Author Archives: Sarenka Smith

Artificial Sweeteners: Tied to Stroke & Dementia

A new study published in the American Heart Association’s journal Stroke suggests that artificial sweeteners, found in diet sodas, have considerable health risks for both the body and the brain.

The data was collected from the Framingham Heart Study, a project of the National Heart, Lung, and Blood Institute and Boston University, and involved data on 2,888 adults older than 45 and 1,484 adults older than 60 from Framingham, Massachusetts. In the group aged 45-and-older, researchers measured for increased risk of stroke; in the group aged 60-and-older, researchers measured for dementia.

The statistics analyzed how many sugary beverages and artificially sweetened soft drinks each person in the two different age groups drank, between the years 1991 and 2001. That data was than compared against the number of people who suffered from stroke or dementia in the next decade.

Researchers found that—juxtaposed against people who never drank artificially sweetened soft drinks—those who drank one per day were almost three times as likely to have an ischemic stroke. Those who drank one per day were also almost three times as likely to be diagnosed with dementia.

Previous studies have shown a strong association between the intake of sugar-sweetened beverages and a host of adverse health effects, including type 2 diabetes, obesity, and cardiovascular disease. Professor and chair of neurology at the University of Miami Miller School of Medicine Dr. Ralph Sacco confirms that this article “provides further evidence on artificially sweetened beverages and their possibly effects on vascular health…we believe the pathways of which artificially sweetened beverages would affect the brain are probably through vascular mechanisms.”

Moreover, artificial sweeteners have been shown to cause glucose intolerance in mice by altering gut microbiota, and have been associated with dysbiosis and glucose intolerance in humans. The cumulative research strongly indicates that there is no benefit to using artificial sweeteners, or drinking diet soda, compared to regular sucrose or sugary drinks.

To learn more about the gut-immune-brain connection, and the different ways in which various types of inflammation can affect the body and brain, register for Module VII: Autoimmune Disease & Inflammation, from August 10-12.

Lyme Disease Awareness Month

The Johns Hopkins Hospital in Baltimore has recently opened a new 16,000 square-foot $24 million facility, exclusively for the treatment of patients with chronic infectious diseases.

Named for the former director of the Hopkins’ division of infectious diseases, the John G. Bartlett Specialty Practice is expected to see approximately 170 patients each day. David Thomas, MD, director of the infectious diseases division at Johns Hopkins, explains that the geographic region of East Baltimore “has a greater burden of infectious diseases than most other regions of the country.”

The timing is particularly significant this month, as May represents Lyme Disease Awareness Month. Researchers and scientists across the country have consistently warned that the numbers of those afflicted with Lyme are expected to rise, calling the disease “a major U.S. public health problem.”

The Centers for Disease Control and Prevention are seeking to combat the rising epidemic, collaborating with local lawmakers and public health officials to raise awareness about Lyme and other tick-borne illnesses. Lawmakers in New York have recently spoken out in order to educate the public and medical community, in addition to fundraising money for further research.

There are approximately 329,000 new cases of Lyme disease each year, and the number of those infected is expected to increase. According to Rick Ostfeld, a disease ecologist at the Cary Institute of Ecosystem Studies, the illness is on track to produce its worst numbers in 2017. Moreover, many experts believe the true number of Lyme cases is higher than reported, as the Centers for Disease Control and Prevention require ‘objective measures’ like positive blood tests or rashes; therefore, estimates indicate that CDC surveillance only captures approximately 10% of reportable Lyme cases. There is currently no vaccine for Lyme disease, and many physicians have noted that the FDA-approved blood tests are often inaccurate.

In order to learn more about the complex, multi-faceted nature of chronic infectious diseases, sign up for our upcoming Chronic Infections, Inflammation, and Biotoxins Symposium in Las Vegas, on August 12th. Experts will review the epidemiology of chronic infections from a global public health perspective, while discussing the application of advanced diagnostic techniques, including nanotechnology and genomic sequencing.

ATTN: Pharmacists

The Ohio State Board of Pharmacy is proposing changes to the ways in which prescriptions for controlled substances are written, hoping to impose ICD-1O codes. ICD-10 codes are based upon the International Classification of Diseases, published by the World Health Organization, which uses unique alphanumeric codes to identify diseases and other health problems. These records are used by healthcare professionals for storage assistance, and retrieval of diagnostic information; ICD records are also used in the compilation and publication of national mortality / morbidity statistics.

For those pharmacists who use e-prescribing, software updates would likely be implemented; for those who use paper prescriptions, ICD-10 codes would require additional fields. For pharmacists who do not currently include ICD-10 codes in their prescribing software or electronic medical records, they would be required to locate the accurate ICD-10 code prior to filling prescriptions. These changes would likely add to the administrative burdens of pharmacists, as they would be compelled to obtain information from prescribers or prescribers’ agents prior to prescription dispensations. Further concerns focus on privacy, whether e-prescribing systems will be able to accommodate these changes, and–perhaps most importantly–concerns that these requirements would take away significant time from patient care.