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People’s chances of living longer have been increasing dramatically for decades. But, that seems to have slowed recently, a new worldwide study has found. The sharpest decline has come in countries that already had the shortest life expectancy, according to researchers from the Johns Hopkins Bloomberg School of Public Health in Baltimore. They said the slowdown in life expectancy gains does not mean that humans have simply reached their maximum biological life span. Rather, the researchers argue that their findings could mean that recent medical advances have not sustained historic increases in average life expectancy. “This is not about us hitting the ceiling,” researcher David Bishai said in a Hopkins news release. “The slowdown has been sharpest in countries that have the most life expectancy to gain.” Bishai is a professor in the school’s Department of Population, Family and Reproductive Health. “It’s a rebuke to the idea that you can fix global health just by inventing more stuff,” he said. “New health technology has been essential to making strides in life expectancy, of course, but our predecessors in the 1950s were making faster progress with the basics of soap, sanitation and public health.” In the 1950s, the study found, life expectancy worldwide increased, on average, by 9.7 years in a decade. Since 2000, however, the increase in a decade has been just 1.9 years. The…  read on >

For people who have both type 2 diabetes and heart failure, new research offers a mixed message on taking a daily low-dose aspirin. The study found the daily pill can reduce the risk for heart failure-related hospitalization and death in people who have both conditions. However, it also found that a daily aspirin raises their risk for nonfatal heart attack and stroke. The findings came from the analysis of data from more than 12,000 residents of the United Kingdom, 55 and older. They all had heart failure and type 2 diabetes, but no history of heart attack, stroke, peripheral artery disease or the heart rhythm disorder atrial fibrillation. During a five-year span, those who took a low-dose aspirin a day were 10 percent less likely to have been hospitalized or to have died because of heart failure than those who did not. But they were 50 percent more likely to have had a nonfatal heart attack or stroke. Aspirin is a blood thinner that reduces the risk for blood clots. Both heart failure and diabetes increase the risk for blood clots that can lead to heart attack and stroke. About 27 million people in the United States have type 2 diabetes, and about 6.5 million U.S. adults have heart failure, the researchers said. Though a low-dose daily aspirin is recommended for people who’ve had a…  read on >

An electronic health record, or EHR, is the digital version of the paper records documenting your health care. These online records are an advance in health management in many ways. These records mean fewer and shorter forms to fill out at appointments. Your information gets to all of your providers so they can coordinate your care and prevent problems like harmful drugs interactions. You won’t need to repeat tests for different doctors because they all have access to all of your results. And you can more easily access your records to better track your care. Electronic health records can improve: Your care and care coordination. Your role in your care. The accuracy of your diagnoses. Health care costs. But what about the safety of your records? HIPAA Privacy and Security Rules were enacted to keep your health information secure, requiring health care providers and health plans to safeguard both paper and electronic records. Providers must assess the security of their EHR systems, follow technical safeguards, and have risk-management policies and procedures in place to evaluate, address and prevent risks. They must also notify you and the U.S. Department of Health and Human Services of any breach, plus notify the media and the general public if the breach affects more than 500 people. Portal security safeguards should include: Instituting controls, including passwords. Encrypting your information. Doing…  read on >

Single dads have been played for laughs in countless TV sitcoms, from “The Andy Griffith Show” and “My Three Sons” up to modern takes such as “Arrested Development” and “Louie.” But in real life, being a single dad is tough — so much so that it can lead to an early grave, Canadian researchers report. “We found that single fathers had a threefold higher mortality compared to single moms and partnered dads, and a fivefold higher mortality compared to partnered moms,” said lead researcher Maria Chiu. She is a scientist with the Institute for Clinical Evaluative Services at the University of Toronto. Over the course of a decade, you can expect six single dads to die versus two single moms, two partnered fathers and one partnered mother out of every 100 parents from each group, Chiu said. Single-parent families headed by fathers are becoming more commonplace around the world, largely due to increasing rates of divorce, separation and children born out of wedlock, the researchers said. More than 2.6 million households in the United States are headed by single dads, a ninefold increase since the 1960s, the study authors noted. Despite this, most research on single parents has focused on single mothers, Chiu said. No study to date has compared the life expectancy of single dads, single moms and partnered couples. To investigate, Chiu and…  read on >

Driver fatigue causes many more car accidents in the United States than previously estimated, a new report suggests. The finding comes from an analysis of several months’ worth of video recordings taken of nearly 3,600 Americans while they were driving. During that time, participating drivers were involved in 700 accidents. All participants’ vehicles had been outfitted with a dash-cam video recorder. That allowed researchers to analyze each driver’s face in the minutes right before crashing. The researchers also had video of the road scene in front of the drivers. Together, the footage suggested that the percentage of accidents involving sleepy drivers was about eight times higher than current federal estimates. The finding was highlighted in a report released Thursday by the AAA Foundation for Traffic Safety. The foundation describes the investigation into drowsy driving as the most in-depth of its kind to date. “Driver drowsiness is a notoriously difficult problem to quantify because it typically doesn’t leave behind evidence that a police officer can observe after the fact when investigating a crash — in contrast to alcohol, for example,” said Brian Tefft, a senior research associate with the foundation in Washington, D.C. “Thus, we expected that our study would find that the problem was substantially bigger than the official statistics from the U.S. DOT [Department of Transportation] suggest,” he said. “But we were still surprised…  read on >

Fruits and veggies are great ways to get important nutrients, try new tastes, and add low-calorie sides to your meals. When fresh isn’t available or affordable, frozen is a healthy option. Look for fresh-frozen fruits and vegetables that have been properly stored, the U.S. Department of Agriculture recommends. Packages should feel firm. They shouldn’t be limp, wet or sweating, which are signs of thawing. However, when choosing vegetables and fruits sold in bags, you should be able to feel individual pieces, not large solid blocks of food, which could signal that the contents thawed and re-froze. Avoid stained packages or any with visible ice crystals, other signs of defrosting and re-freezing. Choose plain frozen vegetables without any butter, sauce or added salt. Choose plain frozen fruit without any added sugar. These are also the best options when adding the food to a recipe. Look for U.S. grade standards that measure quality. These are optional, so they’re not always printed on the package. But when they are, Grade A fancy vegetables have the most color and tenderness. Grade B aren’t quite as perfect and have a more mature, slightly different taste. Grade C are less uniform in color and flavor but are fine for soups and stews. Grade A fruits are near picture-perfect. Grade B, the most common fruit grade, signals very good quality. Grade C…  read on >

If the constant stream of bad news from around the world gets to you, one psychiatrist suggests that helping others might make you feel better. “The sheer volume of stressful events occurring on a near-daily basis can make people feel pessimistic or fearful,” said researcher Emanuel Maidenberg, a clinical professor of psychiatry at the University of California, Los Angeles. “As we continue adapting to the ever-increasing speed of the news cycle, it’s important to take a moment to explore the impact it is having on how we feel, behave and think, to better take care of ourselves,” he added in a university news release. Maidenberg suggested a number of ways to cope with an uncertain world. You can gain a sense of control by helping others. Making a donation or volunteering your time to help others can ease feelings of helplessness, he said. If you feel overwhelmed, seek social support. This could include something like joining a book club or other type of group, Maidenberg explained. In addition, it’s a good idea to do more leisure activities that you enjoy, get more exercise, and maintain a consistent sleep schedule. Finally, Maidenberg advised, limit your exposure to news. Restrict it to certain times of the day or certain days of the week. It might also be a good idea to limit your sources of news. For…  read on >

You may not want to sit down for this. New research finds the mere act of standing burns more calories over time compared to sitting, and anyone bent on weight loss may want to remain upright a few more hours each day. In fact, standing for six hours each day — at a ‘standing desk’ at the office, for example — could help you shed more than five pounds in one year, the new study found. Even though the notion of standing instead of sitting for a few more hours per day might seem daunting, “for the person who sits for 12 hours a day, cutting sitting time to half would give great benefits,” said study author Dr. Francisco Lopez-Jimenez. He’s chair of preventive cardiology at the Mayo Clinic in Rochester, Minn. “Standing not only burns more calories,” Lopez-Jimenez said in a Mayo news release, “[but] the additional muscle activity is linked to lower rates of heart attacks, strokes and diabetes, so the benefits of standing could go beyond weight control.” One cardiologist who read over the findings agreed. “Any amount of exercise is good exercise,” said Dr. Rachel Bond, who directs Women’s Heart Health at Lenox Hill Hospital in New York City. “When it comes to sitting, we can see clear-cut detrimental effects to cardiovascular disease risk factors.” Numerous recent studies have found that…  read on >

Still looking for a New Year’s resolution? Consider strength training. It’s important for everyone, regardless of age, gender and how developed you do and don’t want to get. Strong muscles make everyday activities easier and allow you to maintain your independence throughout life. But you don’t have to go to a gym to get in these workouts. If you prefer machines to free weights yet have limited space, an all-in-one home weight machine with multiple stations for upper and lower body workouts is a great option. There are many different types of such machines and you’ll want to try out the various options to see what feels most comfortable, according to experts from the American College of Sports Medicine. Machines with weight stacks allow you to change the resistance from tens to hundreds of pounds by moving a pin. Some popular machines have rods or cables that you move to increase tension and resistance. Others use fluid-filled hydraulic pistons. And still others use your own bodyweight to create the resistance — you increase the difficulty just by sliding a lever. Many machines come with directions for a workout that targets all your muscle groups. It might take trial and error to find the right starting weight for each exercise. But as with any strength-training program, your goal for each movement is to build up to…  read on >

If you think your battle against obesity ends on the operating table, you’re mistaken. “Exercise and eating smaller portions have to be part of your lifestyle change in order to be successful” after weight-loss surgery, said Dr. Ann Rogers, director of Surgical Weight Loss at Penn State Medical Center, in Hershey, Pa. It’s also important to keep a detailed food journal, she added. “It’s unbelievably helpful at getting people back on track because it forces them to be accountable,” Rogers said in a Penn State news release. Patients must also keep all follow-up appointments with their doctor. “There’s a lot of evidence that people who see their doctor regularly after surgery do better,” Rogers said. Some people are afraid of potential complications from weight-loss surgery, but for most, Rogers said, “it’s safer than choosing to live their lives as obese.” Doctors usually recommend patients try different types of diet and exercise for at least five years before considering weight-loss surgery. They should also have at least one serious weight-related health problem, such as diabetes, or a body mass index (BMI) of 35 or greater. BMI is a rough estimate of a person’s body fat based on height and weight. “Most of our patients have tried diet and exercise for their whole lives,” Rogers said. “Yet a lot of them have still been overweight or obese…  read on >