RESILIENCE AND REFLECTION: ILLUMINATING THE JOY AND SORROW OF JUNIOR AND SENIOR HIGH SCHOOL TEACHERS WITH MULTIPLE ANCILLARY SERVICES DURING THE TIME OF PANDEMIC

The purpose of this study was to find out the lived experiences, coping mechanisms, insights, hopes, and aspirations of junior and senior high school teachers with multiple ancillary services during the pandemic. The researcher conducted in-depth interviews among eight informants and a focus group discussion among nine participants of the GSCNSSAT, using the qualitative phenomenological method. Analysis of the transcriptions generated 26 essential themes and 98 core ideas, which include long-time dream, wise awareness, influenced by the parents, positive expectations, felt ultimate satisfaction and happiness, flexible with the work, overwhelming responsibilities, adaptability, overcoming difficulties, embracing adjustment, other tasks interfere with the main work, building a connection with colleagues, spending quality time with family, adjusting to new normal, reaching out to the students, identifying and accepting physical challenges, identifying and accepting mental and emotional challenges, having leisure time, keeping the positivity, keep being motivated, having a positive mindset would radiate to colleagues, manage the tasks well, support system like colleagues and superiors is important, family support matters, strive hard for a better future, continue the love for education. The results and discussion of this study implied that teachers are resilient and innovative in the face of adversity, being optimistic and dedicated as they are, but their superiors should take into account that they would do well to have the support and appreciation of their family and colleagues, taking in achievable and realistic demands made of them.  Article visualizations

Relative permeability through fractures

The mechanism of two-phase flow through fractures is of importance in understanding many geologic processes. Currently, two-phase flow through fractures is still poorly understood. In this study, nitrogen-water experiments were done on both smooth and rough parallel plates to determine the governing flow mechanism for fractures and the appropriate methodology for data analysis. The experiments were done using a glass plate to allow visualization of flow. Digital video recording allowed instantaneous measurement of pressure, flow rate and saturation. Saturation was computed using image analysis techniques. The experiments showed that gas and liquid phases flow through fractures in nonuniform separate channels. The localized channels change with time as each phase path undergoes continues breaking and reforming due to invasion of the other phase. The stability of the phase paths is dependent on liquid and gas flow rate ratio. This mechanism holds true for over a range of saturation for both smooth and rough fractures. In imbibition for rough-walled fractures, another mechanism similar to wave-like flow in pipes was also observed. The data from the experiments were analyzed using Darcy's law and using the concept of friction factor and equivalent Reynold's number for two-phase flow. For both smooth- and rough-walled fractures a clear relationship between relative permeability and saturation was seen. The calculated relative permeability curves follow Corey-type behavior and can be modeled using Honarpour expressions. The sum of the relative permeabilities is not equal one, indicating phase interference. The equivalent homogeneous single-phase approach did not give satisfactory representation of flow through fractures. The graphs of experimentally derived friction factor with the modified Reynolds number do not reveal a distinctive linear relationship

Clinical utility, safety, and efficacy of pregabalin in the treatment of fibromyalgia

Santosh Bhusal,1 Sherilyn Diomampo,1 Marina N Magrey2 1Division of Rheumatology, Metrohealth Medical Center, 2Case Western Reserve University School of Medicine at Metrohealth Medical Center, Cleveland OH, USA Abstract: Fibromyalgia is a chronic debilitating medical syndrome with limited therapeutic options. Pregabalin, an anticonvulsant and α-2-Δ subunit receptor ligand, is one of the anchor drugs approved by the US Food and Drug Administration for the treatment of fibromyalgia. The drug has shown clinically meaningful benefits across multiple symptom domains of fibromyalgia. Efficacy of pregabalin in fibromyalgia pain has been evaluated in at least five high-quality randomized trials, two long-term extension studies, a meta-analysis, a Cochrane database systematic review, and several post hoc analyses. These studies also hint towards a meaningful benefit on sleep, functioning, quality of life, and work productivity. Side effects of pregabalin, although common, are mild to moderate in intensity. They are noted early during therapy, improve or disappear with dose reduction, and are not usually life- or organ threatening. In most patients, tolerance develops to the most common side effects, dizziness, and somnolence, with time. With close clinical monitoring at initiation or dose titration, pregabalin can be effectively used in primary care setting. Pregabalin is cost saving with long-term use and its cost-effectiveness profile is comparable, if not better, to that of other drugs used in fibromyalgia. In the present era of limited therapeutic options, pregabalin undoubtedly retains its role as one of cardinal drugs used in the treatment of fibromyalgia. This review intends to discuss the clinical utility of pregabalin in the management of fibromyalgia with a focus on efficacy, safety, and cost-effectiveness. Keywords: fibrositis, myofascial pain, diffuse pain syndrome, lyric