Alcohol and Alcoholism,
Год журнала:
2024,
Номер
59(6)
Опубликована: Сен. 21, 2024
Abstract
Background
Vaccine
hesitancy
is
increasingly
recognized
as
a
health
challenge
affecting
populations
worldwide.
Given
the
biological
vulnerabilities
and
structural
barriers
people
who
use
substances
and/or
have
behavioral
addictions
face,
this
systematic
review
aims
to
evaluate
whether
subpopulation
less
prone
adhere
vaccination
recommendations.
Methods
Electronic
searches
of
published
original
research
were
conducted
in
PubMed,
EMBASE,
Scopus,
PsycINFO
from
database
inception
December
2022.
Our
strategy
encompassed
retrievals
regardless
languages
date
publication.
Animal
studies,
abstracts
without
full
manuscript,
studies
which
considered
lower
robustness
scientific
evidence
excluded.
Outcomes
measured
vaccine
acceptance,
uptake,
adherence.
Results
interpreted
through
narrative
synthesis.
The
search
yielded
103
encompassing
data
collected
on
5
576
374
persons
predominantly
residents
Europe
(n
=
39)
North
America
27).
Tobacco
use,
substance
for
many
found
91),
was
significantly
associated
with
poorer
uptake
adherence
influenza,
COVID-19,
human
papillomavirus
(HPV),
maternal
childhood
vaccines.
Peri-natal
parental
identified
risk
factor
suboptimal
vaccine-related
outcomes
concerning
COVID-19
Finally,
‘using’,
‘abusing’,
or
‘misusing’
drugs
may
be
at
decreased
odds
all
various
Conclusions
Collectively,
several
groups
statistically
significant
greater
engagement
among
whom
targeted
measures
could
beneficial.
Timely
evidence,
especially
besides
tobacco,
lacking,
warrants
urgent
attention.
Clinical and Molecular Hepatology,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 9, 2025
Alcohol
represents
a
leading
burden
of
disease
worldwide,
including
alcohol
use
disorder
(AUD)
and
alcohol-related
liver
(ALD).
We
aim
to
assess
the
global
AUD,
ALD,
alcohol-attributable
primary
cancer
between
2000-2021.
registered
regional
trends
using
data
from
Global
Burden
Disease
2021
Study,
largest
most
up-to-date
epidemiology
database.
estimated
annual
percent
change
(APC)
its
95%
confidence
interval
(CI)
changes
in
age-standardized
rates
over
time.
In
2021,
there
were
111.12
million
cases
3.02
132,030
cancer.
Between
2000
was
14.66%
increase
38.68%
94.12%
prevalence.
While
prevalence
rate
for
increased
(APC:
0.59%,
[CI]
0.52
0.67%)
these
years,
it
decreased
ALD
-0.71%,
CI
-0.75
-0.67%)
AUD
-0.90%,
-0.94
-0.86%).
There
significant
variation
by
region,
socioeconomic
development
level,
sex.
During
last
years
(2019-2021),
prevalence,
incidence,
death
greater
extent
females.
Given
high
cancer,
urgent
measures
are
needed
prevent
them
at
both
national
levels.
Hepatology Communications,
Год журнала:
2023,
Номер
7(7)
Опубликована: Июнь 14, 2023
Alcohol
use
disorder
(AUD)
rates
have
risen
dramatically
in
the
United
States,
resulting
increasing
of
alcohol-associated
liver
disease
(ALD),
but
many
patients
struggle
to
access
alcohol
treatment.
AUD
treatment
improves
outcomes,
including
mortality,
and
represents
most
urgent
means
by
which
care
can
be
improved
for
those
with
(including
ALD
others)
AUD.
involves
3
steps:
detecting
use,
diagnosing
AUD,
directing
Detecting
involve
questioning
during
clinical
interview,
standardized
surveys,
biomarkers.
Identifying
are
interview-based
processes
that
should
ideally
performed
a
trained
addiction
professional,
nonaddiction
clinicians
surveys
determine
severity
hazardous
drinking.
Referral
formal
made,
especially
where
more
severe
is
suspected
or
identified.
Therapeutic
modalities
numerous
include
different
forms
one-on-one
psychotherapy,
such
as
motivational
enhancement
therapy
cognitive
behavior
therapy,
group
community
mutual
aid
societies
(such
Alcoholics
Anonymous),
inpatient
treatment,
relapse
prevention
medications.
Finally,
integrated
approaches
build
strong
relationships
between
professionals
hepatologists
medical
providers
caring
crucial
improving
this
population.
Alcohol
use
disorder
remains
a
significant
public
health
concern,
affecting
around
5%
of
adults
worldwide.
Novel
pathways
damage
have
been
described
during
the
last
years,
providing
insight
into
mechanism
injury
due
to
alcohol
misuse
beyond
direct
effect
ethanol
byproducts
on
liver
parenchyma
and
neurobehavioral
mechanisms.
Thus,
gut-liver-brain
axis
immune
system
involvement
could
be
therapeutic
targets
for
disorder.
In
particular,
changes
in
gut
microbiota
composition
function,
bile
acid
homeostasis,
shown
with
consumption
cessation.
can
also
directly
disrupt
intestinal
blood-brain
barriers.
Activation
triggered
by
barrier
dysfunction
translocation
bacteria,
pathogen-associated
molecular
patterns
(such
as
lipopolysaccharide),
cytokines,
damage-associated
patterns.
These
factors,
turn,
promote
brain
inflammation
progression
fibrosis.
Other
involved
mechanisms
include
oxidative
stress,
apoptosis,
autophagy,
release
extracellular
vesicles
miRNA
from
hepatocytes.
Potential
(probiotics
fecal
transplantation),
neuroinflammatory
pathways,
well
neuroendocrine
example,
ghrelin
(ghrelin
receptor
blockade),
incretin
mimetics
(glucagon-like
peptide-1
analogs),
mineralocorticoid
(spironolactone).
addition,
support
psychological
behavioral
treatments
is
essential
address
multiple
dimensions
future,
personalized
approach
considering
these
novel
contribute
significantly
decreasing
alcohol-associated
burden
disease.
Hepatology Communications,
Год журнала:
2024,
Номер
8(2)
Опубликована: Фев. 1, 2024
Management
of
cirrhosis
is
challenging
and
has
been
complicated
by
the
COVID-19
pandemic
due
to
decreased
access
care,
increased
psychological
distress,
alcohol
misuse.
Recently,
The
National
Institute
on
Alcohol
Abuse
Alcoholism
broadened
definition
recovery
from
use
disorder
include
quality
life
(QoL)
as
an
indicator
recovery.
This
study
examined
associations
alcohol-associated
etiology
problematic
drinking
with
liver
disease
QoL
(LDQoL).
The American Journal of Gastroenterology,
Год журнала:
2023,
Номер
119(2), С. 270 - 277
Опубликована: Июль 18, 2023
INTRODUCTION:
Alcohol-associated
liver
disease
(ALD)
is
rising
in
the
United
States
because
of
an
increase
high-risk
drinking,
but
population-level
ALD
cost
unknown.
Our
aim
was
to
project
direct
and
indirect
costs
associated
with
US
population
through
2040.
METHODS:
We
used
a
previously
validated
microsimulation
model
alcohol
consumption
parameters
estimated
from
publicly
available
data
sources,
including
National
Epidemiologic
Survey
Alcohol
Related
Conditions-III,
Center
for
Disease
Control
Prevention
Wide-ranging
Online
Data
Research,
Bureau
Labor
Statistics,
published
studies
informing
impact
on
severity
resident
population.
The
simulated
scenario
included
current
projected
ALD-associated
costs.
RESULTS:
From
2022
2040,
$880
billion,
$355
billion
healthcare-related
costs,
$525
lost
labor
economic
consumption.
annual
$31
$66
(118%
increase)
Although
female
makes
up
29%
these
2022,
by
2040
per
annum
basis,
would
be
43%
total
expenditure.
DISCUSSION:
Increased
population,
especially
females,
will
cause
steep
rise
burden
States.
These
findings
highlight
need
planners
policymakers
plan
increased
Abstract
Background
Mechanisms
and
consequences
of
Gasdermin
D
(GSDMD)
activation
in
alcoholic
hepatitis
(AH)
are
unclear.
In
the
present
study,
we
investigated
whether
GSDMD
induces
hepatocyte
pyroptosis
by
regulating
mitochondrial
dysfunction
AH.
Results
Liver
damage
AH
mice
was
assessed
HE
staining,
serum
levels
AST,
ALT,
TC,
TG.
The
IL-1β,
IL-18,
LDH,
inflammasome-associated
proteins
death
were
to
determine
pyroptosis.
Mitochondrial
through
various
parameters
including
DNA
(mtDNA)
levels,
ROS
generation,
membrane
potential,
ATP
contents,
function-related
morphological
changes
mitochondria.
induced
gasdermin
activation,
leading
increased
protein
expression
N-terminal
(GSDMD-N),
NLRP3,
Caspase
11
liver
tissues.
Downregulation
alleviated
alcohol-induced
Alcohol
also
causes
hepatocytes
AH,
which
improved
inhibiting
GSDMD.
Furthermore,
enhancing
function
suppressed
Further,
knockdown
or
dynamin-related
1
(Drp1)
AH-induced
injury,
accompanied
a
decrease
Conclusion
modulating
during
inflammation
injury.
These
findings
may
pave
way
develop
new
therapeutic
treatments
for
Alcohol Clinical and Experimental Research,
Год журнала:
2024,
Номер
48(10), С. 1965 - 1978
Опубликована: Авг. 27, 2024
Effective
interventions
to
improve
patient
outcomes
in
comorbid
alcohol
use
disorder
(AUD)
and
alcohol-related
liver
disease
(ARLD)
remain
a
clinical
unmet
need.
While
the
choice
of
abstinence
is
cornerstone
for
prevention
progression
mortality,
evidence
suggests
suboptimal
engagement
with
treatment
supporting
recovery.
This
qualitative
investigation
aims
understand
barriers
facilitators
as
experienced
by
this
population
applying
multidimensional
adherence
model
proposed
World
Health
Organization.