Bleeding is a major factor that hinders visualization in head and neck surgery and is a risk factor for intraoperative complications and perioperative morbidity. Endoscopic approaches also pose significant technical challenges to managing expected intraoperative bleeding and vascular injury. The approach for this publication in Otolaryngologic Clinics is to provide clinically relevant information in a problem-based manner that encompasses assessment to identify patients with a high risk for vascular complications, pre-operative, intra-operative and post-operative strategies to manage expected bleeding and major vessel injury during endoscopic sinus and skull base surgery for inflammatory and neoplastic diseases. Clinically relevant anatomy, physiology, pharmacology, and surgical and interventional radiology techniques to manage bleeding are outlined and an algorithm for management of major vessel injury such as internal carotid artery injury is presented. Because skull base surgery is generally undertaken as a team approach, this information is relevant to the subspecialized ENT surgeon from rhinology or head and neck specializations, to neurosurgeons, to interventional radiologists, and to neurophysiologists who monitors intraoperative cerebral and cranial nerve activity for these operations. Carl Snyderman leads this issue with Harshita Pant and has composed topics and assembled an expert group of practitioners to provide information. The reader will find this a novel, focused, and indispensable resource on all issues of hemostatis in head and neck surgery.
Our new semester series, Rosemary-An Activity-based Integrated Course for Classes 1 to 5, has meticulously followed the National Education Policy (NEP), 2020, and the National Curriculum Framework (NCF), 2023. Pramanas, Panchakosha Vikas, and Panchpadi, the three main constituents, have been used significantly through the explanations, examples, and exercises used in this series. It means the focus has shifted to the process of learning. This series envisages conceptual understanding as a continuous process. The books for Classes 1 and 2 include English, Mathematics, Environmental Studies, and General Knowledge. For Classes 3 to 5, the subjects expand to include English, Mathematics, Science, Social Studies, and General Knowledge. In developing this educational series, considerable attention has been focused on creating an engaging and enjoyable learning environment. This approach aims to establish a solid educational foundation for young learners, contributing to their all-around growth and development at every educational level. The series is characterised by several notable features: • Integrates key educational concepts with visually appealing activities, interactive games, and practical real-world examples • Methodically structured and comprehensive exercises, ensuring thorough assessment and understanding • Robust online support, including animated tutorials, interactive modules, subject-specific videos, and digital books (exclusively for teacher use), tailored to meet the needs of each topic ENGLISH: Combines with historical and contemporary elements, it focuses on interest-based selections to engage learners and improve memory retention. It emphasises the four key language skills (Listening, Speaking, Reading, Writing) with clear grammar explanations. MATHEMATICS: With engaging and thorough presentation of concepts, it is suitable for all learning levels, using a graded and age-appropriate approach. ENVIRONMENTAL STUDIES: It focuses on analysis and inquiry, encouraging learning through discussion, observation, and conversation. SCIENCE: It offers meaningful learning by connecting scientific concepts to students' everyday experiences and the natural world. SOCIAL STUDIES: In this subject, innovative teaching methods are used to enhance life skills, civic understanding, and prepare students for life's challenges. GENERAL KNOWLEDGE: It is designed to incite curiosity and a passion for learning about the world. Online support in the form of animated Lesson, interactive exercises, topic-wise videos and E-books (for Teachers only) as per the requirement of the subject. Teachers' Resource Book (TRB) includes Lesson Plan and Learning Objectives along with the answers of the questions to facilitate teaching. Feedback from students, teachers, and parents is welcomed for consideration in future updates and editions. -The Publisher
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