A survey of Remote Jobs and Communities Program(me) providers: one year in

This working paper reports on a survey of provider organisations conducted almost one year into the implementation of Remote Jobs and Communities Program. Abstract On 1 July 2013, a new labour market and community participation program-the Remote Jobs and Communities Program (RJCP)-started operating across remote Australia. It replaced several other programs, most importantly Job Services Australia (JSA) and the Community Development Employment Projects (CDEP) scheme. JSA has in recent years been Australia\u27s principal \u27mainstream\u27 labour market program in which all unemployment payment recipients in Australia who are able to work are expected to participate. CDEP is a much longer-standing program, originally designed to provide some form of paid work to Indigenous people living in remote communities. RJCP was presented by the Gillard Labor government as offering services that would be locally flexible, be delivered in partnership with communities and have a strong focus on getting people into work.  Its dual focus-on community participation and on jobs-was reflected in arrangements for its administration, jointly managed by the Department  of Families, Housing, Community Services and Indigenous Affairs and the Department of Education, Employment and Workplace Relations. However, a change of government in September 2013 brought RJCP into the Department of the Prime Minister and Cabinet. The new Abbott Coalition government was critical of RJCP and immediately included it in a review of Indigenous employment and training programs, led by Andrew Forrest. This working paper reports on a survey of provider organisations conducted almost one year into the implementation of RJCP. It is part of a larger research project on the implementation of RJCP during its first three years, with funding support from the Australian Research Council and Jobs Australia (Linkage Project 130100226). The project aims to understand how RJCP is developed from a general policy idea to specific grounded practice, at the community, regional and jurisdictional levels. This survey report includes findings about basic arrangements and characteristics of provider organisations; ideas about joblessness in remote areas and welfare conditionality; provider perceptions of the government officials with whom they work; operational details (staffing, money and administrative challenges including information technology (IT) systems); and broader influences on the shaping of program delivery, like Community Action Plans and community perceptions. A second survey in 2015–16 will track developments in these areas over time

A Case Of Gluten-Induced Delirium: Using Capsule Endoscopy To Diagnose Occult GI Bleeding

A Case Of Gluten-Induced Delirium: Using Capsule Endoscopy To Diagnose Occult GI Bleeding Rachael Starcher, MD Providence Portland Medical Center – Portland, OR Additional Authors: Lisa Sanders, MD Introduction: Despite an increasing prevalence of celiac disease worldwide, many patients remain undiagnosed, putting them at risk for late stage complications of unidentified and untreated celiac disease. Ulcerative jejunoileitis is a rare cause of occult GI bleeding seen only in refractory celiac disease or in atypical celiac disease at the time of diagnosis. When left untreated, ulcerative jejunoileitis can lead to bowel perforation, blood loss anemia, and T-cell lymphoma. Case Presentation: An 81-year-old male presented with hypoactive delirium of a few hours duration. His partner noticed inattentiveness, confusion, and inability to complete his daily activities the day of admission. Review of systems was otherwise negative. He had a previous stroke a year prior, sick sinus syndrome with a pacemaker, and myocardial infarction with stent placement just over 6 months before admission. On admission, he was tachycardic to 101, with normal blood pressure and mild anemia (hemoglobin 12.1 g/dL, from 14.1 g/dL a month prior). Infectious work up including viral panel, white count, procalcitonin, and urinalysis was negative. Creatinine was near the patient’s baseline (1.2 mg/dL), but BUN was up to 82 mg/dL from 17 mg/dL a month prior. Head CT was negative for any new process. Initial work up revealed positive fecal occult blood, but subsequent evaluation with upper endoscopy and colonoscopy found no cause. Hemoglobin trended downward and the patient received blood transfusions. Small bowel capsule endoscopy, however, showed evidence of ulcerative jejunoileitis, with subsequent duodenal pathology significant for gluten sensitive enteropathy (celiac disease), Marsh type 3 (destructive type). Serum studies showed elevated tissue transglutaminase IgA, anti-gliadin antibody IgG and IgA. He was started on a gluten free diet and has shown improvement in antibodies, stabilization of anemia, and significant improvement in mental status. Repeat capsule endoscopy has also shown improvement in jejunal ulceration. Discussion: Capsule endoscopy is an excellent diagnostic tool when the source of a GI bleed cannot be found with EGD or colonoscopy. Not only does it have greater than 96% positive predictive value for diagnosing celiac disease, it can also identify other small bowel disorders including Crohn’s disease. This case highlights the importance of diagnosing celiac disease as when left untreated, complications such as ulcerative jejunoileitis can lead to bowel perforation, blood loss anemia, and T-cell lymphoma; however it can be effectively treated with a gluten free diet.https://digitalcommons.psjhealth.org/ppmc_internal/1011/thumbnail.jp

Subtitling, semiotics and spirited away

When translating a film according to typical subtitling models, the focus is usually solely on the dialogue of the film. Furthermore, the resulting translations are often impoverished to a large extent due to the constraints of the medium. The combined effects of this result in a significant loss of equivalence between the subtitles and the original linguistic and extralinguistic information. A potential method of preventing this loss is the application of a semiotic model for translation during the subtitling process. To this end, an existing model for the semiotranslation of film was enhanced and applied to the subtitling of the wildly popular Japanese animated film Spirited Away (2001). The resulting subtitles were evaluated for equivalence with the source text (ST) against the existing subtitle track that was distributed on a DVD release of the film. It was found that much more information, both from dialogue and on-screen extralinguistic content, could be conveyed by the semiotic subtitles than those created following more traditional subtitling norms.LAY SUMMARY : When subtitles are created for films, the translators usually focus only on the dialogue that is spoken. Subtitles also often tend to have missing information, and are not written word-by-word. This is due to the rules for subtitles regarding their length and how long they are allowed to remain on-screen. Because of the information that is left out, the translations can sometimes be inaccurate. Subtitles also often ignore other aspects of a film, such as symbolic details in the visuals as well as in the choice of certain words over others. In order to try to prevent the loss of these details, this article explores a way of translating films through examining and analysing the signs and symbols that are represented in the film, especially in the dialogue. This method was applied to the popular Japanese animated film Spirited Away (2001), and subtitles created according to it were compared with the subtitles that are available on a DVD of the film. The comparison shows that it is possible to explain more of the missing information by translating with a focus on the symbols used in the film instead of trying to rely only on a straightforward translation of the dialogue.https://www.jatjournal.org/index.php/jathj2024African LanguagesNon

High Resolution Measurements of Nitrous Oxide (N2O) in the Elbe Estuary

Nitrous oxide (N2O) is one of the most important greenhouse gases and a major sink for stratospheric ozone. Estuaries are sites of intense biological production and N2O emissions. We aimed to identify hot spots of N2O production and potential pathways contributing to N2O concentrations in the surface water of the tidal Elbe estuary. During two research cruises in April and June 2015, surface water N2O concentrations were measured along the salinity gradient of the Elbe estuary by using a laser-based on-line analyzer coupled to an equilibrator. Based on these high-resolution N2O profiles, N2O saturations, and fluxes across the surface water/atmosphere interface were calculated. Additional measurements of DIN concentrations, oxygen concentration, and salinity were performed. Highest N2O concentrations were determined in the Hamburg port region reaching maximum values of 32.3 nM in April 2015 and 52.2 nM in June 2015. These results identify the Hamburg port region as a significant hot spot of N2O production, where linear correlations of AOU-N2Oxs indicate nitrification as an important contributor to N2O production in the freshwater part. However, in the region with lowest oxygen saturation, sediment denitrification obviously affected water column N2O saturation. The average N2O saturation over the entire estuary was 201% (SD: ±94%), with an average estuarine N2O flux density of 48 μmol m−2 d−1 and an overall emission of 0.18 Gg N2O y−1. In comparison to previous studies, our data indicate that N2O production pathways over the whole estuarine freshwater part have changed from predominant denitrification in the 1980s toward significant production from nitrification in the present estuary. Despite a significant reduction in N2O saturation compared to the 1980s, N2O concentrations nowadays remain on a high level, comparable to the mid-90s, although a steady decrease of DIN inputs occurred over the last decades. Hence, the Elbe estuary still remains an important source of N2O to the atmosphere

Stepping Stones Triple P: The theoretical basis and development of an evidence-based positive parenting program for families with a child who has a disability.

Stepping Stones Triple P is the first in a series of programs based on the Triple P – Positive Parenting Program that has been specifically designed for families who have a child with a disability. This paper presents the rationale, theoretical foundations, historical development and distinguishing features of the program. The multi-level intervention adopts a self-regulation framework in consulting with parents that involves the promotion of parental self-sufficiency, selfefficacy, self-management skills, personal agency and problem-solving skills. This paper describes the key program design features, intervention techniques, model of clinical consultation, its clinical applicability, and empirical base. The 10-session individually administered version of the program, known as Standard Stepping Stones Triple P is described and the important role of training, supervision and agency support in disseminating the program is discussed