Exploring How Counselor Education Programs Support Site Supervisors

CACREP standards require counselor education programs to provide site supervisors with orientation, consultation, and professional development opportunities (PD). Using a nonexperimental descriptive design, we collected data from a national sample of CACREP-accredited programs (N=46, 13.3% response rate) via an online descriptive survey to explore how programs provide such opportunities to site supervisors. The survey contained open-ended and multiple-choice items addressing orientation, consultation, PD, and participants’ opinions on how their program addressed the three domains. We analyzed numerical data using descriptive statistics and open-ended responses using content analysis. We found that most programs offered orientation, consultation, and PD, though site supervisor engagement and methods of implementation varied considerably. Implications for research and practice are discussed in light of the findings

Organizing in the Anthropocene

The functioning of the biosphere and the Earth as a whole is being radically disrupted due to human activities, evident in climate change, toxic pollution and mass species extinction. Financialization and exponential growth in production, consumption and population now threaten our planet’s life-support systems. These profound changes have led Earth System scientists to argue we have now entered a new geological epoch – the Anthropocene. In this introductory article to the Special Issue, we first set out the origins of the Anthropocene and some of the key debates around this concept within the physical and social sciences. We then explore five key organizing narratives that inform current economic, technological, political and cultural understandings of the Anthropocene and link these to the contributions in this Special Issue. We argue that the Anthropocene is the crucial issue for organizational scholars to engage with in order to not only understand on-going anthropogenic problems but also help create alternative forms of organizing based on realistic Earth–human relations

Exploring CSI Chapter Leaders’ Development Toward Leadership Excellence

This poster describes a study that explored the leadership experiences of fifty student leaders from various chapters of Chi Sigma Iota (CSI). The methodology of content analysis was used to determine the extent to which participants endorsed elements of CSI’s Principles and Practices of Leadership Excellence in their responses to open-ended questions about their leadership experiences. Attendees will learn of the results from the study and implications for leadership development in counselors-in-training

A multicenter prospective cohort study of endoscopic urethral realignment versus suprapubic cystostomy after complete pelvic fracture urethral injury

BackgroundPelvic fracture urethral injury (PFUI) occurs in up to 10% of pelvic fractures. There is mixed evidence supporting early endoscopic urethral realignment (EUR) over suprapubic tube (SPT) placement and delayed urethroplasty. Some studies show decreased urethral obstruction with EUR, while others show few differences. We hypothesized that EUR would reduce the rate of urethral obstruction after PFUI.MethodsTwenty-six US medical centers contributed patients following either an EUR or SPT protocol from 2015 to 2020. If retrograde cystoscopic catheter placement failed, patients were included and underwent either EUR or SPT placement based on their institution's assigned treatment arm. Endoscopic urethral realignment involved simultaneous antegrade/retrograde cystoscopy to place a catheter across the urethral injury. The primary endpoint was development of urethral obstruction. Fisher's exact test was used to analyze the relationship between PFUI management and development of urethral obstruction.ResultsThere were 106 patients with PFUI; 69 (65%) had complete urethral disruption and failure of catheter placement with retrograde cystoscopy. Of the 69 patients, there were 37 (54%) and 32 (46%) in the EUR and SPT arms, respectively. Mean age was 37.0 years (SD, 16.3 years) years, and mean follow-up was 463 days (SD, 280 days) from injury. In the EUR arm, 36 patients (97%) developed urethral obstruction compared with 30 patients (94%) in the SPT arm ( p = 0.471). Urethroplasty was performed in 31 (87%) and 29 patients (91%) in the EUR and SPT arms, respectively ( p = 0.784).ConclusionIn this prospective multi-institutional study of PFUI, EUR was not associated with a lower rate of urethral obstruction or need for urethroplasty when compared with SPT placement. Given the potential risk of EUR worsening injuries, clinicians should consider SPT placement as initial treatment for PFUI when simple retrograde cystoscopy is not successful in placement of a urethral catheter.Level of evidenceTherapeutic/Care Management; Level III

Sustainability and Place-Based Enterprise

International audienceIn this article, we critique the “placeless” character of enterprise sustainability research and introduce the concept of the place-based enterprise (PBE), arguing that such enterprises offer a potentially important means of fostering ecological and social sustainability in local communities. Drawing on a variety of disciplinary perspectives, we offer a specification of the concept of place and explore the relationships between places and enterprises. We maintain that PBEs, whose resources, productive activities, and ownership are anchored in specific local places, and who themselves possess a sense of place, may be more likely than conventional enterprises to pursue locally beneficial economic, social, and environmental outcomes. A typology of PBEs and suggestions for future research are proposed

The Outcomes of Pelvic Fracture Urethral Injuries Stratified by Urethral Injury Severity: A Prospective Multi-institutional Genitourinary Trauma Study (MiGUTS)

ObjectiveTo determine patient outcomes across a range of pelvic fracture urethral injury (PFUI) severity. PFUI is a devastating consequence of a pelvic fracture. No study has stratified PFUI outcomes based on severity of the urethral distraction injury.MethodsAdult male patients with blunt-trauma-related PFUI were followed prospectively for a minimum of six months at 27 US medical centers from 2015-2020. Patients underwent retrograde cystourethroscopy and retrograde urethrography to determine injury severity and were categorized into three groups: (1) major urethral distraction, (2) minor urethral distraction, and (3) partial urethral injury. Major distraction vs minor distraction was determined by the ability to pass a cystoscope retrograde into the bladder. Simple statistics summarized differences between groups. Multi-variable analyses determined odds ratios for obstruction and urethroplasty controlling for urethral injury type, age, and Injury Severity Score.ResultsThere were 99 patients included, 72(72%) patients had major, 13(13%) had minor, and 14(14%) had partial urethral injuries. The rate of urethral obstruction differed in patients with major (95.8%), minor (84.6%), and partial injuries (50%) (P < 0.001). Urethroplasty was performed in 90% of major, 66.7% of minor, and 35.7% of partial injuries (P < 0.001).ConclusionIn PFUI, a spectrum of severity exists that influences outcomes. While major and minor distraction injuries are associated with a higher risk of developing urethral obstruction and need for urethroplasty, up to 50% of partial PFUI will result in obstruction, and as such need to be closely followed