Screening and Counseling for Unhealthy Alcohol Use in Primary Care Settings

Jonas, Daniel E; Garbutt, James C.

doi:10.1016/j.mcna.2017.03.011

Cited by 13 publications

(8 citation statements)

References 47 publications

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“… Patients with intravenous drug abuse or with unhealthy alcohol use (includes unhealthy alcohol consumption and risky drinking behaviors; the later term means drinking amounts of alcohol that exceed recommended limits without meeting diagnostic and statistical manual of mental Disorders (DSM-5) criteria for alcohol use disorder). 13 , 14 Estimated glomerular filtration rate (eGFR) below 30 mL/hour according to Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation. 15 Patients on other medications known to have interactions with DAAs.…”

Section: Methodsmentioning

confidence: 99%

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Does Hepatitis C Virus Treatment by Directly Acting Antivirals Obligate Shifting Patients with Type 2 Diabetes from Oral Hypoglycemic Drugs to Insulin Therapy?

Hagag

Selim

Darrag

et al. 2022

DMSO

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Does Hepatitis C Virus Treatment by Directly Acting Antivirals Obligate Shifting Patients with Type 2 Diabetes from Oral Hypoglycemic Drugs to Insulin Therapy?

Hagag

Selim

Darrag

et al. 2022

DMSO

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“…Jonas and Garbutt described alcohol-associated mortality as among the leading causes of preventable death. 19 Inconsistent screening causes missed opportunities. Patients and families benefit from education about safe alcohol limits, effects of unhealthy alcohol use, and ways to decrease unhealthy alcohol use.…”

Section: Pathophysiologymentioning

confidence: 99%

Ask, Advise, Assist, and Follow: Alcohol SBiRT Urgently Needed

Floyd¹

2021

The Journal for Nurse Practitioners

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“…This was influenced by the Mendelian randomisation studies. In practice, a medical history should ideally contain information about individual alcohol intake to detect drinking likely to damage health [51], but whereas it is easy to tell a patient who smokes any tobacco product to stop, it is lengthy and complicated to discuss precise quantities of alcohol and may distract from other parts of the history about which it is necessary for the patient to be frank if alcohol intake is not germane to the main purpose of the consultation. Rather than record 'socialIy' or some such euphemism ('not enough' one lady told me) it is better in general to ask whether any alcohol is consumed in a typical week and if so how much in terms of pints of beer, glasses of wine etc, bearing in mind that 14 units is around 5 pints of beer or 5 glasses of wine per week.…”

Section: Safe Limits For Alcohol Consumptionmentioning

confidence: 99%

COVID-19 and Its Impact on Health of Children and Adolescents: A Review

2021

Integr Gyn Obstet J

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Alcohol drinking has been intrinsic to human social evolution certainly from the period when change from hunter-gather to farmer took place, which in many societies dates from 10,000 or more years ago. Throughout much of that time the risk of water-borne diseases such as enteric fever was such that there were undoubted health benefits to consumption of alcoholic beverages, such as mead, beer, cider and wine, in preference to contaminated water. Further benefit may also be that fermented drinks provided a means of storing food energy when preservation methods such as freezing had yet to be developed. These benefits were no longer critical once efficient sanitation and safe water supplies and food storage technologies had been developed from the mid-19 th century. The study of fermentation has contributed enormously to medicine providing drugs or their precursors as diverse as antibiotics and statins. During human cultural evolution alcohol has frequently been a key part of religious and fertility rites and of social activities, such as feasting. However, the introduction of cheap, distilled, alcoholic drinks, such as gin, in the late 17 th century was damaging to society and in modern times evidence for any health advantages to drinking alcohol is lacking. The threshold consumption below which no harm can be observed is low or non-existent. Whereas prohibition can be effective in theocracies as demonstrated by transnational statistics on alcohol consumption, historically, attempts to enforce prohibition solely by legislation have generally been disastrous in non-sectarian societies. The scale of the industries producing alcohol is vast and many drinks, particularly wine are intimately ingrained into many cultures. Taxation is a traditional means of curbing excess consumption and there may be a case for banning certain types of alcoholic products and advertising, but draconian measures will lead to increased crime through illegal drinking and the misuse of other recreational drugs. It should not be assumed that lessons from the success in reducing smoking can be directly translated into limitation of alcohol use to improve health.

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Screening and Counseling for Unhealthy Alcohol Use in Primary Care Settings

Cited by 13 publications

References 47 publications

Does Hepatitis C Virus Treatment by Directly Acting Antivirals Obligate Shifting Patients with Type 2 Diabetes from Oral Hypoglycemic Drugs to Insulin Therapy?

Does Hepatitis C Virus Treatment by Directly Acting Antivirals Obligate Shifting Patients with Type 2 Diabetes from Oral Hypoglycemic Drugs to Insulin Therapy?

Ask, Advise, Assist, and Follow: Alcohol SBiRT Urgently Needed

COVID-19 and Its Impact on Health of Children and Adolescents: A Review

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