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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 >

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 >

Is that sleeping pill you took last night making it tougher for you to drive in the daytime? What about a heart medication? Or a new antidepressant? New research shows that many people taking prescription drugs aren’t aware that their meds could impair their ability to drive. “Most are aware of the potential dangerous side effects of sedatives and narcotics, but other medications — such as some antihistamines, some antidepressants, some blood pressure medications, muscle relaxants and even stimulants — may affect driving ability,” noted Dr. Alan Mensch, who reviewed the study findings. The findings have both medical and legal implications, added Mensch, who’s medical director at Plainview Hospital in New York. “Not commonly appreciated is that a DUI (driving under the influence) charge may not only involve alcohol or illegal substances. Drivers can also be charged with DUI related to prescription, as well as over-the-counter medications,” Mensch noted. The new study was led by Robin Pollini, of the Injury Control Research Center at West Virginia University. Reporting Nov. 1 in the Journal of Studies on Alcohol and Drugs, her team tracked 2013-2014 data from the National Roadside Survey. That survey asked more than 7,400 drivers at 60 sites across the United States about their current medication use. Nearly 20 percent of the drivers reported recent use of a prescription medication that could have affected… read on >