quarta-feira, 28 de janeiro de 2015

95. East meets west to treat Alzheimer's patients

from VOA Learning English, this is the Health Report 1. November is Alzheimer’s Awareness2 Month in the United States. Alzheimer’s is a frightening disease3. It is frightening not only for those who suffer4 from memory loss5, but also for their loved ones.

But researchers6 in California say a new way of treating7 Alzheimer’s disease is showing promise for reversing8 some of that memory loss. The new treatment combines western9 medicine with eastern10 philosophy – ideas rooted11 in Asian religions. “I could not remember conversations that I had had12 with my kids13 and my husband14. I started having to refer to15 my calendar all the time16.”

This 55-year-old woman has suffered from17 progressive memory loss connected with early18 Alzheimer’s. She is still working as a lawyer19, but does not want her name publicized20. The woman is one of 10 patients who received21 a new treatment for memory loss at the University of California, Los Angeles.

“I now have much more confidence in my work and not afraid22 that I will forget something. I don't have to rely on23 my lists. I don't have to write everything down24.” Dr. Dale Bredesen is with the Easton Center for Alzheimer’s Disease Research at UCLA. He says nine of 1025 patients suffering from either Alzheimer’s or other disorders of the brain26 noted improvements27 in their memory.

 Using Eastern philosophy seems to help28. He says the new therapy treats the whole29 patient, not just parts of the patient. This is called holistic care. Dr. Bredesen says the traditional use of only one treatment, what he calls “monotheraphy,” just did not work with many patients. “They have either30 taken31 a single drug32, monotherapy, to try with Alzheimer’s and that has been a failure repeatedly33, or they have tried without any sort of34 background35 simply36 saying, 'Okay, try exercise, try changing your diet,' these sorts of things37, and there has not been38 any way to understand how these things contribute to the disease.”

Dr. Bredesen says there is a constant balance39 of the brain remembering and forgetting. He says many things, including a person’s lifestyle40, can create an imbalance41 in brain activity. And this imbalance can lead to memory loss42. “We identified 36 different parts of this network43 that contribute to the imbalance. So when you are chronically on the wrong side of that balance,you are in fact pulling apart the connections instead of45 making them. Then, in the long run46, that can lead to Alzheimer’s disease.”

The thirty-six different parts or elements include a person's diet, exercise and sleep. Dr. Bredesen creates an individualized treatment for each patient. He does this by taking images of their brain, testing their blood and asking many questions about their daily life.

Treatments include lifestyle changes and even47 medicines or vitamin supplements. He describes this new therapy as combining western understanding48 of the human body with the eastern method of looking at the whole patient.

As for49 lifestyle changes, subjects were told to avoid50 carbohydrates, like bread and pasta51. They also avoided processed foods and gluten, a protein found in wheat52. Researchers told subjects to eat more fish and to take vitamin B12, D3 and fish oil. They also practiced yoga, sat quietly53 for 20 minutes two times each day and they slept more54.

“What we’re using is a combination that brings these two together to create a new kind of physician55 that is doing a different kind of medicine who understands the basics of molecular genetics, but also understands the need to bring things together56 in a network fashion.”

Dr. Bredesen says for the nine patients whose57 memory improved58, it usually happened within three to six months59. He says the 10th patient was too far along in the disease for any improvement60 to be observed. The UCLA center is now working with 30 additional patients as it moves to expand its research. The researchers say they followed some patients up to61 two and a half years and the memory improvements remained62. I’m Anna Matteo.
1.     Health Report = relatório de saúde
2.     Awareness = consciência
3.     Frightening disease = doença assustadora
4.     not only for those who suffer = não somente para aqueles que sofrem
5.     loss = perda
6.     researchers = pesquisadores
7.     new way of treating = uma nova forma de tartar
8.     promise for reversing = promessa para reverter
9.     western = occidental
10. eastern = oriental
11. rooted = enraizadas
12. had had = tinha tido
13. kids = filhos
14. husband = esposo
15. refer to = recorrer a
16. all the time = o tempo todo
17. has suffered from = tem sofrido de
18. early = prematuro(a)
19. lawyer = advogada
20. publicized = divulgado
21. received = recebeu
22. afraid = receio, medo
23. rely on = depender de
24. write everything down = anotar tudo
25. nine of 10 = nove em cada dez
26. disorders of the brain = disturbios do cérebro
27. improvements = melhorias
28. seems to help = parece ajudar
29. whole = inteiro, complete
30. either = ou (uma coisa ou outra)
31. taken = tomado
32. a single drug = um unico medicamento
33. repeatedly = repetidamente
34. without any sort of = sem nenhum tipo de
35. background = conhecimento
36. simply = simplesmente
37. sorts of things = tipos de coisas
38. there has not been = não tem havido
39. balance = equilibrio
40. lifestyle = estilo de vida
41. imbalance = desequilibrio
42. can lead to memory loss = pode levar a perda de memoria
43. network = rede
44. pulling apart = separando
45. instead of = ao invés de
46. in the long run = a longo prazo
47. even = até mesmo
48. understanding = compreensão
49. As for = quanto a
50. subjects were told to avoid = sujeitos foram instruidos a evitar
51. pasta = macarrão
52. wheat = trigo
53. sat quietly = sentavam-se calmamente
54. slept more = dormiam mais
55. physician = medico
56. bring things together = unir as coisas
57. whose = cujo(a)
58. improved = melhorou
59. within three to six months = dentro de tres a seis meses
60. improvement = melhoria
61. up to = até