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Even Mildly Abnormal Blood Sugar Levels During Pregnancy Increases Risk Of Developing Type 2 Diabetes
Gestational diabetes happens in more than three per cent of pregnancies in Ontario. Usually the condition resolves itself after delivery, but many studies have shown that these women are at a very high risk for developing "regular" type 2 diabetes later in life. New research out of the Institute for Clinical Evaluative Sciences (ICES) has found that even women with mild abnormalities in their blood sugar during pregnancy, previously thought not to have any clinical significance, are 2.5 times more likely to develop type 2 diabetes compared to those who had completely normal glucose testing.
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Delayed Muscle Response Complicates Sprained Ankle Rehab, BYU-Michigan Study Finds
Whether on the trail, at the gym, or even on the front-porch steps, what happens inside your ankle in the milliseconds following a single misstep could sentence you to a lifetime of ankle trouble.
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Lambda Legal Files Suit Against Assisted-Living Facility For Allegedly Discriminating Against HIV-Positive Resident
Lambda Legal, a group that represents HIV-positive people, on Tuesday filed a law suit against the Fox Ridge assisted-living facility in North Little Rock, Ark., for allegedly evicting a resident because he is HIV-positive, the Arkansas Democrat-Gazette reports.The Rev. Robert Franke, a retired biology and religion professor who was diagnosed with HIV in 1987, moved into Fox Ridge, which is operated by Parkstone Living Center, in February. The day after he moved into the facility, an unidentified administrator told his daughter, Sara Franke Bowling, that her "superiors" said Franke needed to be discharged from the facility "because of his HIV." Franke disclosed his HIV status on application materials before moving into the facility. The suit alleges that Parkstone violated the Fair Housing Act, the Americans with Disabilities Act and the Arkansas Civil Rights Act and requests a permanent injunction to prevent the facility from denying apartments or services to people living with HIV/AIDS. The suit also seeks compensatory and punitive damages and attorneys" fees and costs. The case was assigned to U.S. District Judge G. Thomas Eisele. The facility declined to comment on the suit. Julie Munsell, a spokesperson for the state Department of Human Services, said Arkansas law allows for people who have been discharged for assisted-living facilities to remain in the facility pending a hearing if the discharge is appealed. Munsell said the department"s Long-Term Care Division received notice that Franke was appealing the discharge but that the appeal was later dismissed without a hearing. According to Munsell, facilities are not permitted to discharge residents based on medical diagnoses but that some facilities have said they do not have the capacity to provide care for certain conditions. Munsell also said that Fox Ridge is "claiming that they did not admit this client so there is no need for a hearing." Scott Schoettes, staff attorney for Lambda"s HIV Project, said that Franke was not seeking medical care from Fox Ridge, although the facility does provide medical services. "He didn"t require any services beyond which they were licensed to provide," Schoettes said. Franke"s eviction is "particularly blatant and egregious, but unfortunately, not all that uncommon," Schoettes said, adding, "This happens all across the country. We want to send a message that this kind of discrimination is not going to be tolerated" (Satter, Arkansas Democrat-Gazette, 5/13).
Oncology

UCSF Nurses To Picket Hospital Over "Dangerous" New Staffing Policies

Protesting what they call a "dangerous and frightening" reduction in medical res, Registered Nurses from UCSF will picket their hospital this Wednesday, calling on administrators to immediately withdraw their proposal to increase patient loads for nurses by 25 to 100 percent. What: Nurses Picket UCSF Over Dangerous Patient Care Proposal Where: UCSF, 505 Parnassus, SF When: Wednesday, June 10, 11:30 a.m. to 1:30 p.m. The dispute arises from UCSF"s long-time refusal to schedule "break relief nurses" who step in to care for patients when the bedside RN takes her legally-mandated meal and rest breaks. The administration proposes to solve this by pulling one nurse per shift in every unit of the adult hospital and dedicating them to break relief. This proposal would have the effect of significantly increasing the workload of the nurses who care for UCSF patients. Nurses working on medical-surgical units could see their patient load jump from four to five, for example, an increase of 25 percent. Nurses in the ICU could see an increase from one patient to two, despite the fact that their critical acuity demands the undivided attention of a single nurse. The Agency for Health Research and Quality in May of 2007 laid out the dangers of this approach, finding that every patient a nurse is assigned (above four) leads to a 7 percent increased chance of mortality, in addition to a 53 percent higher chance of respiratory failure and a 17 percent increase in medical complications. "UCSF administration has ignored state law that requires patients to have adequate nursing care at all times, including when their bedside nurse is on their breaks. Rather than solving this staffing issue, UCSF is instead forcing through staffing cuts that will place our patients in grave danger. We cannot allow these staffing cuts to happen," said Maureen Dugan, RN on 13 Long, a medical-surgical unit that cares for patients recovering from abdominal, urologic or head and neck surgery. "UCSF is a unique hospital because we receive some of the sickest patients from around the world. It is imperative that our patient safety procedures and our nurse staffing reflect this," said Brady Logue, RN on 9 Long, the unit that cares for post-surgical patients after kidney, liver, or pancreas transplant surgery. The California Department of Public Health


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