Current drug abuse reviews最新文献

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Laterality of Brain Activation for Risk Factors of Addiction 成瘾危险因素的脑激活偏侧性
Current drug abuse reviews Pub Date : 2016-03-31 DOI: 10.2174/1874473709666151217121309
H. W. Gordon
{"title":"Laterality of Brain Activation for Risk Factors of Addiction","authors":"H. W. Gordon","doi":"10.2174/1874473709666151217121309","DOIUrl":"https://doi.org/10.2174/1874473709666151217121309","url":null,"abstract":"Background: Laterality of brain activation is reported for tests of risk factors of addiction - impulsivity and craving - but authors rarely address the potential significance of those asymmetries. Objective: The purpose of this study is to demonstrate this laterality and discuss its relevance to cognitive and neurophysiological asymmetries associated with drug abuse vulnerability in order to provide new insights for future research in drug abuse. Method: From published reports, brain areas of activation for two tests of response inhibition or craving for drugs of abuse were compiled from fMRI activation peaks and were tabulated for eight sections (octants) in each hemisphere. Percent asymmetries were calculated (R-L/R+L) across studies for each area. Results: For impulsivity, most activation peaks favored the right hemisphere. Overall, the percent difference was 32% (Χ2 = 16.026; p < 0.0001) with the greater asymmetry for anterior peaks (46.8%; Χ2 = 17.329; p < 0.0001). The asymmetries for cue-induced craving were opposite, favoring the left hemisphere by 6.7% (Χ2 = 4.028; p < 0.05). The consistency of left asymmetry was found for almost all drugs. For nicotine, studies where subjects were not allowed to smoke (deprived) prior to measurement had the same left hemisphere activation but those who smoked (satiated) before the fMRI measure showed right asymmetry. Conclusion: Brain activation studies demonstrate different left/right hemispheric contributions for impulsivity versus craving - factors related to addiction. Failure to take laterality into consideration is a missed opportunity in designing studies and gaining insight into the etiology of drug abuse and pathways for treatment.","PeriodicalId":72730,"journal":{"name":"Current drug abuse reviews","volume":"77 1","pages":"1 - 18"},"PeriodicalIF":0.0,"publicationDate":"2016-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88562722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 51
Social Inequality and Substance Use and Problematic Gambling Among Adolescents and Young Adults: A Review of Epidemiological Surveys in Germany. 社会不平等和物质使用和问题赌博在青少年和年轻人:在德国流行病学调查的回顾。
Current drug abuse reviews Pub Date : 2016-03-31 DOI: 10.2174/1874473709666151209114023
D. Henkel, U. Zemlin
{"title":"Social Inequality and Substance Use and Problematic Gambling Among Adolescents and Young Adults: A Review of Epidemiological Surveys in Germany.","authors":"D. Henkel, U. Zemlin","doi":"10.2174/1874473709666151209114023","DOIUrl":"https://doi.org/10.2174/1874473709666151209114023","url":null,"abstract":"The current review provides an overview of socioepidemiological research in Germany about the prevalence of addictive behaviours (smoking, binge and hazardous drinking, consumption of cannabis and other illegal drugs, the non-medical use of prescription drugs and problematic gambling) among adolescents (11-17 years) and young adults (18-25 years), also differentiating between different socioeconomic status (SES) indicators (attended school type, family affluence, parental occupational status, parental SES, employment status) and migration background. The authors evaluated data from ten national surveys and one regional survey conducted between 2002 and 2012, which included different samples. The trends over this time frame reveal that the proportion of adolescents who smoke tobacco, show problematic patterns of alcohol consumption, use cannabis or other illegal drugs has generally declined over the investigated time span in Germany. The results nevertheless suggest that some strong associations still exist between social inequalities and the prevalence of substance use. The detailed results are summarised in twelve tables. The main results are as follows: 1) Low SES (school type, employment status) was consistently associated with more cigarette smoking, and, where such data was available, this pattern was observed in both males and females. 2) With regard to family affluence, two surveys show that boys with low and middle FAS are significantly less likely to have binge drinking experience compared to boys with high FAS. There were no significant associations between problematic alcohol use and parental SES, and not all results of the surveys show that binge drinking is more prevalent among HS-students. Employment status was associated with gender differences; problematic patterns of alcohol consumption were significantly more prevalent among young unemployed males compared to GY-students (secondary high school/grammar school) of the same age. The opposite was true for females. Another consistent finding was that among adolescents and young adults with a Turkish/Asian migration background, a problematic use of alcohol was significantly less common compared to adolescents and young adults of the same age without a migration background. 3) In terms of the consumption of cannabis, the unemployed and students with low educational level ('Hauptschule´) emerge as high-risk groups. 4) The results concerning problematic gambling significantly overlap with and reflect the findings of international research: being male, of low educational attainment, unemployed, receiving social welfare, and having a migration background significantly increased the risk of problematic gambling habits. 5) The highest lifetime prevalence rates for the consumption of illegal drugs (other than cannabis) were observed among students with low educational level. It should be noted that other SES indicators, in addition to school type, have not been examined to date. The review co","PeriodicalId":72730,"journal":{"name":"Current drug abuse reviews","volume":"280 1","pages":"26-48"},"PeriodicalIF":0.0,"publicationDate":"2016-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77844937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 26
Substance-Related and Addictive Disorders as a Risk Factor of Suicide and Homicide among Patients with ADHD: A Mini Review. 药物相关和成瘾障碍是ADHD患者自杀和杀人的危险因素:一项小型综述。
Current drug abuse reviews Pub Date : 2016-01-01 DOI: 10.2174/1874473709666160802112215
Kouichi Yoshimasu
{"title":"Substance-Related and Addictive Disorders as a Risk Factor of Suicide and Homicide among Patients with ADHD: A Mini Review.","authors":"Kouichi Yoshimasu","doi":"10.2174/1874473709666160802112215","DOIUrl":"https://doi.org/10.2174/1874473709666160802112215","url":null,"abstract":"<p><strong>Objective: </strong>To discuss the role of substance-related and addictive disorders (SRAD) that lead patients with attention-deficit hyperactivity disorder (ADHD) to suicide and homicide.</p><p><strong>Method: </strong>Relevant articles were searched via PubMed using several keywords related to this issue. Most of the articles included in this review were published after 2000.</p><p><strong>Results: </strong>Patients with ADHD often fall into crises of catastrophic life events such as suicide or homicide. SRAD play an important role in leading ADHD patients to such events. Because ADHD is characterized by inattentiveness and impulsivity, any kinds of substances, legal or illegal, can deteriorate ADHD symptoms, leading ADHD patients to such catastrophic events. There are several pathways that connect ADHD with SRAD, which are roughly divided into two ways: internalizing mental disorders and externalizing mental disorders. The former includes depression and anxiety disorders characterized by self-inhibition or withdrawal. The latter typically includes conduct disorder or oppositional defiant disorder, as well as antisocial personality disorder, characterized by aggressive or antisocial behaviors or emotions towards others. These comorbid psychiatric disorders are apt to lead ADHD patients to SRAD, and once these patients suffer from SRAD, risk of catastrophic life events seems to increase due to the irreversibility of their adverse mentality. Comorbid mental disorders with ADHD can act, at least partially, as mediators from ADHD to SRAD.</p><p><strong>Conclusion: </strong>SRAD can be a critical risk factor of suicide and homicide among patients with ADHD. Early interventions for families with ADHD and psychiatric comorbidities may work as effective preventive strategies against such events.</p>","PeriodicalId":72730,"journal":{"name":"Current drug abuse reviews","volume":"9 2","pages":"80-86"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34636203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Pleasure as an Overlooked Target of Substance Use Disorder Research and Treatment. 快感:物质使用障碍研究与治疗中被忽视的目标。
Current drug abuse reviews Pub Date : 2016-01-01 DOI: 10.2174/1874473710666170308163310
Matthew Tyler Boden, Adrienne J Heinz, Todd B Kashdan
{"title":"Pleasure as an Overlooked Target of Substance Use Disorder Research and Treatment.","authors":"Matthew Tyler Boden,&nbsp;Adrienne J Heinz,&nbsp;Todd B Kashdan","doi":"10.2174/1874473710666170308163310","DOIUrl":"https://doi.org/10.2174/1874473710666170308163310","url":null,"abstract":"<p><strong>Background: </strong>People commonly use psychoactive substances to increase physical and psychological pleasure. Neuroadaptations in the brain's reward system coupled with changes in social functioning and networking resulting from chronic substance use impede the ability to derive pleasure from non-substance related activities.</p><p><strong>Objective: </strong>We elucidate and validate the hypothesis that treatments for substance use disorders would potentially have a stronger and broader impact by helping recipients to experience pleasure as part of an expansive focus of increasing adaptive functioning, well-being, and personal fulfillment and actualization.</p><p><strong>Method: </strong>We have organized and integrated relatively sparse and disparate theory and research to describe a multi-stage model linking pleasure and substance use. We review research on pleasure in the context of treatment for substance use, and describe future research directions.</p><p><strong>Results: </strong>Our model integrates several independent research programs with prominent theories and models of substance dependence that together provide evidence that pleasure, or lack thereof, is a risk or protective factor for initiating, escalating and maintaining substance use and substance use disorders. Pleasure is an overlooked but potentially high-yield target of existing evidence-based treatments.</p><p><strong>Conclusion: </strong>Research is needed to investigate the relation between pleasure and substance use, and existing and newly developed treatments that have the potential to increase pleasure. By increasing pleasure such treatments have the potential to help recipients to live fuller and richer lives. Integration of pleasure into existing treatments has compelling transdiagnostic implications for individuals at any point along a substance use severity continuum.</p>","PeriodicalId":72730,"journal":{"name":"Current drug abuse reviews","volume":"9 2","pages":"113-125"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34809885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Smoking and Cognition. 吸烟与认知。
Current drug abuse reviews Pub Date : 2016-01-01 DOI: 10.2174/1874473709666160803101633
Marcela Waisman Campos, Debora Serebrisky, Joao Mauricio Castaldelli-Maia
{"title":"Smoking and Cognition.","authors":"Marcela Waisman Campos,&nbsp;Debora Serebrisky,&nbsp;Joao Mauricio Castaldelli-Maia","doi":"10.2174/1874473709666160803101633","DOIUrl":"https://doi.org/10.2174/1874473709666160803101633","url":null,"abstract":"<p><p>Given the large availability of nicotinic acetylcholine receptors (nAChRs) throughout the brain, and the wide range of neurotransmitter systems affected (norepinephrine, serotonin and dopamine), nicotine influences a wide variety of cognitive domains such as sensorial, motor, attention, executive function, learning and memory. This article reviews current state of the art research on the effects of nicotine upon cognition. There are different neurobiological mechanisms involved in acute/chronic smoking and nicotine abstinence. Smoking reinforcement could be due to the initial cognitive improvement, that is, individuals can learn that smoking temporarily increases cognitive functioning (improving some components of attention and memory). These acute nicotine effects improve (i) cognitive performance above smokers' normal levels, and (ii) cognitive disruption resulting from nicotine abstinence. Both neurobiological effects act as reinforcers to nicotine use, greatly contributing to the development of nicotine dependence. However, heavy smoking is associated with cognitive impairment and cognitive decline in middle age. Future clinical research should investigate the role of positive and negative cognitive effects of nicotine in smoking cessation treatment. This is clearly an important scientific issue, with insufficient current data from which to draw definitive conclusions.</p>","PeriodicalId":72730,"journal":{"name":"Current drug abuse reviews","volume":"9 2","pages":"76-79"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34636202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 99
The Impact of Marijuana Use on Memory in HIV-Infected Patients: A Comprehensive Review of the HIV and Marijuana Literatures. 吸食大麻对艾滋病病毒感染者记忆力的影响:艾滋病与大麻文献综述》。
Current drug abuse reviews Pub Date : 2016-01-01 DOI: 10.2174/1874473709666160502124503
Linda M Skalski, Sheri L Towe, Kathleen J Sikkema, Christina S Meade
{"title":"The Impact of Marijuana Use on Memory in HIV-Infected Patients: A Comprehensive Review of the HIV and Marijuana Literatures.","authors":"Linda M Skalski, Sheri L Towe, Kathleen J Sikkema, Christina S Meade","doi":"10.2174/1874473709666160502124503","DOIUrl":"10.2174/1874473709666160502124503","url":null,"abstract":"<p><strong>Background: </strong>The most robust neurocognitive effect of marijuana use is memory impairment. Memory deficits are also high among persons living with HIV/AIDS, and marijuana is the most commonly used drug in this population. Yet research examining neurocognitive outcomes resulting from co-occurring marijuana and HIV is limited.</p><p><strong>Objective: </strong>The primary objectives of this comprehensive review are to: (1) examine the literature on memory functioning in HIV-infected individuals; (2) examine the literature on memory functioning in marijuana users; (3) synthesize findings and propose a theoretical framework to guide future research.</p><p><strong>Method: </strong>PubMed was searched for English publications 2000-2013. Twenty-two studies met inclusion criteria in the HIV literature, and 23 studies in the marijuana literature.</p><p><strong>Results: </strong>Among HIV-infected individuals, memory deficits with medium to large effect sizes were observed. Marijuana users also demonstrated memory problems, but results were less consistent due to the diversity of samples.</p><p><strong>Conclusion: </strong>A compensatory hypothesis, based on the cognitive aging literature, is proposed to provide a framework to explore the interaction between marijuana and HIV. There is some evidence that individuals infected with HIV recruit additional brain regions during memory tasks to compensate for HIV-related declines in neurocognitive functioning. Marijuana is associated with disturbance in similar brain systems, and thus it is hypothesized that the added neural strain of marijuana can exhaust neural resources, resulting in pronounced memory impairment. It will be important to test this hypothesis empirically, and future research priorities are discussed.</p>","PeriodicalId":72730,"journal":{"name":"Current drug abuse reviews","volume":"9 2","pages":"126-141"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5093083/pdf/nihms798649.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34449711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Introduction to Thematic issue 'Beneficial effects of psychedelics with a special focus on addictions'. 主题问题“迷幻药的有益影响,特别关注成瘾”的介绍。
Current drug abuse reviews Pub Date : 2015-01-27 DOI: 10.2174/1874473708666150120114604
R. Kortekaas, J. Breeksema
{"title":"Introduction to Thematic issue 'Beneficial effects of psychedelics with a special focus on addictions'.","authors":"R. Kortekaas, J. Breeksema","doi":"10.2174/1874473708666150120114604","DOIUrl":"https://doi.org/10.2174/1874473708666150120114604","url":null,"abstract":"","PeriodicalId":72730,"journal":{"name":"Current drug abuse reviews","volume":"207 1","pages":"69-70"},"PeriodicalIF":0.0,"publicationDate":"2015-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78156747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Different Aspects of Impulsivity as Independent Risk Factors for Substance Use Disorders in Patients with ADHD: A Review. 不同方面的冲动性作为ADHD患者物质使用障碍的独立危险因素的作用:综述。
Current drug abuse reviews Pub Date : 2015-01-01 DOI: 10.2174/1874473708666150916112913
Slobodin Ortal, Geurt van de Glind, Franck Johan, Berger Itai, Yachin Nir, Ivanov Iliyan, Wim van den Brink
{"title":"The Role of Different Aspects of Impulsivity as Independent Risk Factors for Substance Use Disorders in Patients with ADHD: A Review.","authors":"Slobodin Ortal,&nbsp;Geurt van de Glind,&nbsp;Franck Johan,&nbsp;Berger Itai,&nbsp;Yachin Nir,&nbsp;Ivanov Iliyan,&nbsp;Wim van den Brink","doi":"10.2174/1874473708666150916112913","DOIUrl":"https://doi.org/10.2174/1874473708666150916112913","url":null,"abstract":"<p><p>High impulsivity in children with attention deficit/hyperactivity disorder (ADHD) plays a key role in their vulnerability to substance abuse disorders (SUDs). Although impulsivity is increasingly recognized as a multidimensional construct, efforts to describe the contribution of different impulsivity aspects to the development of SUD have been hindered by conceptual and experimental inconsistencies. This review seeks to map potential trajectories from childhood ADHD to SUD by examining the hypothesized mediating role of three different impulsivity-related constructs: disinhibition, impulsive choice, and sensation seeking. Integration of data from developmental, cognitive, and neurophysiological research suggests that childhood ADHD and SUD are both associated with behavioural and neurophysiological deficits in all three impulsivity-related constructs. Examination of brain mechanisms related to the three impulsivity-related constructs indicates that ADHD share neurophysiological deficits with SUD, such as abnormal brain activity in areas involved in inhibition and complex cognitive-emotional processes. We conclude that different impulsivity constructs operate independently and interact with each other to affect adult risk taking behaviour and SUD in patients with childhood ADHD. This review highlights the current theoretical and methodological challenges in the study of impulsivity and discusses clinical implications and directions for future research. </p>","PeriodicalId":72730,"journal":{"name":"Current drug abuse reviews","volume":"8 2","pages":"119-33"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34074702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 48
Treatment of Adolescent Substance Use Disorders and Co-Occurring Internalizing Disorders: A Critical Review and Proposed Model. 青少年物质使用障碍和同时发生的内化障碍的治疗:一个重要的回顾和提出的模型。
Current drug abuse reviews Pub Date : 2015-01-01 DOI: 10.2174/1874473708666150514102745
Leslie A Hulvershorn, Patrick D Quinn, Eric L Scott
{"title":"Treatment of Adolescent Substance Use Disorders and Co-Occurring Internalizing Disorders: A Critical Review and Proposed Model.","authors":"Leslie A Hulvershorn,&nbsp;Patrick D Quinn,&nbsp;Eric L Scott","doi":"10.2174/1874473708666150514102745","DOIUrl":"https://doi.org/10.2174/1874473708666150514102745","url":null,"abstract":"BACKGROUND The past several decades have seen dramatic growth in empirically supported treatments for adolescent substance use disorders (SUDs), yet even the most well-established approaches struggle to produce large or long-lasting improvements. These difficulties may stem, in part, from the high rates of comorbidity between SUDs and other psychiatric disorders. METHOD We critically reviewed the treatment outcome literature for adolescents with co-occurring SUDs and internalizing disorders. RESULTS Our review identified components of existing treatments that might be included in an integrated, evidence-based approach to the treatment of SUDs and internalizing disorders. An effective program may involve careful assessment, inclusion of parents or guardians, and tailoring of interventions via a modular strategy. CONCLUSIONS The existing literature guides the development of a conceptual evidence-based, modular treatment model targeting adolescents with co-occurring internalizing and SUDs. With empirical study, such a model may better address treatment outcomes for both disorder types in adolescents.","PeriodicalId":72730,"journal":{"name":"Current drug abuse reviews","volume":"8 1","pages":"41-9"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2174/1874473708666150514102745","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33303186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 22
Signs and Related Mechanisms of Ethanol Hepatotoxicity. 乙醇肝毒性的体征及相关机制。
Current drug abuse reviews Pub Date : 2015-01-01 DOI: 10.2174/1874473708666150916113352
Ricardo Jorge Dinis-Oliveira, Teresa Mãgalhaes, Odília Queirós, Jorge Brandão Proença, Roxana Moreira, Maria de Lourdes Bastos, Félix Carvalho
{"title":"Signs and Related Mechanisms of Ethanol Hepatotoxicity.","authors":"Ricardo Jorge Dinis-Oliveira,&nbsp;Teresa Mãgalhaes,&nbsp;Odília Queirós,&nbsp;Jorge Brandão Proença,&nbsp;Roxana Moreira,&nbsp;Maria de Lourdes Bastos,&nbsp;Félix Carvalho","doi":"10.2174/1874473708666150916113352","DOIUrl":"https://doi.org/10.2174/1874473708666150916113352","url":null,"abstract":"<p><p>Ethanol is the most abused psychoactive substance. Accordingly to World Health Organization ethanol ranks among the top five risk factors for disease, disability and death (3.3 million/year) throughout the world. This manuscript highlights and critically analyses clinical and forensic signs related to hepatoxicity of ethanol that may lead to suspected of abuse. Namely, steatosis, jaundice, cirrhosis, hemorrhoids, esophageal varices caput medusae, ascites, petechiae, ecchymoses, splenomegaly, hemochromatosis, xanthelasma, nutritional deficiency, testicular atrophy, gynecomastia and dilated congestive cardiomyopathy are discussed and related to the toxic mechanism of ethanol. </p>","PeriodicalId":72730,"journal":{"name":"Current drug abuse reviews","volume":"8 2","pages":"86-103"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34075081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
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