Purpose: The aim of this study was to identify educational priorities to ensure school health teachers’ competencies in managing students’ type 1 diabetes. Methods: A secondary analysis of the data from a cross-sectional study involving 188 health teachers was conducted. Fourteen specific competencies were identified through a literature review. Using paired t-tests, differences between knowledge levels and perceived importance were analyzed. The Borich needs assessment measured the gap between knowledge and perceived importance, and the locus for focus model presented the priorities. Results: Of the participants, 75.5% (n=142) had experience caring for students with type 1 diabetes. The discrepancy between perceived importance and knowledge level regarding the “management of the latest diabetes devices” was found to be the most significant difference (t=18.36, p<.001). High-priority competencies revealed by the Borich needs assessment and the locus for focus models included “latest guidelines,” “emergency management,” and “dietary management.” Prioritization differences were noted for the competencies “management of the latest diabetes devices,” “unique issues during the school life of children,” and “psychological issues;” the differences were dependent on the health teachers’ experience managing students with type 1 diabetes. Conclusion An educational program for health teachers is needed to enhance their competencies in managing the latest diabetes devices, handling emergencies, addressing unique issues, and staying informed about the latest insights on type 1 diabetes. Tailored education should be provided based on health teachers’ experience in managing students with type 1 diabetes.

Purpose: The aim of this study was to identify educational priorities to ensure school health teachers’ competencies in managing students’ type 1 diabetes. Methods: A secondary analysis of the data from a cross-sectional study involving 188 health teachers was conducted. Fourteen specific competencies were identified through a literature review. Using paired t-tests, differences between knowledge levels and perceived importance were analyzed. The Borich needs assessment measured the gap between knowledge and perceived importance, and the locus for focus model presented the priorities. Results: Of the participants, 75.5% (n=142) had experience caring for students with type 1 diabetes. The discrepancy between perceived importance and knowledge level regarding the “management of the latest diabetes devices” was found to be the most significant difference (t=18.36, p<.001). High-priority competencies revealed by the Borich needs assessment and the locus for focus models included “latest guidelines,” “emergency management,” and “dietary management.” Prioritization differences were noted for the competencies “management of the latest diabetes devices,” “unique issues during the school life of children,” and “psychological issues;” the differences were dependent on the health teachers’ experience managing students with type 1 diabetes. Conclusion An educational program for health teachers is needed to enhance their competencies in managing the latest diabetes devices, handling emergencies, addressing unique issues, and staying informed about the latest insights on type 1 diabetes. Tailored education should be provided based on health teachers’ experience in managing students with type 1 diabetes.

Purpose: The aim of this study was to identify educational priorities to ensure school health teachers’ competencies in managing students’ type 1 diabetes. Methods: A secondary analysis of the data from a cross-sectional study involving 188 health teachers was conducted. Fourteen specific competencies were identified through a literature review. Using paired t-tests, differences between knowledge levels and perceived importance were analyzed. The Borich needs assessment measured the gap between knowledge and perceived importance, and the locus for focus model presented the priorities. Results: Of the participants, 75.5% (n=142) had experience caring for students with type 1 diabetes. The discrepancy between perceived importance and knowledge level regarding the “management of the latest diabetes devices” was found to be the most significant difference (t=18.36, p<.001). High-priority competencies revealed by the Borich needs assessment and the locus for focus models included “latest guidelines,” “emergency management,” and “dietary management.” Prioritization differences were noted for the competencies “management of the latest diabetes devices,” “unique issues during the school life of children,” and “psychological issues;” the differences were dependent on the health teachers’ experience managing students with type 1 diabetes. Conclusion An educational program for health teachers is needed to enhance their competencies in managing the latest diabetes devices, handling emergencies, addressing unique issues, and staying informed about the latest insights on type 1 diabetes. Tailored education should be provided based on health teachers’ experience in managing students with type 1 diabetes.

Objective: To explore if the modified cervical and shoulder retraction exercise program restores cervical lordosis and reduces neck pain in patients with loss of cervical lordosis. Methods: This study was a retrospective analysis of prospectively collected data. Eighty-three patients with loss of cervical lordosis were eligible. The eligible patients were trained to perform the modified cervical and shoulder retraction exercise program by a physiatrist, and were scheduled for a follow-up 6 to 8 weeks later to check the post-exercise pain intensity and lateral radiograph of the cervical spine in a comfortable position. The parameters of cervical alignment (4-line Cobb’s angle, posterior tangent method, and sagittal vertical axis) were measured from the lateral radiograph. Results: Forty-seven patients were included. The mean age was 48.29±14.47 years. Cervical alignment and neck pain significantly improved after undergoing the modified cervical and shoulder retraction exercise program (p≤0.001). The upper cervical lordotic angle also significantly improved (p=0.001). In a subgroup analysis, which involved dividing the patients into two age groups (<50 years and ≥50 years), the change of the sagittal vertical axis was significantly greater in the <50 years group (p=0.021). Conclusion The modified cervical and shoulder retraction exercise program tends to improve cervical lordosis and neck pain in patients with loss of cervical lordosis.

A 43-year-old male presented with daytime sleepiness at work and indifferent behavior like never before. Two weeks prior to hospital admission, he had episodic memory loss with well preserved remote memory. Brain MRI showed a dural arteriovenous fistula (DAVF) in the right lateral transverse sinus with a bilateral thalamic venous infarction. Cerebral angiography confirmed a right transverse sigmoid dural arteriovenous fistula with a feeding artery of the right occipital artery and left posterior meningeal artery. The DAVF was completely eliminated through multiple endovascular interventions. Recently, endovascular treatment has become one of the main therapeutic options to obliterate a fistulous site, which has led to a rapid diagnostic approach and management of DAVFs with high curative rates. We report a rare case of posterior fossa located at a dural arteriovenous fistula that caused rapid progressive dementia and was successfully eliminated through only endovascular treatment.
Adult ; Arteries ; Brain ; Central Nervous System Vascular Malformations* ; Cerebral Angiography ; Colon, Sigmoid ; Dementia* ; Embolization, Therapeutic ; Humans ; Infarction ; Magnetic Resonance Imaging ; Male ; Memory, Episodic ; Memory, Long-Term ; Meningeal Arteries

Along with the development of innovative stent designs, preclinical trials in animal models are essential. Many animal models have been used and appear to yield comparable results to clinical trials despite substantial criticisms about their validity. Among the animal models, porcine coronary artery models have been the standard models for the preclinical evaluation of endovascular devices. However, rapid growth rate, high body weight potential, and the propensity to develop granulomatous inflammatory reactions are major limitations of the porcine coronary artery model. Compared with porcine coronary artery models, the comparative rabbit iliac artery model has the advantages of being small and easy to handle and relatively inexpensive. Furthermore, the rabbit model has been known to reliably reflect human restenosis histopathologically and have major advantages such as pairwise comparison, which makes each animal serve as its own control subject, therefore, maximizing its statistical power for comparative testing. However, despite the widespread use of this model, a systematic description of the procedure and harvest protocols has never been published. This article describes the surgical procedure, stent implantation procedure, method for tissue harvesting, and how measurements are performed. Although the results of animal models may not perfectly extrapolate to humans, the comparative rabbit iliac artery model may be a useful tool for assessing and comparing the efficacy of new coronary stents with conventional stent systems. This thorough description of the techniques required for vascular access, stent implantation, tissue preparation, and measurement, should aid investigators wishing to begin using the comparative rabbit iliac artery model.
Animals ; Body Weight ; Coronary Vessels ; Humans ; Iliac Artery ; Models, Animal ; Rabbits ; Research Personnel ; Stents* ; Tissue and Organ Harvesting