulatoria dermatológica haya experimentado un gran impulso en los últimos años.
Material and methods: Se presenta la experiencia en cirugía mayor ambulatoria (CMA) del Servicio de Dermatología del Complejo Hospitalario Universitario Juan Canalejo de A Coruña, analizando mediante un estudio prospectivo no aleatorizado una serie de 565 pacientes incluidos en dicho programa, entre enero y diciembre del 2003.
Results: Se realizaron 644 procedimientos quirúrgicos en un total de 565 pacientes. El tipo de intervención más frecuente fue el cierre directo (346), seguida de la exéresis y reconstrucción mediante plastia (133) o injerto de piel total/laminar (29), la cirugía del aparato ungueal (56) y la cirugía realizada sobre labio (33). Requirieron ingreso postoperatorio 12 pacientes a causa de la complejidad de la intervención o por problemas médicos surgidos durante la misma. 553 pacientes fueron dados de alta tras permanecer unas horas en observación. Hubo complicaciones postquirúrgicas en 17 pacientes (3%) que consistieron en pérdida parcial del injerto (6 casos), infección de la herida quirúrgica (6 casos), dolor intenso (4 casos) y hemorragia postoperatoria (1 caso).
Conclusions: Las intervenciones de mediana y alta complejidad por procesos dermatológicos, tradicionalmente realizados en pacientes hospitalizados, son susceptibles de ser realizadas por vía ambulatoria, lo que permite reducir los costes hospitalarios y listas de espera y alcanzar una morbilidad y calidad asistencial superponible al régimen hospitalario.
| Translation - English
Abstract:
Introduction: The spectacular increase in the incidence of cutaneous cancer, together with the requirement for maximum exploitation of available medical resources, has meant that dermatological major surgery on an outpatient basis has experienced a considerable boost in recent years.
Material and methods: Our clinical experience in major surgery applied to outpatients (OMS) at the Dermatology Service of the Juan Canalejo University Hospital Complex of La Coruña (Servicio de Dermatología del Complejo Hospitalario Universitario Juan Canalejo de La Coruña), analyzing 565 patients in a non-randomized pilot study running from January to December 2003, is presented.
Results: 644 surgical procedures were performed on a total of 565 patients. The most frequent type of procedure was direct closure (346), followed by exeresis and plastic reconstructive surgery (133) or total/laminated skin implant(29), ungueal apparatus surgery (56) and lip surgery (33).12 patients had to be admitted to hospital after surgery owing to the complexity of their operation or to complications arising during surgery. 553 patients were discharged after being kept under observation for a few hours. In 17 patients (3%) there were complications following surgery, which consisted of partial implant failure (6 cases), infection of the surgical wound (6 cases), intense pain (4 cases) and haemorrhage following surgery (1 case).
Conclusions: Medium and high complexity operations for dermatological processes, traditionally performed on hospitalized patients, can be conducted on an outpatient basis, which allows hospitalization costs and waiting lists to be cut and affords the possibility of achieving better morbidity rates and medical care than in the standard hospital setting.
| | Spanish to English: ASTHMA | Source text - Spanish
Validación de la versión española del Asthma Control Test (ACT)
Autores: Por determinar
14 de febrero del 2006
RESUMEN
INTRODUCCIÓN: El cuestionario ACT ha sido diseñado para la evaluación del control del asma. Su adaptación española no ha sido sometida a validación. El objetivo de este estudio es evaluar las propiedades de medición de la versión española del ACT.
MATERIALES Y MÉTODOS: Estudio epidemiológico con 607 pacientes asmáticos, estratificados por niveles de gravedad (126 graves, 246 moderados, 235 leves), de 43 centros españoles, a los que se realizaron tres visitas; basal, a las 2 y a las 6 semanas. Se evaluó la factibilidad, la validez, la fiabilidad y la sensibilidad al cambio del cuestionario ACT. Para determinar el mejor punto de corte se calcularon las áreas bajo la curva ROC, la sensibilidad, la especificidad, el valor predictivo positivo y el valor predictivo negativo para cada uno de los puntos de corte.
RESULTADOS: Se emplearon una media (DE) de 4,16 (4,12) minutos para cumplimentar el ACT. Las puntuaciones presentaron una correlación de 0,201 con el % del VEMS teórico, de 0,209 con el % del FEM teórico, de 0,172 con la CVF y de –0,349 con el número de exacerbaciones. Un decremento en la frecuencia e intensidad de los síntomas y una mejora en el control del asma percibido por el médico y el paciente se relacionaron de forma significativa con mayores puntuaciones en el cuestionario (p<0,01). El de Cronbach fue de 0,8380 y se obtuvo un coeficiente de correlación intraclase de 0,8465 entre la visita basal y a los 15 días. Se observó un effect size de –0,545 entre la visita basal y a las 6 semanas y una MDI de 2 puntos. El área bajo la curva ROC fue de 0,863 IC95%(0,835 a 0,892), con una sensibilidad del 71,3% y una especificidad del 85,44%. El mayor valor del área bajo la curva (0,79) y del % de pacientes correctamente clasificado (79%) se obtuvo para una puntuación de 19 puntos.
CONCLUSIONES: El ACT se mostró factible, válido, fiable y sensible a los cambios. Las correlaciones entre el ACT y las variables de función pulmonar fueron bajas. La capacidad del cuestionario para clasificar los pacientes en controlados o no controlados fue buena. Según los resultados de este estudio, el cuestionario ACT puede ser utilizado tanto en la práctica clínica habitual como en el contexto de la investigación clínica.
PALABRAS CLAVE: Asthma Control Test, validación, cuestionario, asma, GINA
INTRODUCCIÓN
El asma es una enfermedad crónica muy frecuente en los países desarrollados que afecta tanto a la población infantil como a la adulta, existiendo múltiples datos que demuestran el incremento progresivo en los últimos años de su incidencia en todo el mundo , .
El Estudio Europeo de Salud Respiratoria (European Community Respiratory Health Survey -ECRHS-) realizado entre 1991 y 1993, determinó la prevalencia media del asma en un 4,5% (2,0 – 11,9%) en adultos de 20 a 44 años en 22 países de todo el mundo, mostrándose muy variable según la zona geográfica . Los países del este y centro de Europa mostraron las prevalencias más bajas, seguidos por los países mediterráneos4, . En España, los datos obtenidos en cinco centros repartidos en diversas áreas geográficas, muestran una prevalencia del asma de entre el 1,0% y el 4,7% . En otros estudios realizados recientemente en población española se encuentran prevalencias entre el 3,3% al 4,3% , ,
En los últimos años, varias guías internacionales y nacionales entre ellas la Iniciativa Global para el ASMA (GINA), han sido desarrolladas para intentar reducir la prevalencia del asma y la morbilidad y mortalidad asociadas . Sin embargo, los datos que se desprenden sobre el estudio AIRE (Asthma Insights & Reality in Europe), en el que se | Translation - English
Validation of the Spanish Version of the Asthma Control Test (ACT)
Authors: Yet to be decided
14 February, 2006
SUMMARY
INTRODUCTION: The ACT questionnaire has been designed to assess asthma control. Its Spanish version has not been validated. The objective of this study is to assess the measurement properties of the Spanish version of the ACT.
MATERIALS AND METHODS: An epidemiological study involving 607 asthmatic patients, stratified according to levels of severity (126 severe cases, 246 of moderate severity and 235 of mild severity), from 43 Spanish centres, who made three hospital visits; basal, and at 2 and 6 weeks. Feasibility, validity, reliability and sensitivity to change in the ACT questionnaire were evaluated. To determine the best cut-off point the areas under the ROC curve, sensitivity, specificity, and positive and negative predictive values were calculated for each cut-off point.
RESULTS: An average of 4.16 (4.12) minutes were employed to complete the ACT. The scores showed a correlation of 0.201 with the theoretical MEVS %, 0.209 with the theoretical MEF % , 0.172 with the FVC and –0.349 with the number of exacerbations. A decrease in the frequency and intensity of symptoms and an improvement in asthma control perceived by doctor and patient showed a significant association with higher scores in the questionnaire (p<0.01). The Cronbach measure was 0.8380 and an intraclass correlation coefficient of 0.8465 between the basal visit and the visit after 15 days was obtained. An effect size of –0.545 between the basal and 6-week visit, and an MID of 2 points were observed. The area under the ROC curve was 0.863 CI95% (0.835 to 0.892), with a sensitivity of 71.3% and a specificity of 85.44%. The highest value for the area beneath the curve (0.79) and for % of correctly classified patients (79%) was obtained for a score of 19 points.
CONCLUSIONS: The ACT showed itself to be feasible, valid, reliable and sensitive to changes. Correlations between the ACT and pulmonary function variables were low. The capacity of the questionnaire to classify patients as controlled or not controlled was good. According to the results of this study, the ACT questionnaire can be used both in normal clinical practice and in the context of clinical research.
KEY WORDS: Asthma Control Test, validation, questionnaire, asthma, GINA
INTRODUCTION
Asthma is a chronic disease which is very common in developed countries and which affects both children and the adult population, with a great deal of data indicating a progressive increase in its incidence worldwide in recent years , .
The European Community Respiratory Health Survey -ECRHS- ,carried out between 1991 and 1993, estimated the average prevalence of asthma at 4.5% (2.0 – 11.9%) in adults between the ages of 20 and 44 in 22 countries worldwide, with high variation in different geographical zones . Countries in Eastern and Central Europe showed the lowest prevalences, followed by Mediterranean countries4, . In Spain the data obtained from five centres distributed throughout different geographical areas indicates a prevalence of between 1.0% and 4.7% . In other studies conducted recently in the Spanish population prevalences of between 3.3% and 4.3% have been reported. , ,
In recent years several international and national guides, including the Global Initiative for Asthma (GINA), have been developed to try to reduce the prevalence of asthma and the morbidity and mortality associated with it . However, data that has emerged from the AIRE (Asthma Insights & Reality in Europe) study, in which asthma control in 2,800 adults or parents of children with asthma in different European countries following the criteria of the GINA was evaluated, shows that the current situation as regards the control of asthma is very far from achieving the objectives laid down in the GINA , . These results have been corroborated by other studies such as Asthma In America (AIA) and the ECRHS3. In the AIA study 9% of patients diagnosed with asthma were hospitalized and 23% had to go to A&E in the preceding year because of their asthma. 30% of patients experienced sleep disorders and 48% said that their asthma limited their physical performance during leisure and sports activities13. In the ECRHS study 25-60% of patients had needed to see a doctor in the preceding year and 24-52% reported sleep disturbances.
The poor control of asthma in the various countries studied, including Spain, the poor correlation between clinical indicators and patient perception of asthma control and the difference between doctors’ and patients’ perceptions justifies the existence of simple instruments, dev |
More Less | | OTHER | | Years of translation experience: 5. Registered at ProZ.com: Nov 2004. | | N/A | | N/A | | N/A | | Adobe Acrobat, Microsoft Excel, Microsoft Word, Powerpoint, Wordfast |  CV/Resume (DOC) | | About me
I have a degree in Microbiology and a degree in Humanities so I can address a wide range of texts. My scientific specializations include biology, medicine/veterinary medicine and pharmacology.I am currently doing an M.Sc. with the Open University and have recently completed a course on neuroscience (Issues in Brain & Behaviour)so I keep up to date with developments in the fields of biology and medicine.
http://www.usersonline.net/onlinecount.shtml
As the owner of a successful English academy I have done translations for customers and also for companies and agencies (see CV for details of recent translations). I would be happy to do a test piece to demonstrate my ability.
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Profile last updated
Jul 9, 2008 |
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