Photo: Delta. Governments have been warned that any move to regulate overbooking practices on airlines could raise ticket prices.The International Air Transport Association warned that lawmakers and regulators should not get caught up in the “groundswell of outrage” following the forced removal of 69-year-old Dr David Dao from a United Express flight so staff could take his seat.IATA director general Alexandre de Juniac said everyone, including United, agreed there was no justification for what happened to Dao and the airline’s chief executive had repeatedly apologised.“The video was so shocking that it would be easy for lawmakers and regulators to get caught up in this groundswell of outrage and take steps to limit overselling of flights,’’ de Juniac said. “However, the management of overbooking has actually worked well for decades.“It ensures that scarce capacity is efficiently utilized; we see that in today’s record load factors. Overbooking helps airlines avoid empty seats, and that helps to keep costs—and fares—low.“Governments have acknowledged that this ultimately benefits consumers. “De Juniac said any industry level change should involve transparent fact-based dialogue between industry and regulators.“We must be careful to not risk undoing the many benefits unleashed by the competitive forces of deregulation,” he said.The comments come as legislators in the US are threatening to introduce bills addressing issues such as overbooking and airline earlier this week faced a congressional committee looking at passenger rights. A number of US carriers, including United, have pledged to address the issue voluntarily.The increased focus has also seen a spate of media and social media reports about passengers claiming they are being mistreated by airlines.The latest of these saw Delta Air Lines apologise to a Californian family after they were removed from a plane in Hawaii after they refused to give up a seat they had bought for a son was not travelling with them but was occupied by his two-year-old brother.The family claimed a flight attendant told them the mother faced jail and their children would be taken from them unless they gave up the seat.They disembarked from the redeye service to Los Angeles and were forced to find a hotel and book another flight the next day at a cost of $US2000.“We are sorry for the unfortunate experience our customers had with Delta, and we’ve reached out to them to refund their travel and provide additional compensation,’’ the airline said.
I would like to introduce a guest blogger this week and an expert in Diabetes education. Enjoy this new material.Eating for Target Blood Glucose levelsImage from University of Illinois Extension Your Guide to Diet and DiabetesBy Donna Ryan RN, RD, MPH, CDE, FAADEAs a diabetes educator, I am humbled sometimes (okay, often) by what I learn from people who live with diabetes every day. Simple assessment questions can open the flood gates of information, or elicit one word answers. If I listen closely and ask probing questions, I occasionally get a glimpse into the fear, sadness and/or resignation of living with a disease that can cause incredibly high, and paradoxically low, blood sugar. In many patients, these extremes in blood sugars are intertwined and a focused assessment is needed. And though it is counterintuitive, I have found many patients who present with hyperglycemia and high blood glucose values have a history of hypoglycemia events.The body senses hypoglycemia, or low blood sugar, as a life threatening event and patients have told me ‘I felt like I was going to die’, ‘I was frozen in my body’ and ‘it’s the worst feeling I have ever had’. Avoiding hypoglycemia is a survival mechanism and can have a deleterious effect on diabetes self-care behaviors. For example, the fear of hypoglycemia drives some people to not take their insulin or pills as ordered and to overeat in an attempt to prevent going low. This then can then lead to hyperglycemia, poor diabetes control, and likely, the label of ‘noncompliance’.I ask patients to tell me their hypoglycemia stories: How does it feel, how do you know you are low? How low does your sugar have to go to feel low? How do you treat it? Who helps you? And, ‘Do you sometimes not take your meds for fear of a low blood sugar or eat extra food to avoid a low’? Some amazing and humbling answers I have received include: ‘I don’t feel my lows until I’m in the 30s’ ‘My cat licks me in the middle of the night and wakes me up when I am low’. Or, ‘Jesus wakes me up in front of the refrigerator and sometimes He wakes me up when I’m on the floor and I crawl to the kitchen to get my juice’. Family members have told me they have to ‘pull grandma out from under the bed’ when she has a low blood sugar, which is where she rolls when she has an attack. I ask if they tell their doctor these stories, and many do not. Why? They believe it’s a part of having diabetes that they must live with, they are waiting until the next appointment to tell them (in 3-6 months), or they ‘forget’ to tell them. Some patients are surprised to learn that a severe, prolonged hypoglycemic event can be fatal.How can we intervene and help minimize the toll of hypoglycemia? Ask, listen and educate.Know who is high risk for hypoglycemiaAsk about signs, symptoms, frequency of hypoglycemiaEducate patients and families how to detect, prevent and treat hypoglycemiaEncourage patients to wear medical alert identificationTeach ALWAYS check blood sugars before taking your diabetes medicines. Why? If glucose is already low, it’s best to treat the low first.And most importantly: Notify the doctor of low blood sugars, as a change may be needed to the medical plan.Technology is now making it easier to detect low blood sugars. For patients with recurring and severe hypoglycemia, continuous glucose monitors (CGMs) are available to augment checking sugars with a meter. Some CGMs alert the patient when their glucose is going low. See the resources below to learn more about hypoglycemia and diabetes.References:http://www.niddk.nih.gov/health-information/health-topics/Diabetes/hypoglycemia/Pages/index.aspx http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/hypoglycemia-low-blood.html http://dtc.ucsf.edu/living-with-diabetes/complications/hypoglycemia/ http://www.niddk.nih.gov/health-information/health-topics/Diabetes/continuous-glucose-monitoring/Pages/index.aspx http://www.diabetesselfmanagement.com/ This post was written by Donna Ryan RN, RD, MPH, CDE, FAADE, Diabetes Educator Sacred Heart Hospital, Pensacola, FL. and Director American Academy of Diabetes Educators (AADE) and posted by Robin Allen, a member of the Military Families Learning Network (MFLN) Nutrition and Wellness team which aims to support the development of professionals working with military families. Find out more about the MFLN Nutrition and Wellness concentration on our website, on Facebook, on Twitter and on LinkedIn.
Senior pros VVS Laxman and Rahul Dravid struck half centuries as India ended the fourth day’s play at 229 for three in the second Test match against the West Indies being played at the Kensington Oval thereby extending their overall lead to 240 runs. Score | PhotosAt stumps, Laxman (72 batting, 171 balls, 6×4) having scored his second 50 of the match was batting in company of Virat Kohli (26 batting, 98 balls, 1×4, 1×6) having added 75 runs for the undefeated fourth wicket partnership. Dravid scored a slow 55 (171 balls, 3×4) while Abhinav Mukund (48, 6×4) was unlucky to miss out on his maiden Test half century.However almost all the Indian batsmen employed a sedate approach as the visitors could only manage 206 runs in a whole day’s play that saw 83.2 overs being sent down by the Caribbean bowlers.It will be interesting to find out as to when Mahendra Singh Dhoni decides to declare so that he can give his bowlers enough chance to take 10 wickets.India are 1-0 up in the series having clinched the first Test in Jamaica by 63 runs last week.Dravid and Laxman themselves put on 65 runs for the fourth wicket but it was their presence that helped two young Indian batsmen to play confidently.Both Mukund and Kohli played their first substantial innings of the tour as India produced 62, 65 and 75 runs for second, third and fourth wickets respectively.The day began ominously for the Indians who once again lost opener Murali Vijay (3) early as he edged a Ravi Rampaul delivery behind the stumps.advertisementVijay now has scores of 8,0, 11 and 3 from the series and would be very lucky if he manages to retain his berth in the final Test in Dominica (July 6-10). In fact it seems that he has blown away the chance to make it to the squad for England.India didn’t find the going particularly good thereafter though Mukund grew in assurance with every passing minute in the middle.Most of the concerns, strangely, revolved around Dravid who unusually struggled on a bouncy pitch and lived dangerously.He was also at the centre of an umpiring controversy when he flicked Darren Sammy to midwicket region and fielder Adrian Barath made a tumbling scoop to claim a catch.Several replays and after a five-minute hold up, the claim was rejected and Dravid, then on 10, could continue his innings. It was the 17th over of the innings, the 12th of the morning session with the visitors’ score reading 47 for 1.Even after the two umpires, Ian Gould and Asad Rauf, had resumed their positions, and the fielders and bowlers were back in their place, the third umpire Gregory Brathwaite kept lingering over the decision before ruling it in batsman’s favour.Mukund and Dravid then held steadfast to guide India to 62 for 1 from the session which duly lost an hour due to rain as has been the norm in this Test.The elegance of young Mukund was much in evidence as he always got behind the line of the delivery and played a few pleasing strokes down the ground. But for one occasion when a Fidel Edwards bouncer hit him on the helmet, the left-hander was usually in control. Mukund’s one stroke, a glorious cover drive off Darren Sammy, stood out from the morning session’s play.The southpaw fell after lunch, just two runs shy of his maiden half century, when he rose on his heels to an Edwards bouncer which still took his gloves on way to the wicketkeeper.Mukund batted for 153 minutes and hit six fours from the 81 balls he faced. He was a picture of dejection as he walked back to pavilion.Dravid now had his long-stand partner Laxman at the other end who withstood all that West Indies could muster from its four-pronged attack. Both took India to tea without any further loss at 143 for 2.Dravid fell in an uncharacteristic manner post-tea when he slashed at a rising delivery from Edwards and was puched by Ramnaresh Sarwan at first slip.The veteran batsmen batted for 221 minutes, faced 171 balls and hit three fours, two of which were steers past the slip cordon.Dravid’s departure brought the sparse crowd on its feet as they anticipated Edwards to make short work of Virat Kohli once again.The fielders began crouching around the bat and Kohli once nearly played into the hands of forward short leg as well but West Indies didn’t get the breakthrough they were looking.Kohli held firm even as runs were not coming and opened his score in pulled six off Edwards?even though it took 22 balls in coming.advertisementLaxman batted without a worry at the other end, going past Sir Garfield Sobers’ run aggregate of 8032 runs on the home ground of the most talented all-round cricketer the world has ever seen. Laxman was unfazed by anything the West Indies could throw at him, hooking Edwards in front of square leg for a boundary and then essaying a classic on-drive off Darren Sammy which gathered pace and hit the pickets despite a heavy outfield.A hapless West Indian team decided against taking the second new ball as both its premier fast bowlers, Edwards and Rampaul, were exhausted by a long day’s exertions.Rain did intervene during the day but not in the manner it had on two previous days. An hour was lopped off due to rain in the morning and then the middle session could begin after a 10-minute delay.- With inputs from PTI