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This is the VOA Special English Health Report.

e?s ?z e? vi-o?-e? ?sp???l???gl?? h?lθ r??p?rt.

Cardiopulmonary resuscitation, or CPR, can save the life of someone whose heart has stopped.

kɑrdio??p?lm??n?ri? r??s?s??te???n, ?r si-pi-ɑr, k?n se?v e? la?f ?v ?s?m?w?n huz hɑrt h?z stɑpt.

The condition is called cardiac arrest. The heart stops pumping blood.The person stops breathing.

e? k?n?d???n ?z k?ld ?kɑrdi??k ??r?st. e? hɑrt stɑps ?p?mp?? bl?d. e??p?rs?n stɑps ?brie??.

Without lifesaving measures, the brain starts to die within four to six minutes.

w??θa?t?la?f?se?v?? ?m???rz, e? bre?n stɑrts tu da? w??e?n f?r tu s?ks ?m?n?ts.

CPR combines breathing into the victim's mouth and repeated presses on the chest.

si-pi-ɑr k?m?ba?nz ?brie?? ??ntu e??v?kt?mz ma?θ ?nd r??pit?d ?pr?s?z ɑn e? ??st.

CPR keeps blood and oxygen flowing to the heart and brain.

si-pi-ɑr kips bl?d ?nd?ɑks???n?flo??? tu e? hɑrt ?nd bre?n.

However, a new Japanese study questions the usefulness of mouth-to-mouth breathing.

ha???v?r, ? nu???p??niz ?st?di ?kw?s??nz e? ?jusf?ln?s ?v ma?θ-tu-ma?θ ?brie??.

The study was published in the British medical magazine, The Lancet.

e? ?st?di w?z ?p?bl??t ?n e? ?br?t???m?d?k?l?m?g??zin, e? ?l?ns?t.

Doctors in Tokyo led the research.

?dɑkt?rz ?n ?to?ki?o? l?d e? ri?s?r?.

It examined more than four thousand people who had suffered cardiac arrest.

?t ?g?z?m?nd m?r e?n f?r ?θa?z?nd ?pip?l hu h?d ?s?f?rd ?kɑrdi??k ??r?st.

In all the cases, witnesses saw the event happen.

?n ?l e??ke?s?z, ?w?tn?s?z s? ei ??v?nt ?h?p?n.

More than one thousand of the victims received some kind of medical assistance from witnesses.

m?r e?n w?n ?θa?z?nd ?v e??v?kt?mz r??sivd s?m ka?nd ?v?m?d?k?l ??s?st?ns fr?m ?w?tn?s?z.

Seven hundred and twelve received CPR. Four hundred and thirty-nine received chest presses only.

?s?v?n?h?ndr?d ?nd tw?lv r??sivd si-pi-ɑr. f?r?h?ndr?d ?nd ?θ?rdi-na?n r??sivd ??st ?pr?s?z ?o?nli.

No mouth-to-mouth rescue breaths were given to them.

no? ma?θ-tu-ma?θ ?r?skju br?θs w?r ?g?v?n tu e?m.

The researchers say any kind of CPR improved chances of the patient's survival.

e? ?ris?r??rz se? ??ni ka?nd ?v si-pi-ɑr ?m?pruvd???ns?z ?v e? ?pe???nts s?r?va?v?l.

But, they said those people treated with only chest presses suffered less brain damage.

b?t, ee? s?d eo?z ?pip?l ?trit?d w?e ?o?nli ??st ?pr?s?z ?s?f?rd l?s bre?n?d?m??.

Twenty-two percent survived with good brain ability.

?tw?nti-tu p?r?s?nt s?r?va?vd w?e g?d bre?n? ? ?b?l?ti.

Only ten percent of the victims treated with traditional CPR survived with good brain ability.

?o?nli t?n p?r?s?nt ?v e??v?kt?mz?trit?d w?e tr??d???n?l si-pi-ɑr s?r?va?vd w?e g?d bre?n ??b?l?ti.

The American Heart Association changed its guidelines for CPR chest presses in two thousand five.

ei ??m?r?k?n hɑrt ??so?si?e???n ?e?n?d ?ts ?ga??dla?nz f?r si-pi-ɑr ??st?pr?s?z ?n tu ?θa?z?nd fa?v.

It said people should increase the number of chest presses from fifteen to thirty for every two breaths given.

?t s?d ?pip?l ??d??n?kris e? ?n?mb?r ?v ??st?pr?s?z fr?m f?f?tin tu?θ?rdi f?r ??v?ri tu br?θs?g?v?n.

Gordon Ewy is a heart doctor at the University of Arizona College of Medicine in Tucson.

?g?rd?n ?e?vi ?z ? hɑrt?dɑkt?r ?t e? ?jun??v?rs?ti ?v ??r??zo?n? ?kɑl???

?v ?m?d?s?n ?n ?tu?sɑn.

He wrote a report that appeared with the study.

hi ro?t ? r??p?rt e?t ??p?rd w?e e? ?st?di.

Doctor Ewy thinks the CPR guidelines should be changed again.

?dɑkt?r?e?vi? ?θ??ks e? si-pi-ɑr ?ga??dla?nz ??d bi ?e?n?d ??g?n.

He said the heart association should remove rescue breaths from the guidelines.

hi s?d e? hɑrt ??so?si?e???n ??d ri?muv ?r?skju br?θs fr?m e? ?ga??dla?nz.

He argues that more witnesses to cardiac arrests would provide treatment if rescue breaths are not a part of CPR.

hi ?ɑrgjuz e?t m?r?w?tn?s?z tu ?kɑrdi??k ??r?sts w?d pr??va?d ?tritm?nt ?f ?r?skju br?θs ɑr nɑt ? pɑrt ?v si-pi-ɑr.

He says this would save lives.

hi s?z e?s w?d se?v la?vz.

Studies show that many people do not want to perform mouth-to-mouth breathing on a stranger for fear of getting a disease.

?st?diz ?o? e?t ?m?ni ?pip?l du nɑt wɑnt tu p?r?f?rm ma?θ-tu-ma?θ?brie?? ɑn ? ?stre?n??r f?r f?r ?v?g?t?? ? d??ziz.

Cardiac arrest kills more than three hundred thousand people in theUnited Statesevery year.

?kɑrdi??k ??r?st k?lz m?r e?n θri ?h?ndr?d ?θa?z?nd? ?pip?l ?n e? ju?na?t?d ste?ts ??v?ri j?r.

The American Heart Association says about ninety-five percent of victims die before they get to a medical center.

ei ??m?r?k?n hɑrt ??so?si?e???n s?z ??ba?t ?na?nti-fa?v p?r?s?nt ?v ?v?kt?mz da? b??f?r ee? g?t tu ??m?d?k?l?s?nt?r.

And that's the VOA Special English Health Report, written by Caty Weaver. I’m Bob Doughty.

?nd e?ts e? vi-o?-e? ?sp???l???gl?? h?lθ r??p?rt ?r?t?n ba? ‘ke?ti ?wiv?r a?m bɑb ?do?ti.

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