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Sleep Apnea Widely Undiagnosed Among Obese Type 2 Diabetics
Sleep apnea has long been known to be associated with obesity. But a new study published in the June issue of Diabetes Care finds that the disorder is widely undiagnosed among obese individuals with type 2 diabetes - nearly 87 percent of participants reported symptoms, but were never diagnosed.
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Better Classification And Treatment Of Juvenile Arthritis Via Gene Expression
Scientists have discovered gene expression differences that could lead to better ways to classify, predict outcome, and treat juvenile idiopathic arthritis (JIA). Eventually such findings could enable doctors to target more aggressive treatment to children at risk of more severe arthritis, while those likely to have milder disease could be spared the stronger treatments that carry a greater risk of side effects. The researchers were supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), a part of the National Institutes of Health.
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Pinal County Public Health & State Confirm H1N1-related Death
Pinal County Public Health officials have received confirmation that a 64-year-old woman who died last week was positive for the H1N1 virus. The woman had underlying health conditions and was being treated for pneumonia at the time of her death.
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Fecal Incontinence And Quality Of Life

Fecal incontinence (FI) is a normal part of aging, or the perception that no treatment is available. Doctors may fail to comprehend patient hints about diarrhea and FI or may be reluctant to ask about fecal leakage, perhaps because of their own embarrassment or the perception that FI is a trivial concern. A team led by Lynne Bartlett from James Cook University in Australia addressed this issue and their article was published on July 14, 2009 in the World Journal of Gastroenterology. The Fecal Incontinence Quality Of Life (FIQL) questionnaire, a disease-specific tool, was designed to evaluate the impact of FI on four aspects of patients" QOL: lifestyle; coping behavior; depression or self perception; and level of embarrassment. Each aspect is described as a score measured on a scale between 1 and 4, where 1 is very affected and 4 is not affected. The results revealed that more than 22% of patients had their QOL affected severely by FI. Patients reported that they had not previously been asked about FI by a medical practitioner nor did they voluntarily disclose its presence. Furthermore, the negative impact on participants" lives worsened with the loss of both solid and liquid stool and the increased frequency and quantity of soiling. Recent reports have highlighted the impact conservative treatments have had on the QOL of patients with FI. This study reports that despite these improvements many people continue to suffer unaware of some advances. Reference: Bartlett L, Nowak M, Ho YH. Impact of fecal incontinence on quality of life. World Journal of Gastroenterology 2009; 15(26): 3276-3282 http://www.wjgnet.com/1007-9327/15/3276.asp Correspondence to: Lynne Bartlett, Fecal Incontinence Research Group, School of Public Health, Tropical Medicine & Rehabilitation Sciences, James Cook University, Townsville, Queensland 4811, Australia. Lai-Fu Li World Journal of Gastroenterology


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