Performance of administrators, professionals, and paraprofessionals during community-based brain injury rehabilitation training

OBJECTIVE: Two related studies that evaluated the impact of a continuing education program about community-based rehabilitation on the performance of administrators, professionals, and paraprofessionals are presented. One study contained a second part that examined whether differences between pre-course test performance and post-course test performance might be accounted for by practice effects. DESIGN: Factorial mixed model designs. SETTING: University classroom. PARTICIPANTS: Three hundred and eight professionals, administrators, and paraprofessionals from a variety of community-based rehabilitation programs. INTERVENTION: The 4-day graduate-level course focused on three content areas: brain and behavior relationships, behavioral and cognitive intervention strategies, and a rehabilitation philosophy that emphasizes individual client rights. MAIN OUTCOME MEASURE: An examination completed before and immediately after taking the course. RESULTS: Professionals and administrators perform better than paraprofessionals when tested at the beginning and end of the training. However, the absolute differences among these groups were not substantial. In addition, the rate of learning course content was the same for administrators, paraprofessionals, and professionals. CONCLUSIONS: The results support the usefulness of training for all levels of staff and suggest that all levels of staff benefit in an equal fashion.     

Recurrent urothelial tumors following surgery for transitional cell carcinoma of the upper urinary tract

A retrospective analysis of 74 cases of transitional cell carcinoma of the renal pelvis and ureter treated at this institution over the past 30 years is presented. When nephrectomy alone or incomplete nephroureterectomy was performed, subsequent transitional cell carcinoma developed in 30% of the ureteral stumps. Subsequent bladder carcinoma occurred in 25% of the patients with primary upper urinary tract carcinoma. The type of initial surgery performed did not appear to influence this incidence of subsequent bladder tumors. Contralateral upper urinary tract carcinoma developed in only one patient. When nephroureterectomy is performed for carcinoma of the renal pelvis and ureter, a cuff of bladder that includes the ureteral orifice should be removed to obviate recurrent disease in the ureteral stump. Since single-incision nephroureterectomy did not include the intramural ureter in 50% of the cases in which it was performed, a second incision may be required for adequate exposure.     

Mass transport in layered polycrystalline thin films

Thin film specimens having the layered structure Pb/Ag/Au and Pb/Ag/Pd were prepared for a study of the reactions between Pb and Au, and Pb and Pd, respectively. These reactions require mass transport through the intermediate layer of Ag. In the case of the reaction between Pb and Au, it is found that after annealing at 200°C for more than 24 h the compound Pb₂Au can be detected in those specimens where the 3000 Å thick Ag layer is polycrystalline but not in specimens where the Ag layer is a single crystal. This result indicates that grain boundaries in the polycrystalline Ag layer act as paths for rapid transport of Au and Pb atoms. In the case of the reaction between Pb and Pd, we prepared only polycrystalline Ag as the intermediate layer and detected the compound Pb₂Pd after a few hours of annealing in the temperature range 160°–200°C. The lattice parameter of the polycrystalline Ag layer before and after annealing has been measured by X-ray diffraction and found to be unchanged, indicating that leakage into the Ag grains by lattice diffusion is negligible and that boundary transport is dominant. Separate study of grain boundary diffusion kinetics is now possible using this technique.     

Effects of sediment addition on macrobenthic invertebrates in a Northern Canadian River

Two channels built into the Harris River, Northwest Territories were used to study responses of invertebrates to sediment addition. Sediment was added to one channel continuously for approximately 5 h. The other channel was used as a control. In August, 28.27 kg of sediment or 1.38 kg m⁻² of channel bottom were added. Values for September were 35.88 kg or 1.53 kg m⁻².As a result of sediment addition, numbers of macrobenthos drifting from the sediment addition channel (S) increased significantly over those drifting in the control (C) in August (= summer) and September (= fall). Total drift from S was > 3 times higher in August and > 2 times higher in September than from C. Significantly higher numbers of macrobenthos drifted in fall than summer. Numbers of macrobenthos drifting during sediment addition were significantly related to time in September but not in August, indicating a seasonal difference in temporal response to sediment addition. Two explanations are proposed for the response of the September community, as indicated by shape of a polynomial regression curve, to sediment addition. No significant difference existed in standing crops of macrobenthos in the substrate in C and S after sediment addition.Sediment addition caused (1) higher numbers of Oligochaeta and Simuliidae to drift in August and September; (2) higher numbers of Plecoptera and Ephemeroptera to drift in September but not in August; and (3) higher numbers of Hydracarina and Chironomidae to drift in August but not September.We suggest that future work try to relate amounts of settled rather than suspended sediments to quantitative responses of stream macrobenthos. We recommend that highway and pipeline construction undertaken in watersheds of Mackenzie Valley streams during the open-water period, resulting in sediment addition to these streams, should be done during summer rather than spring or fall, providing river discharge is adequate to transport the added sediment.     

Static Strategies for Worksharing with Unrecoverable Interruptions

One has a large workload that is “divisible”—its constituent work’s granularity can be adjusted arbitrarily—and one has access to p remote worker computers that can assist in computing the workload. How can one best utilize the workers? Complicating this question is the fact that each worker is subject to interruptions (of known likelihood) that kill all work in progress on it. One wishes to orchestrate sharing the workload with the workers in a way that maximizes the expected amount of work completed. Strategies are presented for achieving this goal, by balancing the desire to checkpoint often—thereby decreasing the amount of vulnerable work at any point—vs. the desire to avoid the context-switching required to checkpoint. Schedules must also temper the desire to replicate work, because such replication diminishes the effective remote workforce. The current study demonstrates the accessibility of strategies that provably maximize the expected amount of work when there is only one worker (the case p=1) and, at least in an asymptotic sense, when there are two workers (the case p=2); but the study strongly suggests the intractability of exact maximization for p≥2 computers, as work replication on multiple workers joins checkpointing as a vehicle for decreasing the impact of work-killing interruptions. We respond to that challenge by developing efficient heuristics that employ both checkpointing and work replication as mechanisms for decreasing the impact of work-killing interruptions. The quality of these heuristics, in expected amount of work completed, is assessed through exhaustive simulations that use both idealized models and actual trace data.