Lessons from the "non-critical" patient during a pandemic: developmental-behavioural pediatric populations & COVID-19

Seemingly overnight, in March 2020, the world was turned upside down by the global SARS-CoV 2 (novel coronavirus) pandemic. As COVID-19 affected all aspects of clinical care, Canadian ambulatory clinics for any service deemed "non-urgent" or "non-critical," were suspended for several months. When outpatient care slowly resumed during the summer and fall of 2020, the backlog of patients in these areas and subsequent requests for follow-up significantly outpaced the number of available appointments. In fact, it became apparent that certain patients' needs had grown in unprecedented ways during the pandemic, even though their issues had previously been given low priority during the acute crisis period. Among these groups were youth with underlying mental health conditions, those with chronic but non-life-threatening illnesses, and the subgroups seen in Developmental-Behavioural Pediatrics. In Montréal, they were among the least likely to have their needs met as the waves of COVID-19 moved through the community, and many still struggle to find relevancy in the discussions about the hidden impacts of the coronavirus pandemic, even one year later. What can the experiences of these marginalised youth teach us about what our system labels less relevant care in the context of an acute health care crisis? A short narrative presentation will demonstrate insights gleaned from 2020 & early 2021 to underscore the often unrecognised challenges faced by these populations and their families.

MITOLOGÍA Y CIENCIA FICCIÓN: EL CASO DE MYTHS OF THE NEAR FUTURE DE JAMES G. BALLARD

La relación entre mitología y ciencia ficción es paradójica: si, teóricamente, la ciencia ficción se presenta como opuesta del mito; en su producción narrativa recurre frecuentemente a personajes y esquemas míticos, materializando su dimensión prospectiva a través de la actualización evemerista o alegórica de mitos. Este trabajo revisa críticamente los presupuestos teóricos que escinden la literatura de ciencia ficción de los relatos míticos y la literatura fantástica. A continuación, analizaremos el modo en que James G. Ballard afronta esta cuestión en su narrativa breve, particularmente en Myths of the Near Future, que sobrepasa estas diferencias y plantea un nuevo marco teórico común entre literatura fantástica y mítica y la ciencia ficción. Abstract: The relationship between mythology and science fiction is paradoxical: if, theoretically, science fiction is presented as the opposite of myth; in its narrative production, science fiction frequently resorts to mythical characters and schemes, materializing their prospective dimension through the evemerist or allegorical updating of myths. This work critically reviews the theoretical assumptions that divide science fiction literature from mythical stories and fantasy fiction. Next, it analyzes the way in which James G. Ballard addresses this question in his short narrative, particularly in Myths of the Near Future, which goes beyond these differences and raises a new common theoretical framework between fantasy and mythical literature and science fiction.

Metalepsis in a Narrative Piece by M. S. Lourenço

This article is focused on the role performed by metalepsis in a short narrative piece by the Portuguese writer and philosopher M. S. Lourenço (1936–2009). In the first section an explanation of the ways metalepsis and leitmotif interact is provided, whereas the second section turns to the metaleptic short circuit between fiction and reality. In the discussion of these issues the analysis of textual variation, which is carried out according to textual genetics, plays a fundamental part.

„Powiastki cmentarne” Bolesława Prusa — literatura grozy na miarę drugiej połowy XIX wieku?

The article addresses the problem of identifying and defining the functions of selected horror genre traits in Bolesław Prus’ story Powiastki cmentarne. In this short narrative form, referring subtly to Gothic style, not only the basic intention of raising the dread in the recipient, but also the need to address metaphysical issues are noticeable, which are usually excluded from reflection on the positivistic literature. Particular attention in this work is given to the literary genre used by the writer, which is a hybrid of a philosophical fiction with a Gothic one, and the influence this form has on the final tone of the work.

EFL Learners’ Formulaic Language Use in Writing: an Action Research Account

The present study exemplifies an action research-based approach for addressing the extent to which a process of explicit instruction of formulaic language supports the use of this type of vocabulary in middle school students’ short narrative written texts. The study was conducted at a private school in Chile, as a plan to help learners use different forms of expression in a written format. Data were obtained from a group of 23 Spanish-speaking learners of English before and after the intervention period. The action research methodology was implemented in order to collect and analyse written compositions as well as a survey for evaluating the treatment from the students’ perspective. The observation and reflection process led to positive outcomes in relation to the use of formulaic expressions in writing, and students’ opinion about the process also proved favourable. The pedagogical innovation is reflected upon theoretical and pedagogical perspectives. Implications applicable to teachers working in this and other contexts are also considered.

Discourse Analysis from the Perspective of Austin’s Speech Act Theory and Searle’s Taxonomy of Illocutionary Acts: A Case Study of Charlotte Perkins Gilman’s The Yellow Wallpaper

A focus on discourse analysis, this study presents a particular interest in the power relationship artfully constructed by Charlotte P. Gilman in three dialogue instances in her most memorable short narrative, The Yellow Wallpaper. With the awareness of gender differences in mind in terms of how men and women use language, Gilman evinces the ways in which language could be a medium of silencing the other. Consequently, this paper carefully examines the protagonists’ discourses through J. L. Austin’s speech act theory and John Searle’s taxonomy of illocutionary acts. The corpus of the study consists of the utterances of the husband/doctor and of the wife/patient, and both the quantitative and qualitative research methods have been employed for the data analysis. The results have shown that the patriarchal discourse, originally dominated by representatives (opinions, facts) and directives (commands, orders, advices, and refusals), produces utterances meant to fabricate reality (erroneous diagnosis) and generate refusals, whereas the discourse of the other consists mainly of representatives- true statements and opinions -which contradict men’s reality in the journey to achieving self-assertion and selfexpression.

The Progress of Speech Production in People with Autism (Case Study on a Girl Named Aliya Salsabila Ramadhani)

This study is titled the progress of speech production in people with autism (case study in a girl named Aliya Salsabila Ramadhani). The study was conducted by Mu'thia Mubasyira, Zainal Rafli and Endry Boeriswati. To correspond the email used is [email protected] and the orchid number is 0000-0002-4084-3382. This study was conducted with the aim to find out how the progress of speech production in people with autism with the object of research on a girl named Aliya Salsabila Ramadhani who is now 9 years old. This study tried to analyze the primary data obtained by explaining the progress of language and Aliya speech production from the age of 3 months old until now. This research uses descriptive qualitative methods that seek to describe the progress of Aliya language and speech production with a short narrative and exposure to data retrieval techniques used through observation of video documentation of activities carried out and through questionnaires and interviews. In addition, this study also uses relevant references as study materials so that holistic and thorough discussion results are obtained. From the characteristics that seem to be known that Aliya is classified as experiencing mild austism. It is also obtained through the analysis of language development and how Aliya interacts with the environment and the surrounding people. Aliya also has abstinence from certain foods to suppress so that her behavior is not too hyper or excessive. Aliya's language progress and speech production made significant increasement after she received developmental therapy and speech therapy and attended a special needs school. This research is expected to add to the treasures of science, especially those related to psycholinguistics with the study of language development and speech production in people with autism.

P.176 Assessing the competence of neurology residents in performing an interphysician telephone consultation.

Background: Neurology Residency training in Canada is transitioning to competence based medical education (CBME) in July 2020 and the Royal College Neurology Specialty Committee has identified “providing consultation for and managing patients at outlying centers,” to be an entrustable professional activity (EPA). At Western, neurology telephone consultations, from outlying centres, are attended by both the resident and the staff Neurologist. This scenario provides the ideal situation for direct observation and immediate formative feedback. The resident’s performance is assessed using the ’TeleTool’ which utilizes an entrustment scale and has a short narrative portion. Methods: This mixed methods study aims to determine the reliability and validity of the ’TeleTool’ in assessing the performance of the telephone consultation by senior neurology residents. Informed consent was obtained from residents (9) and staff (7) involved. Scores on the entrustment scale and narrative comments were analysed. Results: Information on 30 encounters (involving 9 residents) was collected. TeleTool results demonstrated higher entrustment scores in PGY4 and PGY5 levels. Overall, ratings were consistent across the 7 consultants assessors. Conclusions: The TeleTool was reliable and valid in assessing competence in the telephone consultation and will be a useful tool for assessment of this EPA.