Interpreters as historians in China

Subsequent to the western effort in researching the history of interpreting, Chinese scholars have also shown initial interest in the subject. Since China has always valued the recording of history, it seems that historical resources would offer the data required for such an investigation. Interestingly, some historical data relating to interpreting events seem to display a regular linguistic device: the use of dialogues to document exchanges between Chinese and foreign envoys. According to Li Nanqiu (2002), this observation suggests that interpreters’ words were put down in writing as part of historical records. Such a claim, however, is not entirely conclusive. Based on examples drawn from primary historical records, this article analyzes discourse features of historical records of interpreting events, and shows the possible role of interpreters as historians, or consultants, in the recording of history in the early diplomatic history of China. À la suite des efforts réalisés par les chercheurs occidentaux en histoire de l’interprétation, les chercheurs chinois commencent à s’intéresser à ce sujet. La Chine ayant toujours accordé une grande importance aux archives, les ressources historiques nécessaires à une telle recherche ne manquent pas. Il est intéressant d’observer que certaines données historiques liées à l’interprétation laissent apparaître une tendance linguistique régulière : la compilation de dialogues échangés entre envoyés chinois et étrangers. D’après Li Nanqiu (2002), les interventions des interprètes ont été retranscrites pour faire partie des archives historiques. S’appuyant sur des exemples extraits d’archives primaires, cet article analyse les discours d’événements interprétés, et montre le rôle des interprètes en tant qu’historiens, ou consultants, dans la compilation d’archives historiques dès les débuts de l’histoire diplomatique en Chine

Effectiveness of post-COVID-19 primary care attendance in improving survival in very old patients with multimorbidity: A territory-wide target trial emulation

Objectives:  Older individuals with multimorbidity are at an elevated risk of infection and complications from COVID-19. Effectiveness of post-COVID-19 interventions or care models in reducing subsequent adverse outcomes in these individuals have rarely been examined. This study aims to examine the effectiveness of attending general outpatient within 30 days after discharge from COVID-19 on 1-year survival among older adults aged 85 years or above with multimorbidity.  Design: Retrospective cohort study emulating a randomised target trial using electronic health records. Setting We used data from the Hospital Authority and the Department of Health in Hong Kong, which provided comprehensive electronic health records, COVID-19 confirmed case data, population-based vaccination records and other individual characteristics for the study.  Participants: Adults aged 85 years or above with multimorbidity who were discharged after hospitalisation for COVID-19 between January 2020 and August 2022. Interventions Attending a general outpatient within 30 days of last COVID-19 discharge defined the exposure, compared to no outpatient visit. Main outcome measures Primary outcome was all-cause mortality within one year. Secondary outcomes included mortality from respiratory, cardiovascular and cancer causes.  Results: A total of 6183 eligible COVID-19 survivors were included in the analysis. The all-cause mortality rate following COVID-19 hospitalisation was lower in the general outpatient visit group (17.1 deaths per 100 person-year) compared with non-visit group (42.8 deaths per 100 person-year). After adjustment, primary care consultations within 30 days after discharge were associated with a significantly greater 1-year survival (difference in 1-year survival: 11.2%, 95% CI 8.1% to 14.4%). We also observed significantly better survival from respiratory diseases in the general outpatient visit group (difference in 1-year survival: 6.3%, 95% CI 3.5% to 8.9%). In a sensitivity analysis for different grace period lengths, we found that the earlier participants had a general outpatient visit after COVID-19 discharge, the better the survival.  Conclusions: Timely primary care consultations after COVID-19 hospitalisation may improve survival following COVID-19 hospitalisation among older adults aged 85 or above with multimorbidity. Expanding primary care services and implementing follow-up mechanisms are crucial to support this vulnerable population's recovery and well-being