Introduction:The influence of sex on outcomes following simultaneous pancreaskidney transplantation (SPKT) in the modern era is uncertain. Methods: We retrospectively studied 255 patients undergoing SPKT from 11/2001 to 8/2020. Cases were stratified according to donor (D) sex, recipient (R) sex, 4 D/R sex categories, and D/R sex-matched versus mismatched.Results: D-male was associated with slightly higher patient (p = .08) and kidney (p = .002) but not pancreas (p = .23) graft survival rates (GSR) compared to D-female.There were no differences in recipient outcomes other than slightly higher pancreas thrombosis (8% R-female vs. 4.2% R-male, p = .28) and early relaparotomy rates in female recipients (38% R-female vs. 29% R-male, p = .14). When analyzing the 4 D/R sex categories, the two D-male groups had higher kidney GSRs compared to the two D-female groups (p = .01) whereas early relaparotomy and pancreas thrombosis rates were numerically higher in the D-female/R-female group compared to the other three groups. Finally, there were no significant differences in outcomes between sexmatched and sex-mismatched groups although overall survival outcomes were lower with female donors irrespective of recipient sex. Conclusions:The influence of D/R sex following SPKT is subject to multiple confounding issues but survival rates appear to be higher in D-male/R-male and lower in D-female/R-male categories.

A telephone tape program designed to provide basic mental and physical health information to callers is described. The tapes were especially constructed to offer assistance to callers in coping with personal, social issues as well as problems of daily living. Each tape, lasting approximately 8 to 10 minutes, deals with the causes of a specific concern, suggestions whereby the listeners may be of help to themselves, and referral sources for the problem dealt with. Preliminary information suggests that telephone tapes offer a relatively inexpensive, effective mental health communication system, offering anonymity to the listener with suggestions for the utilization of more traditional mental health resources should the listener feel this need.The middle 1960s and early 1970s marked a period of acceleration in the delivery of a variety of mental health services via the medium of telephone. These services were frequently referred to as "hot lines," "24-hour counseling services," and "personal crisis services," among others. At about the same time, in an attempt to cope with increasing number of requests for information, some universities resorted to the transmission of information via telephone for their campus populations (Saffion, 1973;Vanderwiel & Foley, 1974). Specially constructed cassette tapes provided information to callers in the areas of coping with university regulations, identifying sources of help within the university, and answering standardized questions about university life. There was little if any attempt to deal with personal-social problems.The Telephone Counseling Referral Service (TCRS), a component of the Counseling-Psychological Services Center (CPSC), Division of Student Affairs, University of Texas, has been in continuous 24-hour operation since 1968 and is generally recognized as one of the older, if not the oldest, services of its kind. It is a regularly budgeted service staffed by trained professionals and paraprofessionals, serving a student body of 40,000 plus faculty and staff in the area of suicide prevention, crisis intervention, and counseling on a variety of problems. The utilization of TCRS had reached such a level (over 35,000 calls per year) that in the summer of 1975, a decision was made to expand services so as to include a "selfhelp cassette tape program" to serve as an adjunct to the 24-hour counseling service. The decision Requests for reprints should be sent to

CounselingCenter is described, and a rationale for developing cost accounting systems in mental health settings is provided. Cost data, combined with client utilization data, provided estimates of the relative efficiency of various service programs. A pilot project was conducted to obtain an array of routine center activities, and an optical scanning form was then developed from the pilot to allow the counseling staff to record weekly the number of hours logged across 36 Center activities. Analysis of these Time Distribution Sheets (TDS) resulted in a monthly summary report that provided time and cost figures for 36 Center activity areas across 11 staff classifications. The results of the cost accounting system are now utilized at several levels within the organization. The accounting system is placed in the context of an evaluation model that has evolved at the

Describes an innovative statistical method for analyzing single-S time series data. The S and data in the paper were selected from a larger study which applied operant conditioning to ambulation problems of severely handicapped patients and used positive verbal reinforcement. The method described is a variation of traditional multiple regression analysis described elsewhere as "grafted polynomials" (Draper & Smith, 1967; Fuller, Note 1). An extensive explanation of the use of dummy variables also is provided.

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