Academic literature on the topic 'Alcoholism Treatment'

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Journal articles on the topic "Alcoholism Treatment":

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Zimmerman, Jeffrey D., and Barbara R. Zeller. "Imaginal, Sensory, and Cognitive Experience in Spontaneous Recovery from Alcoholism." Psychological Reports 71, no. 3 (December 1992): 691–98. http://dx.doi.org/10.2466/pr0.1992.71.3.691.

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Although alcoholism is often regarded as an intractable disorder that requires intensive treatment, studies of the natural history of alcoholism indicate that unaided, spontaneous recovery may be the most common pathway to remission from alcoholism. Negative environmental consequences of alcoholic drinking have been invoked to explain spontaneous recovery, but a more compelling reason for sudden changes in drinking behavior concerns shifts in the personal meanings surrounding alcohol use. Extensive interviews in a multimodal format were conducted with two groups of alcoholics: one group comprised of 7 subjects who spontaneously recovered without treatment and the other group comprised of 9 people who believed formal treatment was necessary to abstain from drinking. Spontaneously recovered alcoholics reported experiencing vivid sensations and images at the time they decided to quit drinking, and they reported subsequent transformations of their personal identities. Active alcoholics reported no comparable experiences in imaginal, sensory, and cognitive modalities. Implications of the results for current alcoholism treatments are discussed.
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Bennett, Nathan, and Linda S. Kelley. "Assessing the Acceptance of the Disease Concept of Alcoholism among Eap Practitioners." Journal of Drug Issues 17, no. 3 (July 1987): 281–99. http://dx.doi.org/10.1177/002204268701700305.

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In the past 20 years special interest groups have increased efforts to de-stigmatize alcoholism through improving the image of the alcoholic and medicalizing alcoholism. Among specific initiatives is the effort to implement work-based employee assistance programs (EAPs) to identify alcoholic employees through job performance decrements and guide them to appropriate treatment resources. In this analysis, two issues are examined. First, we measure the degree to which the disease model of alcoholism is accepted among those working with alcoholics in job-based programs, those variously charged with administering EAPs. Second, we measure attitudes toward the employment of recovering alcoholics in the EAP field. Results indicate that recovery from alcoholism, the role of “co-alcoholic,” and the occupational setting of the EAP administrator each affect the attitudes regarding the disease concept of alcoholism and the appropriateness of recovering alcoholics working in the EAP field.
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El-Guebaly, Nady, Douglas Staley, Alison Leckie, and Stuart Koensgen. "Adult Children of Alcoholics in Treatment Programs for Anxiety Disorders and Substance Abuse*." Canadian Journal of Psychiatry 37, no. 8 (October 1992): 544–48. http://dx.doi.org/10.1177/070674379203700804.

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Studies of the first-degree relatives of patients with alcoholism and anxiety disorders have identified a significant overlap of these disorders. Forty percent of the patients in an outpatient anxiety disorder program were adult children of alcoholics (ACOA), a proportion similar to that found in the substance abuse program. The ACOAs in both programs were younger, had higher co-dependency scores and were younger when they had their first psychiatric contact than the controls. The adult children of alcoholics who had anxiety disorders were more likely to be female and their alcoholic parents were less likely to have had psychiatric antecedents to alcoholism. Aside from substance abuse, similarities in socio-demographic variables and the impact of the parents' alcoholism were noted, reinforcing the hypothesis that vulnerabilities to anxiety disorders and alcoholism overlap.
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Mackenzie, Alisdair, and Richard P. Allen. "Alcoholics' Evaluations of Alcoholism Treatment." Alcoholism Treatment Quarterly 21, no. 2 (July 10, 2003): 1–18. http://dx.doi.org/10.1300/j020v21n02_01.

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Baldwin, Jeffrey N., and Kathleen A. Kriegler. "Alcoholism Treatment: A Model of Abstinence-Oriented Care." Journal of Pharmacy Practice 4, no. 6 (December 1991): 351–56. http://dx.doi.org/10.1177/089719009100400603.

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Alcohol is the United States' foremost drug of abuse. Although a significant portion of the population continues to identify alcoholism with moral weakness, society embraces treatment as the primary mode of dealing with this disease. Treatment stressing ongoing abstinence from alcohol is the most universally accepted method of therapy. Following initial intervention and referral, treatment of the alcoholic includes detoxification; intensive early treatment, using either outpatient or inpatient treatment settings; and long-term support for recovery. Aftercare programs often require continuing attendance at Alcoholics Anonymous meetings, recovery support groups, and psychotherapy. In addition, recovering individuals may receive continued health care supervision from a physician knowledgeable about alcoholism. Family therapy is stressed as a component of recovery.
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Vaillant, George E. "Alcoholics Anonymous: Cult or Cure?" Australian & New Zealand Journal of Psychiatry 39, no. 6 (June 2005): 431–36. http://dx.doi.org/10.1080/j.1440-1614.2005.01600.x.

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Objective: To discuss the mechanism of action, the efficacy and the safety of Alcoholics Anonymous (AA) in the treatment of alcoholism. Method: The published works on effective treatments for alcoholism is briefly reviewed and a prospective multidisciplinar y follow-up of recovery from alcoholism in two community cohorts of adolescent males followed from 1940 until the present day is reviewed. Conclusions: The suggested mechanism of action of AA is that it employs four factors widely shown to be effective in relapse prevention in addictions: external supervision, substitute dependency, new caring relationships and increased spirituality. In addition, AA serendipitously follows the principles of cognitive behaviour therapy in relapse prevention. Alcoholics Anonymous appears equal to or superior to conventional treatments for alcoholism, and the skepticism of some professionals regarding AA as a first rank treatment for alcoholism would appear to be unwarranted. Alcoholics Anonymous is probably without serious side-effects.
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Fillmore, Kaye Middleton, and Dennis Kelso. "Coercion into Alcoholism Treatment: Meanings for the Disease Concept of Alcoholism." Journal of Drug Issues 17, no. 3 (July 1987): 301–19. http://dx.doi.org/10.1177/002204268701700306.

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Selected literature is first reviewed examining the relationship between the increased use of coercion as motivation for alcoholism treatment entry and the goals of alcoholism treatment with the general conclusion reached that the increasing use of coercion is shifting the practice and ideology of alcoholism treatment. Second, criminally referred, volunteers and DWI clients in one state's publicly funded alcoholism treatment are compared on the basic precepts of the disease model of alcoholism with the general conclusion that as the operational definition of “alcoholic” has widened to include the universe of alcohol problems, there are major discrepancies between those traditionally treated for alcoholism and the newer clientele. The implications of this shift are discussed in terms of the transformation of the social function of alcoholism treatment.
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Downs, William R., Brenda A. Miller, and Dawn M. Gondoli. "Childhood Experiences of Parental Physical Violence for Alcoholic Women as Compared with a Randomly Selected Household Sample of Women." Violence and Victims 2, no. 4 (January 1987): 225–40. http://dx.doi.org/10.1891/0886-6708.2.4.225.

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The effects of childhood experiences of parental violence on the development of alcoholism in women were examined by comparing a sample of 45 alcoholic women selected from local treatment agencies and Alcoholics Anonymous groups with 40 nonalcoholic women selected randomly from the population. Two-hour person-to-person interview schedules were administered to both samples. The Conflict Tactics Scale (CTS) assessed both father-to-daughter and mother-to-daughter relationships. Type of sample was regressed on each CTS subscale, controlling for presence of parental alcoholism, number of childhood changes in family structure, present age of respondent, and present income source. Alcoholic women were found to have higher father-to-daughter negative verbal interaction, moderate violence, and serious violence than household women. Father-to-daughter positive verbal interaction was found unrelated to membership in the alcoholism sample. None of the mother-to-daughter subscales were found to predict membership in the alcoholism sample.
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Hoffmann, Norman G. "Alcoholism Treatment." Science 237, no. 4819 (September 4, 1987): 1094. http://dx.doi.org/10.1126/science.237.4819.1094.b.

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Douglas, Donald B. "Alcoholism Treatment." Science 237, no. 4819 (September 4, 1987): 1094. http://dx.doi.org/10.1126/science.237.4819.1094.c.

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Dissertations / Theses on the topic "Alcoholism Treatment":

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Lund, Ulrika. "Treatment of alcoholism." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-25817.

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Alkoholvården i Sverige kan vara utformad på många olika och skilda sätt. Det är ett område där det finns ett flertal olika åsikter kring vilken behandling som är lämpligast eller effektivast. Uppsatsens syfte är att titta närmare på hur diskursen kring alkoholvård kan se ut i Sverige idag genom närmare granskning av de två tidskrifterna Socionomen och Alkohol & Narkotika. Två stora tidningar inom praktiker av socialt arbete. För att uppnå syftet utgår uppsatsen från följande frågeställningar:-Vilka behandlingsmetoder för alkoholmissbruk diskuteras i tidskrifterna?-Hur problematiserar tidskrifterna kring olika behandlingsformer?-Hur lyfts för respektive nackdelar för behandlingsformerna upp?-Vad väljer tidskrifterna att lyfta fram i debatten kring alkoholvården? Som metod används kritisk diskursanalys för att synliggöra diskurserna i tidskrifterna. Analysen av tidskrifterna grundar sig på en analysmodell efter diskursanalytikern Fairclough och används främst för att synliggöra hur tidskrifterna förhåller sig till uppsatsens diskursordning. Diskursordningen som används är baserad på aktuell litteratur kring alkoholmissbruksbehandling och innefattar tre diskurser: Psykologisk, psykosocial och farmakologisk.Resultaten i uppsatsen visar att den psykosociala diskursen är dominerande i de båda tidskrifterna men att även den farmakologiska diskursen nämns. De behandlingsmetoder som tas upp är i de båda tidskrifterna kognitiv beteendeterapi (KBT) och motiverande samtal. Vidare visa uppsatsen att Socionomen efterfrågar en mer strukturerad, organiserad och evidensbaserad alkoholbehandling i allmänhet. Alkohol & Narkotika å andra sidan ifrågasätter den formella vårdapparaten kring alkoholmissbruk och beskriver den som otillgänglig och bristfällig. Som alternativ för att högkonsumenter av alkohol ska få tidig hjälp tar tidskriften upp olika självhjälps metoder grundade på KBT och motiverade samtal.
In Sweden, the treatment of alcoholism can be shaped in many various and separate ways. The subject of area contains various opinions regarding what treatment would be the most correct or effective. The aim in this essay is to look closer at the discourse of how the treatment of alcoholism may work in Sweden today. This will be done by closer examine the magazines, Socionomen and Alkohol & Narkotika, that are large papers within the practice of social work. To achieve the aim, this essay will start out from the following questions of issue:- What methods of treatment are discussed in the two magazines?- How do the magazines questions the various treatments? - How are the advantages and disadvantages in the different treatments highlighted?- What chooses the magazines to highlight in the debate of alcohol treatment?As the method, to make the discourses in the magazines visible, a critical analyze of discourse is being used. The analyze of the magazines is based on a model of analyzing by the discourse analyzer Fairclough, and is mainly used to make the magazines relations to the essay’s system of discourse visible. The system of discourse that is being used is based on actual literature in the area of treatment of alcohol addiction and contains three different discourses: psychological, psychosocial and pharmacological.The conclusion of this essay shows that the psychosocial discourse is the dominating discourse in both of the magazines but that the pharmacological discourse also is mentioned. The methods of treatment being raised in the magazines are cognitive behavioral therapy and motivational interviewing. Further more the essay shows that the paper Socionomen generally asks for a more structured, organized and evidence based treatment of alcoholism. In the other hand, the magazine Alkohol & Narkotika questions the formal care unit’s treatment of alcohol abuse and describes it as inaccessible and insufficient. As an alternative this magazine highlights the methods of self- help based on cognitive behavioral therapy and motivational interviewing so that those that are high consumers of alcohol will get help at an earlier stage of their abuse.
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Clemens, Camille Willette 1963. "Variables associated with alcoholics' long term treatment success." Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/276617.

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This study investigated demographic and personality variables, that counselors used in the selection of alcoholics for long term treatment and compared the completion rate for this group against completion rates reported in past studies, in order to determine if certain personality variables are associated with completion. The MMPI, Survey of Drinking Patterns and Effects, and a demographic questionnaire was administered to 355 lower class and "skid row" inpatient alcoholics from a North Tucson alcoholism treatment center. Results showed that counselors selection judgements approximated the characteristics of alcoholics who had completed long term treatment programs in past studies. Completion rates for this group studied were found to be moderately high compared to past studies. It was concluded that certain biographical and psychological variables can be used as selection criteria for determining alcoholics long term treatment completion. Implications for these findings are discussed.
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Brent, Suzanne S. (Suzanne Stokes). "The History of Alcoholism Treatment in the United States." Thesis, University of North Texas, 1996. https://digital.library.unt.edu/ark:/67531/metadc277997/.

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The treatment of alcoholism has had a unique historical development in the United States. This study provides a chronology of how the problem of alcoholism was defined and handled during various time periods in United States history. The process that evolved resulted in an abstinence based, comprehensive, multidisciplinary approach to the treatment of alcoholism as a primary disease based on the principles of Alcoholics Anonymous. This treatment modality, that developed outside of established medicine, is currently used by the majority of treatment providers. Seven individuals who have been actively involved in alcoholism treatment were interviewed. In addition to archival research, biographies and autobiographies were examined to gain a broad perspective. Because alcoholism is both a collective and an individual problem an effort was made to include a microsociological frame of reference within a broad sociological view. Alcoholism, or inebriety, was first perceived as a legal and moral problem. By the end of the 19th century, inebriety was recognized as an illness differing from mental illness, and separate asylums were established for its treatment. Alcoholism is currently accepted and treated as a primary disease by the majority of social institutions, but the legal and moral implications remain. National Prohibition in the early part of the 20th century targeted alcohol instead of the alcoholic delaying any progress toward treatment which was made in the 19th century. The advent of Alcoholics Anonymous brought the first widely accepted hope for alcoholics. The treatment process that developed utilized the principles of Alcoholics Anonymous in a setting of shared recovery which has been difficult to quantify. In 1970 the allocation of federal funds for treatment and research brought the involvement of new disciplines creating both conflicts and possibilities. Alcoholism recovery has elucidated the connection of mind, body, and spirit.
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McMillan, C. L. "Differential assessment and treatment of alcoholism." Thesis, University of Ulster, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.378672.

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Gerber, Christine N. "Assessing family treatment in alcoholism and chemical dependence treatment /." The Ohio State University, 1986. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487266011222351.

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Liddell, Emmons Blaine 1955. "CHANGES IN PERCEIVED LOCUS OF CONTROL AND SELF-REPORTED ANXIETY IN ALCOHOLICS DURING TREATMENT (ALCOHOLISM, REHABILITATION, OUTPATIENT)." Thesis, The University of Arizona, 1985. http://hdl.handle.net/10150/275312.

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Dirks, Bryan Larry. "A follow up study of alcohol dependent patients following in patient treatment at the Avalon Treatment Centre." Master's thesis, University of Cape Town, 1989. http://hdl.handle.net/11427/25880.

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This is a report of an investigation assessing outcome in a consecutive series of alcohol dependent patients admitted to the Avalon Treatment Centre from 21 October 1985 to 14 April 1986. Although extensive work has been done on the epidemiology of alcoholism among "coloured" people * [classified in terms of the population registration Act]. A direct result of the original field survey by Gillis, Keet and Slabbert was the establishment of this centre. A follow up study of people identified as having drinking problems in the original field survey showed that few people stopped drinking on their own account. Little is known about treatment outcome of patients hospitalized at this centre. Treatment at The Avalon Treatment Centre is based on therapeutic community principles, group therapy, family and social case work as well as the use of antabuse. Contact with Alcoholics Anonymous is encouraged during and after hospitalisation. In addition patients are also followed up by a community sister.
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Milton, Judith L. "Alcoholism recovery and treatment needs of women." Online version, 2003. http://www.uwstout.edu/lib/thesis/2003/2003miltonj.pdf.

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Gerdner, Arne. "Compulsory treatment for alcohol use disorders clinical and methodological studies of treatment outcome /." Lund : Dept. of Clinical Alcohol Research, Lund University, 1998. http://catalog.hathitrust.org/api/volumes/oclc/39072757.html.

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Sitharthan, Thiagarajan. "Treating problem drinkers via mail : a randomised controlled trial of two methods of brief interventions by correspondence." Phd thesis, Department of Psychology, 2001. http://hdl.handle.net/2123/3990.

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Books on the topic "Alcoholism Treatment":

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Kessel, Neil. Alcoholism. 2nd ed. Harmondsworth: Penguin, 1993.

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1963-, Wekesser Carol, ed. Alcoholism. San Diego, CA: Greenhaven Press, 1994.

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Denzin, Norman K. Treating alcoholism: An Alcoholics Anonymous approach. Newbury Park, Calif: Sage Publications, 1987.

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Perez, Joseph F. Alcoholism: Causes, effects, and treatment. Muncie, Ind: Accelerated Development, 1992.

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Albert, Ellis. When AA doesn't work for you: Rational steps to quitting alcohol. Fort Lee, N.J: Barricade Books, 1992.

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Denzin, Norman K. Treating alcoholism: An Alcoholics Anonymous approach. Newbury Park, Calif: Sage Publications, 1987.

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National Institute on Alcohol Abuse and Alcoholism (U.S.), ed. Patient-treatment matching. Bethesda, MD: U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health, 1997.

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Segal, Bernard. Alcoholism Etiology and Treatment. London: Routledge, 2022. http://dx.doi.org/10.4324/9781003290773.

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Stephanie, O'Malley, and Center for Substance Abuse Treatment (U.S.), eds. Naltrexone and alcoholism treatment. Rockville, MD: U.S. Dept. of Health and Human Services, Public Health Service, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment, 1998.

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O'Malley, Stephanie S. Naltrexone and alcoholism treatment. 2nd ed. Rockville, MD: U.S. Dept. of Health and Human Services, Public Health Service, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment, 2002.

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Book chapters on the topic "Alcoholism Treatment":

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Abrams, Alan. "Outpatient Treatment of Withdrawal." In Alcoholism, 78–82. New York, NY: Springer New York, 1987. http://dx.doi.org/10.1007/978-1-4612-4786-9_9.

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Weisner, Constance, and Laura A. Schmidt. "Rethinking Access to Alcohol Treatment." In Alcoholism, 107–36. Boston, MA: Springer US, 2002. http://dx.doi.org/10.1007/978-0-306-47193-3_7.

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Bigby, JudyAnn. "Negotiating Treatment and Monitoring Recovery." In Alcoholism, 66–72. New York, NY: Springer New York, 1987. http://dx.doi.org/10.1007/978-1-4612-4786-9_7.

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French, Michael T. "Economic Evaluation of Alcohol Treatment Services." In Alcoholism, 209–28. Boston, MA: Springer US, 2002. http://dx.doi.org/10.1007/978-0-306-47193-3_12.

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Horgan, Constance M., and Elizabeth Levy Merrick. "Financing of Substance Abuse Treatment Services." In Alcoholism, 229–52. Boston, MA: Springer US, 2002. http://dx.doi.org/10.1007/978-0-306-47193-3_13.

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Brown, Sandra A., and Elizabeth J. D’Amico. "Outcomes of Alcohol Treatment for Adolescents." In Alcoholism, 307–27. Boston, MA: Springer US, 2002. http://dx.doi.org/10.1007/978-0-306-47193-3_18.

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O’Farrell, Timothy J., and William Fals-Stewart. "Family-Involved Alcoholism Treatment An Update." In Alcoholism, 329–56. Boston, MA: Springer US, 2002. http://dx.doi.org/10.1007/978-0-306-47193-3_19.

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Sturm, Roland, Bradley Stein, Weiying Zhang, and Peter J. E. Stan. "Alcoholism Treatment in Managed Private Sector Plans." In Alcoholism, 271–84. Boston, MA: Springer US, 2002. http://dx.doi.org/10.1007/978-0-306-47193-3_15.

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Rathi, Brijesh, and Poonam. "Chemical Therapeutics for the Treatment of Alcoholism." In Alcoholism, 237–47. London: CRC Press, 2022. http://dx.doi.org/10.1201/9781003280361-15.

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Schuckit, Marc A. "Alcoholism: Acute Treatment." In Drug and Alcohol Abuse, 77–95. Boston, MA: Springer US, 1989. http://dx.doi.org/10.1007/978-1-4757-0767-0_4.

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Conference papers on the topic "Alcoholism Treatment":

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"Methylphenidate, an ADHD medication, to Treat and Prevent Alcoholism." In International Conference on Public Health and Humanitarian Action. International Federation of Medical Students' Associations - Jordan, 2022. http://dx.doi.org/10.56950/hnuk3708.

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Alcohol addiction is a serious problem that affects millions of people and costs individuals, families, and communities a lot of money. It can disrupt the brain's chemistry and cause a person to lose control of their behavior. Recent advancements have shed light on the role of several neurotransmitters in the disease of alcoholism. Various neurotransmitters have been linked to alcohol addiction because of a brain imbalance, which could be caused due to excessive activity or inhibition. The dopaminergic, serotoninergic, gamma-aminobutyric acid (GABA), and glutamate pathways are among the brain circuits known to be altered by alcohol consumption. Importantly, attention deficit hyperactivity disorder (ADHD) is also characterized by poor impulse control. Furthermore, Methylphenidate is used to treat ADHD by regulating dopamine and other neurotransmitters, also affected by alcoholism. The purpose of this review is to look into the future use of Methylphenidate in the treatment and prevention of alcoholism. This review supports the future use of Methylphenidate in the treatment and prevention of alcoholism. However, more clinical research on the effects of Methylphenidate is required.
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Colaço, Carolina Ferreira, André Eduardo de Almeida Franzoi, Amanda Maieski, Talita Aparecida Conte, Luís Eduardo de Macedo Zubko, Henrique Bittencourt Mader, Isadora Zambotto Olbrich, João Arthur Pazello, kamily Sara Turt, and Caio Disserol. "Pontine and extrapontine myelinolysis secondary to alcoholism: A case report." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.503.

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Context: Osmotic demyelination syndrome (ODS) is rare, acute, severe and non-inflammatory. It is caused by the demyelination of neurons with the preservation of axons. It is called central pontine myelinolysis (CPM) when it affects the central pontine region and extra-pontine myelinolysis (EPM) when it affects other areas. Few cases of ODS due to non-electrolytic causes are reported. Case report: 54-year-old man with a history of heavy drinking. After about 24 hours of alcohol withdrawal, he developed generalized tonic-clonic seizures, associated with a lower level of consciousness. Protective orotracheal intubation was performed and the use of anti-crisis drugs was initiated. After sedation was switched off and mechanical ventilation was set to minimum parameters, the patient remained comatose and with convergence-retraction nystagmus movements. A skull MRI was performed, which showed lesions compatible with CPM and EPM. There was no variation in the patient’s plasma sodium during hospitalization. Conclusion: this is a patient with no evidence of any significant hydro-electrolyte disturbance and who presented a compatible neurological condition and neuroimaging characteristic of CPM / EPM. There is no specific clinical treatment for this pathology. Furthermore, the patient presents with the finding of convergence-retraction nystagmus, possibly explained by atrophy of the dorsal midbrain region.
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"TRASTORNO POR USO DE ALCOHOL Y TRASTORNO MENTAL. LA COMORBILIDAD COMO FACTOR PREDICTOR DE LA EVOLUCIÓN TERAPÉUTICA." In 23° Congreso de la Sociedad Española de Patología Dual (SEPD) 2021. SEPD, 2021. http://dx.doi.org/10.17579/sepd2021p145v.

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INTRODUCCION El pronóstico y evolución en el Trastorno por Uso de Alcohol (TUA) y Trastorno Mental (TM) está condicionada por la multifactorialidad: falta de adherencia, recaídas, y complicaciones orgánicas. OBJETIVOS Identificar patología psiquiátrica concomitante. Analizar las tasas de adherencia a consulta y tratamiento. Correlacionar patología psiquiátrica con índices de retención. METODO Estudio descriptivo observacional longitudinal. Referencia muestral: 77 pacientes con TUA de 472 incluidos en Plan de Microeliminación del VHC de San Miguel Adicciones (2017 a 2020). Variables de estudio: sociodemográficas, clínicas y de consumo e indicadores de cumplimiento y retención. RESULTADOS Muestra: 62% hombres y 38% mujeres (34 y 70 años). Inicio del consumo de alcohol entre 15 y 18 años. Presentan Patología Dual 69% mujeres y 42% hombres. 85% de pacientes con TUA presentan un solo TM concomitante (95% hombres, 80% mujeres). Patología psiquiátrica predominante: Trastorno Depresivo 22% (H:53%;M:47%), Trastorno de Ansiedad 7% (H:60%;M:40%), Trastorno Ansioso Depresivo 8% (H:34%;M:66%). Destacar la prevalencia de un 18% de mujeres con Trastorno Psicótico. El 58% de mujeres han realizado uno o más Gesto Autolítico. Acuden por Iniciativa Propia 49%, derivación MAP (25%), Especializada 9%. Trastorno Depresivo: 82% de adherencia a consulta, 47% de retención superior a 6 meses. Trastorno de Ansiedad (20%) y 60% de retención entre 6 y 12 meses. CONCLUSIONES Mujeres con TUA presentan más comorbilidad psiquiátrica. La prevalencia de más de un Trastorno Mental es superior en mujeres. El Trastorno Depresivo es el de mayor incidencia con TUA. Escasa derivación desde los Servicios Especializados. References 1. Corrêa Filho JM, Baltieri DA. Psychosocial and clinical predictors of retention in outpatient alcoholism treatment. Braz J Psychiatry. 2012 -12;34(4):413-21. 2. Graff FS, Morgan TJ, Epstein EE, McCrady BS, Cook SM, Jensen NK, et al. Engagement and retention in outpatient alcoholism treatment for women. Am J Addict. 2009 Jul-Aug;18(4):277-88.
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Santiago Gutiérrez, Luz Goretti, Mª Teresa Santana Rodríguez, and Cristina Mª Cabrera Hernández. "TRASTORNO POR USO DE ALCOHOL Y TRASTORNO MENTAL. INFLUENCIA DE LA CONCOMITANCIA EN LA EFECTIVIDAD DE LA INTERVENCIÓN AMBULATORIA." In 23° Congreso de la Sociedad Española de Patología Dual (SEPD) 2021. SEPD, 2021. http://dx.doi.org/10.17579/sepd2021o023.

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INTRODUCCION La Patología Dual (PD) en el consumo de alcohol condiciona el pronóstico, adherencia y retención en la intervención ambulatoria. OBJETIVOS Conocer prevalencia de patología dual. Determina tasas de adherencia a consulta y tratamiento. Analizar correlación PD cumplimiento y efectividad terapéutica. METODO Estudio descriptivo observacional longitudinal. Referencia muestral: 77 pacientes con TUA de 472 incluidos en Plan de Microeliminación del VHC de San Miguel Adicciones (2017 a 2020). Variables de estudio: sociodemográficas, clínicas y de consumo e indicadores de cumplimiento y retención. RESULTADOS Muestra: 62% hombres y 38% mujeres (34 y 70 años). 52% Patología Dual (69%M; 42%H). Patologías psiquiátricas: 22% trastorno depresivo (53%H;47%M), 7% ansiedad (60%H;40%M), 8% síndrome ansioso depresivo (34%H;66%M). Tentativas autolíticas 16%, (42%H;58%M), 7% más de un trastorno psiquiátrico. Acuden por Iniciativa Propia 49%, derivación MAP (25%), Especializada 9%. La retención es superior en los pacientes que no tienen PD (>12 meses). Menor índice de retención en pacientes con trastorno psiquiátrico 40%. Trastorno Depresivo: 82% de adherencia a consulta (AC), 47% de retención (R) > 6 meses, 29% abandona (A) y 24% alta terapéutica (AT). Trastorno de Ansiedad: 20%(AC), 60% (R) >6 meses, 40% (A), 0% (AT). Trastorno Ansioso-Depresivo: 10% (AC), 67%(R) > 6 meses, 50% (A) y 33% (AT). CONCLUSIONES Predominio de trastornos afectivos: depresión, ansiedad. Diferencia en el factor género en TUA y PD. Prevalencia de más de un Trastorno Mental superior en mujeres. Escasa derivación desde los Servicios Especializados. La concurrencia PD-TUA incide de manera desfavorable en pronóstico, evolución y efectividad terapéutica. References 1. Corrêa Filho JM, Baltieri DA. Psychosocial and clinical predictors of retention in outpatient alcoholism treatment. Braz J Psychiatry. 2012 -12;34(4):413-21. 2. Graff FS, Morgan TJ, Epstein EE, McCrady BS, Cook SM, Jensen NK, et al. Engagement and retention in outpatient alcoholism treatment for women. Am J Addict. 2009 Jul-Aug;18(4):277-88.
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Rodríguez, Derly Judaissy Díaz, Jeffrey Andrés Díaz Rodríguez, Diva Constanza Gil Forero, and María Paula Pineda Díaz. "Wernicke-Korsakoff syndrome and other chronic neurological syndromes related to alcohol abuse: prevention in people without home." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.686.

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Introduction: The homeless population has a high prevalence of alcoholism and consumption of other drugs, which also means that they are at greater risk of developing all complications resulting from alcohol abuse. (MILER et al, 2021). The medical attention for homeless population is a device of the Unified Health System that claims social, health policies and the guarantee of fundamental rights (BRASIL, 2009). Methods: Evaluation of protocols and referral flows for the treatment of patients with ‘mental disorders and due to alcohol use’, of the medical attention for homeless population in the city of Petrópolis (Rio de Janeiro), between April / 2020 and April 2021, data from e-SUS, and literature review. Results: The city of Petrópolis (Rio de Janeiro) registered 259 people without home, 84.8% are men, all people are adults between 20-74 years old, 98% are born Brazilians, 92% reported alcohol consumption, and alcohol with other drugs 61% (cocaine, crack, marijuana, solvent, tobacco). There was 3 patients with diagnose of Wernicke-Korsakoff syndrome: 2 men and 1 woman (aged 60-65 years) in the period from April 2020 - April 2021 (BRAZIL, 2021 The medical attention for homeless population approach to alcoholism includes the CAGE and AUDIT tests, symptomatic treatment and brief psychological interventions. aimed at weaning, and the Clinical Institute Withdrawal Assessment of Alcohol Scale Revised scale to quantify the degree of abstinence. However, the majority of users do not want total cessation, generally they choose to reduce consumption (secondary prevention), and later recovery and reintegration into society, highlighting that self-help groups and social assistance have a prominent role (tertiary prevention) (MARSCHARLL; GREGANTI, 2002; LONGO, et al., 2013). Conclusion: Despite confounding / aggravating factors such as social determinants in health, and the difficulties of the health network, the medical attention for homeless population is fundamental in the secondary and tertiary prevention of neurological diseases due to chronic alcohol consumption; complex cases require complex interventions, that is, individualization, adaptation and flexibility.
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Bozzi, Vitor Sossai, Débora Cavalini Gabriel, Francisco Mateus Vieira, Mateus Alan Marasca, Priscila Martins Langbecker, and Helena Fussiger. "Assumed hemorrhagic stroke in a emergency of inland hospital: a case report." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.257.

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Context: Hemorrhagic stroke (HS) is characterized by cerebral vessel´s rupture, causing potentially fatal hemorrhage. Approximately 20% of HS are due to spontaneous intracranial hemorrhage, being risk factors: age over 55, systemic arterial hypertension, smoking, obesity, physical inactivity and alcoholism. Case Report: Male, 84 years old, previously hypertensive, is brought by family members after being found unconscious. He was admitted to hypertensive emergency room, with irregular respiratory rate, anisochoric pupils (mydriasis on the right) non-photoreactive, Glasgow Coma Scale 3 and urinary loss. He was intubated without complications and later developed bradycardia (44 bpm), keeping hypertensive (160/90 mmHg), suggesting Cushing´s Triad (CT). Capillary bloody glucose of 98 mg/dl and laboratory tests showing: hemoglobin 9,3; platelets 184000; negative troponin; urea 52; creatinine 1.7; sodium 136; potassium 3.9. Due to the abrupt installation in a previously hypertensive patient, with unilateral mydriasis on physical examination and the development of CT, the diagnostic hypothesis were HS associated with intracranial hypertension. A skull´s scancomputed tomography or lumbar puncture were not requested because were unavailable at hospital. Patient was removed to a specialized servisse, 12 hours after arrival. Conclusion: Mortality after stroke is known to be substantially lower when patients are treated in high-volume regional centers and have access to qualified interventionists who specialize in neuro-intensive treatment. As it is a servisse without resources for definitive treatment, the patient was stabilized in the best way within the hospital condition, with priority being the removal of the patient as soon as possible, in order to reduce morbidity and mortality
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Albuquerque, Tamara Melissa Zavadzki, Annelise Akemi Higa Lee, João Paulo Santiago de Oliveira, Rosa Maria Nascimento Marcusso, Felipe Torres Pacheco, Vivian Baptista Dias Gagliardi, and Rubens José Gagliardi. "Predictive factors for brain collateral circulation analysis in ischemic stroke." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.539.

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Introduction: Cerebral collateral circulation has become increasingly important in recent years. It is a physiological vascular protection circuit, designed to preserve cerebral irrigation in a failure context of the primary pathways. Methods: This retrospective, descriptive and analytical study aims to analyze the predictive factors for the collateral circulation presence in patients with acute ischemic stroke, seen in the emergency room of the Santa Casa de Misericórdia Hospital in São Paulo, with large vessels occlusion on angiotomography. Results: 21 patients were analysed between january 2018 and april 2020, 10 men and 11 women, with a median age of 71 years. The median NIHSS score was 16 and intravenous thrombolysis was performed in 71.4% of the patients. We identified the presence of hyperglycemia, cervical obstruction and female gender as factors independently associated with an unsatisfactory leptomeningeal collateral state. Systemic arterial hypertension, smoking, alcoholism and a history of stroke had no association with poor collateral status, as well as the previous use of sinvastatin does not improve the combined score. Conclusion: Knowing the risk factors and comorbidities associated with the rarefaction of cerebral collateral circulation is of great importance in assessing the ischemic stroke acute phase, contributing to improvement in treatment and primary and secondary prevention.
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Batista, Matheus Neres, Joel Alves de Sousa Júnior, and Lanna do Carmo Carvalho. "Brain skull traumatism: a neurological approach." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.381.

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Introduction: Brain Cranium Trauma (TBI) is defined as any traumatic injury that causes an anatomical lesion or functional impairment of the scalp, skull, meninges, brain or its vessels. In the set of injuries from external causes, the TBI stands out in terms of magnitude and, above all, as a cause of death and disability. Objectives: Demonstrate basic and current concepts in relation to the pathophysiology, diagnosis and treatment of TBI. Methods: The present work is a narrative review of the literature in the PubMed, SciELO and CNBI databases. As search criteria, the following keywords were used: “traumatic brain injury”; “Semiology”; “Neurology” and articles, which were limited to a specific period of 5 years. Exclusion: case reports and inclusion: 12 articles. Results: The main causes of TBI are car accidents, falls, being run over, aggression and sports activities. It was observed that most victims of TBI have subgaleal hematoma (HS), followed by fractures. In mild and moderate TBI, the appearance of HS is more prevalent, 48.5%. In TBI, severe, the incidence of subarachnoid hemorrhage predominates with 71.1% of cases in the first study and 62.5% in the second. Conclusion: The main group affected by TCE are mostly male and young, this predominance is related to the increase in violence with firearms, alcoholism and high speeds in traffic. The elderly group is at risk due to their susceptibility to falls. Children are also prone due to lack of motor coordination, resulting in acidentes.
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Kolesnikova, I. A., and I. E. Lilienthal. "To the question of self-regulation of aggressive behavior in adolescent teenagers." In INTERNATIONAL SCIENTIFIC AND PRACTICAL ONLINE CONFERENCE. Знание-М, 2020. http://dx.doi.org/10.38006/907345-50-8.2020.853.862.

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The data of an experimental study of the features of aggressive behavior in teenage drug addicts, as well as the possibility of controlling and self-regulation of aggressive manifestations in this category of individuals are presented. The growth of aggressive trends in adolescence reflects one of the most acute social problems of modern societies, where drug addiction, alcoholism, and juvenile delinquency have risen sharply in recent years. To study the features of aggressive behavior of teenage drug addicts, we used a battery of valid methods and methods aimed at assessing the specifics of aggressive manifestations, personal, motivational, strong-willed and other features of teenage drug addicts. The article shows that, indeed, the aggressive behavior of teenage drug addicts has its own distinctive features, determined by the presence of accentuation or psychopathy of character, inadequate self-esteem, self-centeredness; violations of attitudes, motivation, affective sphere of personality, with irritability and increased excitability; the predominance of verbal, physical forms of aggression, suspicion; the orientation of aggression to external objects, in addition, the characteristics of the aggressive behavior of teenage drug addicts depend on a number of microsocial factors, etc. In order to increase the effectiveness of preventive and rehabilitation work with aggressive teenage drug addicts, such methods of action show effectiveness as: mandatory and primary treatment of adolescents is drug addicts, the inclusion of adolescents in this category in the anonymous grooms of drug addicts, in the system of socially recognized and socially approved activities the use of psychotherapy, methods of active psychological impact; conducting educational and preventive work with the inner circle of a teenage drug addict, etc. The article presents reasonable conclusions from a stating experiment, and offers recommendations for the prevention and correction of selfregulation of aggressive manifestations in teenage drug addicts.
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Maia, Fernanda Pimentel Arraes, Maria Clara Tomaz Feijão, Emanuel Cintra Austregésilo Bezerra, Ana Carolina Filgueiras Teles, and Luiz Gonzaga Porto Pinheiro. "MALE BREAST CANCER AFTER LIVER TRANSPLANTATION: A CASE REPORT." In XXIV Congresso Brasileiro de Mastologia. Mastology, 2022. http://dx.doi.org/10.29289/259453942022v32s1053.

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Male breast cancer (MBC) is an uncommon disease representing only 1% of the total cases. This low incident rate could be due to the low amount of breast tissue and the hormonal differences between men and women. The Surveillance, Epidemiology and End Result (SEER) program reported that the incidence rate of breast cancer was 1.1 per 100,000 men in the mid-1970s and raised to 1.44 per 100,000 men by 2010. There are a lot of characteristics that are common to male and female breast carcinomas, especially given the fact that a lot of the factors that influence malignant changes are similar, but there are also some singularities. In this matter, it is important to understand the existence of risk factors for MBC, particularly the genetic abnormalities, such as BRCA-1 and BRCA-2 mutations. Therefore, a man with this type of predisposition is more likely to develop breast cancer, especially if submitted to an immunosuppressive therapy, normally used to prevent the rejection of transplanted organs. This study aimed to report a case of a patient with chronic alcoholism history, who later developed a liver tumor and breast cancer. This patient reported gynecomastia, which could be related to his health condition, given the fact that liver failure and cirrhosis probably started preventing the inactivation of the estrogens by the liver, causing and stimulating proliferation of the mammary tissue, and increasing the chance of gene mutations. We report a 56-year-old man with a history of smoking, chronic alcoholism, and gynecomastia with 10 years of evolution who was diagnosed with cirrhosis and liver tumor in 2014. He underwent two sessions of a chemoradiotherapy treatment, resulting in reduction of the tumor size as a result. In 2015, the patient had a liver transplant. To prevent organ rejection, it was established an immunosuppressive therapy with tacrolimus 10 mg/day and myfortic 720 mg/day. In 2016, the patient noticed a breast lump and searched for medical assistance. At the appointment, after physical examination, the presence of a 2-×2-cm lump in the right breast was confirmed. A few examinations were requested, such as ultrasonography, which showed a BIRADS4 as a result, chest tomography, and abdominal tomography. The examinations concluded that the lump had a high probability of malignancy. Then, to confirm the suspicion, it was proposed the performance of a fine-needle aspiration of the lump was followed by a core biopsy. The results showed an invasive breast carcinoma positive for estrogen receptors, negative for progesterone receptors, negative for HER-2 oncoprotein, and KI67 5%. Therefore, the molecular classification by immunohistochemistry is a LUMINAL A, which indicates the possibility of a better prognosis. A few days later, the patient was submitted for a radical mastectomy on the right breast. During the surgery, it was also performed a sentinel lymph nodes (SLN) scintigraphy and analysis of the material collected from the right breast. The conclusion expressed positive screening for malignant cells, two lymph nodes compromised by macrometastasis (large focus measuring 1.2 cm with capsular transposition associated) and positive screening for malignant cells suggestive of carcinoma. The tumor, according to a grading system, presented a Scarff-Bloom Richardson modified by Elston and Ellis grade III, with tubular grade 3, nuclear grade 3, and mitotic index 2. It was also identified as focal tumor necrosis, vascular invasion, and perineural invasion. The pathological staging of the tumor was pT2 pN1a (SN+) pMx.

Reports on the topic "Alcoholism Treatment":

1

Hallinan, Timothy. A comparative study of persons completing and not completing an alcoholism treatment clinic's group intake proces. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.2737.

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Wu, X., LJ Yang, P. Gao, ZL Qiao, D. Xu, and Fu-hua Zhang. Effect of Xingnaojing injection for the treatment of acute alcoholism: a protocol of systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, April 2020. http://dx.doi.org/10.37766/inplasy2020.4.0197.

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Jin, Dachuan, Gao Peng, Shunqin Jin, Tao Zhou, Baoqiang Guo, and Guangming Li. Comparison of therapeutic effects of anti-diabetic drugs on non-alcoholic fatty liver disease patients without diabetes: A network meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, November 2022. http://dx.doi.org/10.37766/inplasy2022.11.0014.

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Review question / Objective: To evaluate the efficacy of different anti-diabetic drugs in the treatment of non-diabetic non-alcoholic disease by network meta-analysis, and find the best intervention. Condition being studied: Non-alcoholic fatty liver disease (NAFLD) refers to the disease in which the liver fat content exceeds 5%, and excludes the secondary causes of alcohol, infection, drugs or other specific metabolic diseases. As a spectrum of disorders, it includes hepatocyte steatosis and steatohepatitis at the initial stage, liver fibrosis at the later stage, cirrhosis at the final stage, and even liver cancer. Nowadays Non-alcoholic fatty liver disease (NAFLD) has become the most common chronic liver disease in the world with an incidence rate as high as 25% which has been rising steadily worldwide in the past 30 years. Currently there are still no approved specific therapeutic agents and global treatment guidelines for NAFLD. For non-diabetic NAFLD, there is far from a consensus, too.
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Knapp, James. Marital Status as a Discriminator and Treatment Variable among Female Alcoholics. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.2444.

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Chen, Hui, Xinyu Liu, Zhenzhen Meng, Xiaoqiang Huang, Shanghua Piao, and Jiao Guo. Effectiveness of Chaihu-Shugan-San in treatment of Non-alcoholic Fatty Liver Disease: A meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, October 2021. http://dx.doi.org/10.37766/inplasy2021.10.0074.

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Moskalenko, O. L., O. V. Smirnova, E. V. Kasparov, and I. E. Kasparova. STRUCTURE OF PSYCHOLOGICAL DISORDERS IN PATIENTS WITH METABOLIC SYNDROME AND NON-ALCOHOLIC FAT LIVER DISEASE. Science and Innovation Center Publishing House, 2021. http://dx.doi.org/10.12731/2658-4034-2021-12-4-2-340-348.

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The article is devoted to the study of the psychological characteristics of the behavior of patients with non-alcoholic fatty liver disease (NAFLD). The manifestations of NAFLD are a powerful frustrating factor for patients, negatively affect the quality of life, hinder psychosocial adaptation and serve as the basis for the formation of chronic stress from the disease, which blocks the actual needs of the individual. Psychological factors are an important component in the clinical assessment of patients in connection with the individualization of the treatment process and secondary psychoprophylaxis, including methods of somato-centered and personality-centered psychotherapy.
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Zhang, Qiuyi, Lihong Fu, Fengjie Qiao, and Zhenhua Zhou. Meta-analysis of the clinical efficacy of Lingguizhugan decoction in the treatment of non-alcoholic fatty liver disease. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, October 2021. http://dx.doi.org/10.37766/inplasy2021.10.0039.

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Brown, Candace, Chudney Williams, Ryan Stephens, Jacqueline Sharp, Bobby Bellflower, and Martinus Zeeman. Medicated-Assisted Treatment and 12-Step Programs: Evaluating the Referral Process. University of Tennessee Health Science Center, November 2021. http://dx.doi.org/10.21007/con.dnp.2021.0013.

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Purpose/Background Overdose deaths in the U.S. from opioids have dramatically increased since the COVID-19 pandemic. Although medicated-assisted treatment (MAT) programs are widely available for sufferers of opiate addiction, many drop out of treatment prematurely. Twelve-step programs are considered a valuable part of treatment, but few studies have examined the effect of combining these approaches. We aimed to compare abstinence rates among patients receiving MAT who were referred to 12-step programs to those only receiving MAT. Methods In this prospective study, a cohort of participants from a MAT clinic agreeing to attend a 12-step program was compared to 15 controls selected from a database before project implementation. Eligible participants were diagnosed with OUD, receiving buprenorphine (opiate agonist), and at least 18. Participants were provided with temporary sponsors to attend Narcotics Anonymous, Alcoholics Anonymous, and Medication-Assisted Recovery meetings together. The primary endpoint was the change in positive opiate urine drug screens over 6 months between participants and controls. Results Between March 29, 2021, and April 16, 2021, 166 patients were scheduled at the clinic. Of those scheduled, 146 were established patients, and 123 were scheduled for face-to-face visits. Of these, 64 appeared for the appointment, 6 were screened, and 3 were enrolled. None of the participants attended a 12-step meeting. Enrollment barriers included excluding new patients and those attending virtual visits, the high percentage of patients who missed appointments, and lack of staff referrals. The low incidence of referrals was due to time constraints by both staff and patients. Implications for Nursing Practice Low enrollment limited our ability to determine whether combining medication management with a 12-step program improves abstinence. Failure to keep appointments is common among patients with OUD, and virtual meetings are becoming more prevalent post-COVID. Although these factors are unlikely to be controllable, developing strategies to expedite the enrollment process for staff and patients could hasten recruitment.
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Two drug treatments for severe alcoholic hepatitis do not improve survival rates. National Institute for Health Research, July 2015. http://dx.doi.org/10.3310/signal-000023.

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