With the Incidence of Otosclerosis Declining, Should Stapedectomy Remain a Key-Indicator Case for Otolaryngology Residents?

Stapedectomy remains a joint key-indicator case with ossiculoplasty for otolaryngology residents in the United States. Yet, residents consistently report feeling inadequately prepared to perform stapes surgery following graduation. Applying recently described age- and sex-standardized incidence rates of surgically confirmed cases of otosclerosis to the US populace, upper and lower estimates of residents’ case exposure to stapedectomy can be approximated. With this, uppermost projections estimate 6484 new cases of stapes surgery are performed annually nationwide. With approximately 1424 otolaryngology residents nationally, the average case exposure is 7.8 stapedectomies throughout their training, with upper and lower estimates of 17.1 and 4.2 cases, respectively. As such, proficiency in stapedectomy is no longer a realistic expectation for US graduating residents. This reality supports the removal of “stapedectomy” from the list of 14 key-indicator case requirements, leaving ossiculoplasty as its own key-indicator case, thereby reinforcing true competence in this fundamental procedure for the graduating otolaryngologist.

Driving Equity in Action Through a Socially and Culturally Situated Pedagogy

Culturally relevant teaching and learning is a good approach for complementing equity work, but educators are not particularly familiar with it and intentionally employing it in schools although the concept of culturally relevant pedagogy or CRP has been introduced to the professional literature for more than 20 years ago. It is vital that educators understand the role of culturally relevant teaching and learning in supporting equity as a remedy for eliciting more active and productive student engagement. All educators involved in promoting and implementing equity as a solution toward student engagement and achievement must accept the reality that it needs not only understanding of what educational practice works and does not work but also patience and realistic expectation that equity's challenging work is an on-going and long-lasting advocacy. As educators who are social justice advocates, we must reimagine teaching and learning as a socially and culturally situated pedagogy to increase motivation, engagement, and hope to meet the needs of all our students, when they need them.

Informed Concern

This chapter explains why the only value of understanding justice does not lie in whatever practical value it has. It argues that the value of understanding full justice, even if it is an unrealistic goal, is over-determined: it has several kinds of practical value, but its value does not depend on that in any case. The chapter supposes that full or great justice is not a realistic expectation, not a standard people are at all likely or inclined ever to meet, and, moreover, that there is no other way in which understanding full justice would be available for the production of something of value. It then considers a claim: in that case, there is no great value in understanding those upper reaches of justice, or in understanding whether it has such upper reaches. This is broader than the claim that such understanding is useless, which would leave the possibility of worth other than usefulness. Not only is it useless, on this view, it is, for that reason, worthless (or close enough). The chapter argues against this.

Otoplasty for Protruding Ears, Cryptotia, or Stahl’s Ear

If the neonate with protruding ears, mildly constricted ears, a Stahl’s ear, or even cryptotia is seen by the plastic surgeon during the child’s first days of life, the timing is auspicious. By initiating immediate steps to mold the ear with tapes and splints, complete correction of the problem without surgery is a realistic expectation. The urgency and the effectiveness of early nonsurgical treatment of such ears is not yet widely appreciated by those responsible for primary medical care of neonates. It is the plastic surgeon’s task to heighten awareness of such treatment.

What Scope is there for Multilateral Diplomacy as a Basis for Global Governance?

The development of multilateral diplomacy over the past decades, its importance that the process of multilateral diplomacy withholds in solving crises and global governance, this paper will try to evaluate the current trend of processes and critically evaluate is there hope and realistic expectation that multilateral diplomacy will become a basis for global governance in the future. There are many definitions given to the multilateralism, having in account that multilateralism within the global governance is becoming increasingly complex in its form and expressions. In doing the analysis on how much there is scope of multilateral diplomacy as basis for global governance, an overview on historical facts, international organizations and elements contributing to the global governance achievement will be touched upon. Impact and historical aspects of international organisations such as United Nations, European Union and World Trade organisations in setting the first pillars of global governance will be also elaborated, with an emphasis on impact and potential that these institutions have in global governance evolution.

Pengaruh Religiusitas Terhadap Penerimaan diri Orangtua Anak Autis di Sekolah Luar Biasa XYZ

<p><em>Abstrak</em><em> - </em><strong>Riset ini bertujuan untuk mengetahui pengaruh religisitas dan penerimaan diri orang tua dari anak autis di SLB XYZ di Bekasi. Setiap orang tua menginginkan anaknya dapat lahir dan tumbuh secara sempurna, namun ketika kenyataan yang harus dihadapi tidak sesuai dengan harapan, seringkali orang tua menyalahkan Tuhan dan tidak mau menerima keadaan anaknya.</strong><strong> </strong><strong>Penerimaan diri (<em>self acceptance</em>) adalah sikap yang pada dasarnya merasa puas dengan milik sendiri, kualitas dan bakat sendiri, dan pengakuan akan keterbatasan diri sendiri, sikap yang menunjukkan rasa puas terhadap dirinya, baik kekurangan maupun kelebihannya, sehingga dapat membentuk harapan yang realistic terhadap dirinya dan menghargai dirinya sendiri. Religiusitas adalah seberapa jauh pengetahuan, seberapa kokoh keyakinan, seberapa tekun pelaksanaan ibadah, seberapa dalam penghayatan agama yang dianut seseorang dan pengalaman individu dalam beribadah. Metode penelitian yang digunakan adalah penelitian kuantitatif, </strong><strong>pegumpulan data dilakukan menggunakan skala religiusitas dan penerimaan orang tua</strong><strong>. Sampel pada penelitian ini adalah 80 orangtua pada anak autis di SLB XYZ. Penelitian ini menggunakan teknik <em>accidental sampling</em>. Hasil penelitian menunjukkan bahwa terdapat pengaruh antara Religiusitas dan Penerimaan diri orangtua. Hal ini ditunjukkan dengan hasil (R = 0,382) dengan nilai adjusted R square = 0,146 dan p = 0,000 di mana p &lt; 0,05) artinya, semakin tinggi religiusitas pada orang tua maka semakin tinggi penerimaan diri orangtuanya.</strong></p><p class="Default"><strong><em> </em></strong></p><p class="Default"><strong><em>Kata Kunci</em></strong> – <em>Religiusitas, Penerimaan Diri, Autis</em></p><p class="Default"><em> </em></p><p class="Default"><em>Abstract</em> - <strong>This research aims to determine the influence of the religiosity and self-acceptance of parents of children with autism in SLB XYZ in Bekasi. Every parent wants his child to be born and grow perfectly, but when the reality to be faced does not match expectations, often parents blame God and do not want to accept the state of his son. Self-acceptance is an attitude that is basically satisfied with one's own self, quality and talent, and acknowledgment of one's own limitations, an attitude that expresses a sense of self-satisfaction, both its shortcomings and its advantages, so as to form a realistic expectation of itself and appreciate himself. Religiosity is how far the knowledge, how strong the belief, how diligent the implementation of worship, how deep appreciation of one's religion and the experience of individuals in worship. The research method used is quantitative research, data collection is done using the scale of religiosity and acceptance of parents. The sample in this study were 80 parents in children with autism in SLB XYZ. This research use accidental sampling technique. The results showed that there is influence between Religiosity and Self-Acceptance of parents. This is indicated by the result (R = 0.382) with adjusted value R square = 0,146 and p = 0,000 where p &lt;0,05) meaning, the higher religiosity in parent hence the higher the parent self acceptance.</strong></p><p class="Default"> </p><p class="Default"><strong><em>Keywords</em></strong><em> – Religiosity, Self-Acceptance, Autism</em></p>