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Some prison managers assume that recruitment of correctional officers with postsecondary educational credentials promotes job satisfaction and offender rehabilitation. This assumption was tested using a sample of 218 officers. Results supported earlier findings that postsecondary education correlates with endorsement of rehabilitation and job dissatisfaction. However, university graduates were not more willing than less-educated officers to engage in offender treatment and there were no apparent effects of education on job performance, job involvement, and career development needs. The findings imply that education alone cannot enhance correctional outcomes and lead to the professionalization of correctional officers.

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Career orientation and work values were examined as factors that may relate to support for rehabilitation among correctional staff. The study surveyed a representative sample of 332 correctional and case management staff from the five geographical regions of the Federal Correctional Service of Canada. Not surprisingly, correctional officers were found to be less supportive of rehabilitation than case management staff. Among correctional officers, possessing favorable attitudes toward the field of corrections, showing an interest in career development, preferring work that involves people, and desiring work that provides outlets for personal growth were all positive predictors of support for rehabilitation. A desire to work with people was the only significant predictor the authors identified in the smaller sample of case management officers. The results indicated that demographic variables were not helpful in understanding why some correctional workers are more supportive of programming than others. The findings are discussed in terms of the challenges inherent in creating an engaged correctional workforce that supports programming.

We describe the clinical outcome of a technique of surgical augmentation of chronic massive tears of the rotator cuff using a polyester ligament (Dacron) in 21 symptomatic patients (14 men, seven women) with a mean age of 66.5 years (55.0 to 85.0). All patients had MRI and arthroscopic evidence of chronic massive tears. The clinical outcome was assessed using the Constant and Murley and patient satisfaction scores at a mean follow-up of 36 months (30 to 46). The polyester ligament (500 mm × 10 mm) was passed into the joint via the portal of Neviaser, medial to the tear through healthy cuff. The two ends of the ligament holding the cuff were passed through tunnels made in the proximal humerus at the footprint of the insertion of the cuff. The ligament was tied with a triple knot over the humeral cortex. All the patients remained free from pain (p < 0.001) with improvement in function (p < 0.001) and range of movement (p < 0.001). The mean pre-operative and post-operative Constant scores were 46.7 (39.0 to 61.0) and 85.4 (52.0 to 96.0), respectively (p < 0.001). The mean patient satisfaction score was 90%. There were two failures, one due to a ruptured ligament after one year and the other due to deep-seated infection. The MR scan at the final follow-up confirmed intact and thickened bands in 15 of 17 patients. This technique of augmentation gives consistent relief from pain with improved shoulder movement in patients with symptomatic massive tears of the rotator cuff.

En bloc vascular resection and reconstruction for contiguous tumor involvement is feasible and safe in selected patients. Advanced pelvic tumors involving iliac vessels should not be precluded from curative surgery in specialized institutions.

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