Final Reconciliation Research Articles

Persian Translation of the Sport Concussion Assessment Tool 6 (SCAT6); a Cross-Cultural Adaptation and Validation Study.

Sport Concussion Assessment Tool (SCAT) aids the physicians in early management of concussion among suspected athletes and its 6th version was published in 2023 in English. This study aimed to describe the translation and validation process of SCAT6 from English to Persian. The Persian translation of SCAT6 and its evaluation has been done in seven stages: initial translation, appraisal of the initial translation, back translation, appraisal of the back-translation, validation (face and content validities), final reconciliation and testing by simulation. Initial translation, was done by two bilingual translators followed by an initial appraisal, which was made by both translators and one general physician. Back translation was done by two naïve translators who were unfamiliar with SCAT6, followed by its appraisal by initial translators. Face and content validity of the translation were surveyed by medical professionals and athletes and the results of the validation process were provided to the reconciliation committee and this committee made the modifications needed. Finally, the use of Persian SCAT6 was simulated and the mean time needed to complete the Persian SCAT6 was roughly a little more than 10 minutes. The present study provides the readers with the translation and cross-cultural adaptation process of SCAT6 from English to Persian. This translated version will be distributed among the Iranian sports community for assessing concussions among athletes.

The Italian Version of the Severe Respiratory Insufficiency Questionnaire

Background: The Severe Respiratory Insufficiency Questionnaire (SRI) is a multidimensional instrument for health-related quality of life (HRQL) assessment in patients with chronic respiratory failure (CRF). The SRI has originally been developed in German in 2003, but 15 translated versions have been created during the last 18 years with the exclusion of the Italian translation. Aims of the Study: The present project was aimed at creating an Italian version of the SRI. Methods: Professional forward-translation and back-translation procedures have been provided based on the original German version by independent translators, and this was followed by final reconciliation. Results: The Italian SRI contains 49 items covering 7 different subscales which can summarize to one Summary Score. Conclusions: The Italian SRI is a multidimensional instrument, which can be used for HRQL assessment in Italian-speaking patients with CRF. Validation of the Italian version of the questionnaire is formally required in the future.

APA calls for funding for SUDs in Build Back Better Act

In an Oct. 7 letter to Congress, Saul Levin, M.D., CEO of the American Psychiatric Association (APA), called for funding for substance use disorder (SUD) and mental health (MH) treatment in the final reconciliation package, the Build Back Better Act.

Translation and Cross-Cultural Adaptation Protocol of Abuse Questionnaires: The Brazilian Portuguese Version of the Composite Abuse Scale (CAS).

Establishing rigorous translation and cross-cultural adaptation (TCCA) processes for abuse questionnaires is challenging. We propose a methodological TCCA protocol for abuse questionnaires based on our current adaptation of the Composite Abuse Scale (CAS) into Brazilian Portuguese. This 10-step protocol includes: (a) conceptual analysis; (b) double-blinded forward translation; (c) comparison of forward translations; (d) back-translation; (e) developer analysis; (f) specialist committee review; (g) comparison of specialist reviews; (h) cognitive interviews; (i) final reconciliation; and (j) presenting the final version to the developer. We aim to rigorously implement this protocol to achieve a reliable Brazilian Portuguese version of the CAS.

COMMEDIA DELL'ARTE AND ITS IMPACT ON SHAKESPEARE’S PASTORAL COMEDY AS YOU LIKE IT

The paper explores the origins, development and basic genre features of сommedia dell'arte. The first part of the paper deals with the archetypal comic elements of сommedia dell'arte. The historical significance of this type of comedy, as Pandolfi (1957) stresses, lies in the fact that it unequivocally confirms the autonomy of theatrical art by imposing the neverending quest for the freedom to critically examine all the aspects of social life without any dose of censorship or limitations. Its comic pattern has the roots in the grotesque and absurdity of real life, which allows for the actors to fully affirm their artistic aspirations. Shakespeare’s romantic and pastoral comedy focuses on the final reconciliation or conversion of the blocking characters rather than their punishment: the rival brothers Oliver and Orlando are reconciled; Duke Frederick is miraculously converted. This was also a theme present in the medieval tradition of the seasonal ritual play, as Frye notices and claims that “we may call it the drama of the green world, its plot being assimilated to the ritual theme of the triumph of life and love over the waste land...Thus the action of the comedy begins in a world represented as a normal world, moves into the green world, goes into metamorphosis there in which the comic resolution is achieved, and returns to the normal world” (Frye 1957, 182). The Forest of Arden in As You Like It represents an emanation of Frye’s “green world”, which is analogous to the dream world, the world of our desires. In this symbolical victory of summer over winter, we have an illustration of “the archetypal function of literature in visualizing the world of desire, not as an escape from ’reality’, but as the genuine form of the world that human life tries to imitate” (Frye 1957, 184). In addition, the marriage between Orlando and Rosalind takes place in the Forest of Arden not by a coincidence. This is Shakespeare’s vision of the final unity and healing only to be accomplished in the ‘Mother’ Forest, as Hughes terms it (1992, 110), which ultimately represents a symbol of totality of nature and men’s psychic completeness. In Frye’s reading of Shakespeare’s green world, an identical idea of the heroine as the lost soul is expressed: “In the rituals and myths the earth that produces the rebirth is generally a female figure, and the death and revival, or disappearance and withdrawal of human figures in romantic comedy generally involves the heroine” (Frye 1957, 183). Thus, Rosalind represents the epitome of the matriarchal earth goddess that revives the hero and at the same time brings about the comic resolution by disguising herself as a boy (for those members of the audience and/or readers who regard the play as an instance of Hughes’ passive ritual drama and thus primarily enjoy the process of the young lovers’ overcoming various impediments on the way to a desirable end of the play).

Pilot testing and vernacular translation of a questionnaire for assessment of satisfaction in patients on radiotherapy in India.

Patient satisfaction has emerged as a yardstick to measure success of healthcare ecosystems. OUTPATSAT-35RT is a questionnaire to assess patient satisfaction on outpatient radiotherapy (RT). However, it is yet to be translated and/or validated in any of the common Indian languages. English version of OUTPATSAT-35RT was pilot tested in 20 patients with working knowledge of English undergoing fractionated radiotherapy. Subsequently, the questionnaire was translated into two Indian vernacular languages (Hindi and Marathi) using standardized methodology. The process included forward translation into vernacular language by two professional translators independently, generating an intermediate version of the questionnaire. The intermediate questionnaire was then back-translated into English by another duo of professional translators and compared with the English version of the original OUTPATSAT-35RT questionnaire for final reconciliation. This was subsequently administered to 20 patients each (fluent in respective vernacular language) for pilot testing. All 60 patients (20 per language) underwent semi-structured interviews for reporting any difficulty encountered during filling and suggesting any corrections/modifications to the questionnaire. The pilot testing of the English version of OUTPATSAT-35RT in 20 Indian patients did not reveal any difficulty or suggest corrections/modifications, leading to its successful translation into Hindi and Marathi languages. Pilot testing of the translated questionnaires in 20 patients each (fluent in the respective vernacular language) did not find any major difficulty. No corrections/modifications were suggested by the respondents resulting in adoption of the reconciled vernacular questionnaires as final Hindi and Marathi versions of OUTPATSAT-35RT questionnaire. The English version of OUTPATSAT-35RT has been successfully translated into Hindi and Marathi languages using standardized methodology. Its psychometric properties are being tested for validation in a larger Indian cohort.

Universidade e cidade: uma reconciliação necessária

Este artigo, de caráter predominantemente ensaístico, discute o compromisso social da universidade em territórios específicos, destacando cidades ou regiões em que se inserem. Sua argumentação é feita em dois caminhos analíticos: em nível de fluxos, do conhecimento gerado e possível apropriação por políticas públicas da gestão urbana e regional, e de fixos, pelo entendimento do impacto de suas estruturas físicas na malha de uma cidade. O primeiro caminho serve-se de um debate qualitativo e referencial; o segundo, de um breve estudo bibliométrico sobre o acatamento, pela gestão urbana, daquilo produzido na universidade. Conclui-se por avanços positivos na consideração e compreensão acadêmica e científica do local e do regional que contém nossas universidades e uma fragilidade no caso da consideração e compreensão da universidade pela cidade. Apesar de mudanças serem visíveis, o artigo detecta problemas estruturais que fazem da reconciliação entre universidade e cidade algo ainda mais difícil.

Reconciliation and Mission

AbstractThis article discusses the message and ministry of reconciliation with a view to both its biblical content and its contemporary missional application. Within a salvation historical framework of missio Dei, the article outlines the biblical narrative about human beings created in the image of God for personal relationships with God, self, other people, and nature; the fall in sin and the human predicament that necessitate reconciliation; the historical reconciliation provided by God through the incarnation, atoning death, and victorious resurrection of Christ (the first stage); the message of reconciliation in the mission of the church; the present reception of reconciliation through faith in that message (the second stage); and the results of reconciliation both in relation to God (“vertical reconciliation”) and among human beings in the church and in the world (“horizontal reconciliation”), with an emphasis on peace, unity, love, forgiveness, righteousness, and freedom. Christ’s victory over and subjugation of all evil spirit powers are described as “cosmic reconciliation.” Because reconciliation may be partial in this world where sin still exists and evil powers are active, the eschatological hope is for a final reconciliation where the relationships to God, to other human beings, and to a recreated world are renewed and consummated.

Electronic health record and blockchain architecture: forensic chain hypothesis for human identification

BackgroundForensic dental identification relies on the collection and comparison of antemortem and postmortem dental data and dental evidence. There are software solutions capable of archiving postmortem (PM) and antemortem (AM) data, with search and comparative tools which are user-centric and do not allow open search options and data mining of all dental related data, except through the use of coded data. This reduces interoperability and raises dental data incompatibility challenges. Blockchain technology could help introduce a trusted, secure, and holistic ecosystem in the electronic health record (EHR) system with a forensic interface accessed by experts in forensic pathology and forensic odontology for the purpose of identifying human remains and retrieve identifying data of compatible missing persons from the health and dental electronic record system, with the further advantage of protecting data breaches, redundancies, inconsistencies, and errors. Blockchain technology, and a forensic chain, can enhance forensic data management and human identification process by managing the missing person lists, create AM data repositories as shared data with the EHRs of living individuals, create PM data repositories of recovered from identifying autopsies unidentified persons, and support the preliminary comparison of compatible biological profiles during the final reconciliation phase.ConclusionIn this hypothesis, author investigates possible applications of blockchain technology as a holistic technical and interoperability solution for managing both health/dental data for a medical as forensic human identification use.

How to Develop a Fair Revision Arthroplasty Bundle? Using Perioperative Complications and Readmissions to Investigate

BackgroundThe next frontier for value-based health care in total joint arthroplasty is revision surgery. Although the disparity in health care utilization between revision procedures compared with primary total hip and total knee arthroplasty (THA/TKA) procedures is recognized, no agreement regarding the risk adjustment necessary to make revision bundles fair to both payors and providers exists. The purpose of this study is to use the risk of perioperative complications and readmissions of patients undergoing revision THA/TKA to establish the foundations of a fair revision arthroplasty bundle. MethodsWe retrospectively evaluated a consecutive series of 484 aseptic THA/TKA revisions performed at our institution over a 12-month period and compared complications, length of stay, reoperations, and 90-day readmissions to a group of 802 consecutive patients undergoing primary THA/TKA. Results169 (34.9%) patients experienced major complications after revision THA/TKA compared with 176 (21.9%) patients undergoing primary THA/TKA (P < .001), (OR 1.91 CI 1.49-2.45, P < .001). Patients undergoing revision TKA were 3.64 times more likely to require hospitalization greater than 3 days (OR 2.59-5.12, CI 95%, P < .001), whereas patients undergoing revision THA were 4.46 times more likely to require hospitalization greater than 3 days (OR 2.89-6.87, CI 95%, P < .001). Revision patients were 3X more likely to have a 90-day readmission and 4X more likely to have a reoperation. ConclusionFor a revision bundle to be fair and widely adopted, either significant financial incentive must be instituted or the latitude given to exclude outliers from the final reconciliation. This must be adjusted to not disincentivize institutions from providing care for failed hip and knee arthroplasties.

Nadzieja na jedność? Herezje i heretycy w listach św. Ambrożego

This article presents the results of the analysis of the correspondence of St. Ambrose, the Bishop of Milan, concerning heresies and heretics and the hope of their final reconciliation with the Church. The article consists of two essential parts, the first shows the definition and essence of heresies and heretics, including examples of heretics and how they act. The second part focuses on dealing with heretics and fighting for the unity of the Church. This section shows the ways in which this fight is taking place and the parties responsible for it: the bishops and the emperors. Reading the letters of St. Ambrose does not leave any illusions – the Bishop of Milan has gradually been losing the hope for ending such conflicts, above all with the Arians. Reasons for such an attitude are repeatedly presented in his letters – the conflict of the basilicas, the attitudes of the heretics, the weakness of orthodox believers and priests. It seems, however, that in spite of everything still smoulders in him spark of hope, because to the last letter of preserved cor­respondence he calls for return to the bosom of the Church and orthodoxy.

The Energy Efficiency of Electric Energy as a Traction Used in Transport

Abstract The article deals with the problem of electric power production in terms of environmental impact, in particular the energy efficiency of its production to utilize primary sources. The efficiency of its production directly depends on the composition of primary sources and technologies used. Difference in efficiency by converting various forms of energy into electrical power and their ratio in the use directly affect the resulting efficiency, production of emissions and thus the environmental impact. Electric traction, its production, is burdened less efficient than other types of tractions used in transport, but at the final reconciliation of their consumption in vehicles, this difference decreases or delays because the vehicles themselves work with different conversion efficiency of its traction on mechanical work, vehicle driving.

Supporting property valuation with automatic reconciliation

PurposeValuation is a professional activity based on international and local standards. In the valuation process more than one method can be modified. In this case, a final reconciliation of different opinions of value may be required. It is a matter of fact that the final result of these different valuation methods may vary. Therefore, in the final part of the valuation process, the valuer is required to assign a weight to the different methodologies to reach an appropriate opinion of value. This process is essentially based on valuer’s expertise. This paper aims to propose an automatic procedure of calculating the weights to assist the valuer in the valuation process.Design/methodology/approachThe work provides methodologies to assign the weights through simple mathematical procedures that can be used to support subjective judgement in the valuation process. The models proposed can be applied to other phases of reconciliation inside the valuation process and are based on the collection of previous property data in the same market segment.FindingsTwo different methodologies are proposed to support valuers in the valuation process and in particular in the phase of the choice of the weights for final reconciliation purposes.Research limitations/implicationsThe implication is the development of an information system to support the appraiser in providing these weights. The models proposed are only two but represent a future, much larger field of research.Practical implicationsThe models may help in determining more consistent valuation reports.Social implicationsConsistent valuation reports for the determination of mortgage lending value may contribute to the stability of the social and economic system, especially after the 2008 non-agency mortgage crisis.Originality/valueThese are original models proposed in literature for such kind of problems.

PRM104 - Challenges in Translating the Sheehan Suicidality Tracking Scale (Updated Adult Version)

The Sheehan-Suicidality Tracking Scale (S-STS) was developed to provide a comprehensive description of suicidality (i.e. suicidal ideation, impulses, hallucinations, dreams and behavior) and to assess change in suicidality over time. The adult version of the S-STS (updated in 2014 and 2017) is a 16-item scale assessing suicidality seriousness on a Likert-type scale (0–4) ranging from “not at all” (0) to “extremely” (4). This study investigates the challenges faced during the translation of the adult version of the S-STS into 12 different languages representing three language families. The S-STS was translated in most languages with a process including: 1) Concept definition with the developer 2) Forward/backward translation step; 3) Final reconciliation; 5) Clinician review; and 6) Proof-readings. The linguistic validation reports were reviewed to identify difficulties and problematic issues, as well as the solutions proposed to overcome them. The types of difficulties were categorized as Cultural (C), Idiomatic (I), Semantic (S) or Syntactic (Sy). Most of the issues encountered were of semantic nature, i.e., finding the appropriate words to cover the concept covered by each item. For instance, for item 3. “think about harming yourself or hurting or injuring yourself […]?, the major difficulty consisted in finding the right words that would convey all the nuances of the three verbs used in this item, i.e., harming, hurting and injuring. In French, for instance, only two words were used (“vous faire mal ou vous blesser”). For item 11. “feel the need.[...] to kill yourself sooner rather than later?, literal translations of “sooner rather than later” sounded awkward in some target languages, and led to the use of paraphrases to convey the concept of urgency or impulsive behavior. The involvement of the author of the S-STS was key in finding appropriate equivalents in the target languages.

“This intrinsicate knot of life” in Antony and Cleopatra

Shakespeare’s Antony and Cleopatra is a transitional play from his great tragedies to the late romances. In his last plays Shakespeare represents his expanded and comprehensive vision of life with his centrifugal images and expansive symbolism. Thematically this vision is dramatized by the achievement of the virtue of patience by his long-suffering and meandering sea-tossed characters. We can easily find out some thematic resemblance between the late medieval narrative poem, ‘Pearl’ and his romance plays. Both Antony and Cleopatra falls short at the brink of entering that happy paradise of reconciliation at the last moment. However, Shakespeare suggests their happy marriage in death, as did Romeo and Juliet. This after-life vision makes it difficult for us categorize generically both Romeo and Juliet and Antony and Cleopatra in tragedies and comedies. The titular heroes and heroines in both plays are comically rash and impatient. Shakespeare’s experiment in tragicomedies is made possible by his understanding and detached observation of life as a “mingled yarn’ of some “intrinsicate knots” and entanglements. The apparent bipolarism in Antony and Cleopatra of Rome and Egypt, self-indulgence and military discipline, and the Tiber and the Nile, confounds itself into the final reconciliation of the “mighty opposites” and the vision of life in death and death in life at once. Shakespeare succeed in the play in alchemically transmuting his uncertain historical materials into a cosmic myth-making. The myth-making in his last phase is adumbrate in the play’s expanded spatio-temporal structure and images. “This capacity to correlate opposites” makes possible Shakespeare’s oblique criticism of the heroic honour and political powers that be.

The Females and the Non-Humans in Julie Taymor’s The Tempest

Abstract In Julie Taymor’s film version of Shakespeare’s The Tempest (2010), Prospero is changed into a female, Prospera. As almost all the original lines and plots are retained, the film would appear to be a ‘straight’ film version of Shakespeare. However, changing the sex of the main character sheds a new light on the original play and proves the film to be an inspiring adaptation. By examining the relationship between the female characters (Prospera, Miranda) and the non-humans (Caliban, Ariel) in the film, this paper will show how deeply sexuality is related to the power struggle and the final reconciliation.

Chronotopical Structure and the Dismantling of Historical Myth: The Representation of 1936 Madrid in Eduardo Mendoza’s Riña de gatos (2010) and Antonio Muñoz Molina’s La noche de los tiempos (2009)

Since the mid-1990s in Spain, a renewal of interest in the history of the Spanish Civil War (1936-39) and Francoist dictatorship (1939-1975) has resulted in a surge of cultural and historiographical production related to the subject, as well as instigating a robust debate about how these difficult periods ought to be officially interpreted and commemorated. This so-called memory boom indicates that there is still an unresolved tension in Spanish society, and while there are many who speak in favour of a final reconciliation, the means of best achieving it are so contested that old divisions appear to have been paradoxically widened rather than diminished. The two novels which are treated in the present study Eduardo Mendoza’s Rina de gatos ( An Englishman in Madrid; 2010), and Antonio Munoz Molina’s La noche de los tiempos ( The Night of Memories; 2009) make an important literary contribution to the debate, and although they are very different in tone and style, they evidence a mature, considered approach to the issues. Drawing upon the Bakhtinian concept of chronotope (the organisation of space-time in the novel), this paper will contend that the two works, in their different ways, inscribe and subvert the conventions of the classical historical novel in order to challenge historical myths and open up a dialogic space within which the reader can engage critically with the past. This narrative strategy prevents the war from being plotted as an inevitable tragedy, therefore emphasising the argument made by both novels that, contrary to popular belief, the civil war was not simply the result of a radical polarisation between the mythical “two Spains” eternally at war, but of a complex of factors, both national and international.

Love Juliet... and Keep Her away from Palestine. Gendered and Orientalist Representations in Strangers

The Israeli film Strangers (Erez Tadmor/ Guy Nattiv, 2007) loosely integrates elements from Shakespeare’s play Romeo and Juliet and uses the archetype of the star-crossed lovers to approach the Middle East conflict. This paper questions how the original structure, which relies on a rivalry between two identical parties, is transposed to a setting where the power relations are marked by inequality. By examining the political meanings and the Orientalist overtones that are embedded in the process of gendering Israel and Palestine through the protagonists, this paper argues that Strangers affirms Israel’s cultural and moral superiority and silences the structural violence of both the occupation and the dispossession of the Palestinians. Granted that a key element in Shakespeare is the final reconciliation between the families, this paper finally questions the pertinence of Shakespeare’s play as a hypotext to address the realities of the Middle East.

Shakespeare’s Pericles and Psalm 39

Most theological attention to Shakespeare’s late plays treats their religious dimension as a marker of transcendence or otherworldliness. Here, instead, I suggest that Shakespeare is tracing the emotional stages of loss through his use of the funeral psalm 39 (with more than a hint of the Passion psalm 22) in his portrayal of Pericles’ final reconciliation. This is a conversation with a liturgical text which would have been highly audible to early modern playgoers. The parallels with these psalms have not been remarked upon before in literary criticism or in theological literature.

Characteristics of visual-perceptual function measured by the motor-free visual perception test-3 in korean adults.

ObjectiveTo adapt and standardize the Motor-Free Visual Perception Test-3 (MVPT-3) to Koreans and investigate the change in visual-perceptual function using the MVPT-3 in healthy Korean adults.MethodsThe Korean version of the MVPT-3 was developed through a cross-cultural adaptation process according to 6 steps, including translation, reconciliation, back translation, cognitive debriefing, feedback, and final reconciliation. A total of 321 healthy Korean volunteers (mean age, 51.05 years) were recruited. We collected participant demographic data, such as sex, age, and years of education, and performed the Korean version of the Mini-Mental State Examination (K-MMSE) and MVPT-3. Internal consistency of the MVPT-3 and the relationships between demographic data, K-MMSE and MVPT-3 scores were analyzed. The results of this study were compared with published data from western countries including the United States and Canada.ResultsTotal score on the MVPT-3 was positively correlated with years of education (r=0.715, p<0.001) and K-MMSE score (r=0.718, p<0.001). However, it had a negative correlation with age (r=-0.669, p<0.001). A post-hoc analysis of MVPT-3 scores classified age into 5 groups of ≤49, 50-59, 60-69, 70-79, ≥80 years and years of education into 4 groups of 0, 1-9, 10-12, ≥13 years. No significant differences in MVPT-3 scores were observed according to sex or country.ConclusionVisual perception was significantly influenced by age, years of education, and cognitive function. Reference values for the MVPT-3 provided in this study will be useful for evaluating and planning a rehabilitation program of visual perceptual function in patients with brain disorders.