ethanol

乙醇
  • 文章类型: Journal Article
    可再生和可持续的生物燃料生产,比如生物丁醇,作为不可再生和耗尽的汽油燃料的替代品越来越受欢迎。许多研究人员已经研究了如何通过考虑适当的原料和生物工艺技术来廉价地生产丁醇。通过丙酮-丁醇-乙醇(ABE)生产生物丁醇在世界范围内受到高度追捧,因为它具有可持续的供应和缺乏与食品的竞争。这项研究的目的是介绍当前的生物丁醇生产研究,并分析2006年至2023年进行的生物丁醇研究。这项研究中使用的关键词是“生物丁醇,相关数据是从WebofScience数据库(WoS)中提取的。根据结果,来自中华人民共和国的机构和学者,美国,印度在广泛的主题中引用的论文数量最多,包括丙酮-丁醇-乙醇(ABE)发酵,生物丁醇,各种预处理技术,和渗透蒸发。来自生物质的生物丁醇发酵的成功取决于发酵操作匹配微生物行为的能力以及适当的生物处理策略以改善整个过程以适合工业规模。根据审查数据,我们将研究生物丁醇技术和适当的战略,已经开发,以提高生物丁醇生产的可再生生物质。
    Renewable and sustainable biofuel production, such as biobutanol, is becoming increasingly popular as a substitute for non-renewable and depleted petrol fuel. Many researchers have studied how to produce butanol cheaply by considering appropriate feedstock materials and bioprocess technologies. The production of biobutanol through acetone-butanol-ethanol (ABE) is highly sought after around the world because of its sustainable supply and lack of competition with food. The purpose of this study is to present the current biobutanol production research and to analyse the biobutanol research conducted during 2006 to 2023. The keyword used in this study is \"Biobutanol,\" and the relevant data was extracted from the Web of Science database (WoS). According to the results, institutions and scholars from the People\'s Republic of China, the USA, and India have the highest number of cited papers across a broad spectrum of topics including acetone-butanol-ethanol (ABE) fermentation, biobutanol, various pretreatment techniques, and pervaporation. The success of biobutanol fermentation from biomass depends on the ability of the fermentation operation to match the microbial behaviour along with the appropriate bioprocessing strategies to improve the entire process to be suitable for industrial scale. Based on the review data, we will look at the biobutanol technologies and appropriate strategies that have been developed to improve biobutanol production from renewable biomass.
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  • 文章类型: Journal Article
    在2000年代中期到2010年代初,国内乙醇行业大幅增长,乙醇副产品成为植物盈利能力和牲畜饲养的重要因素。最初作为补充收入来源,乙醇生产的副产品已经演变成多样化的增值产品,加强收入来源,维持利润率。本研究回顾了乙醇副产物的现有经济研究,详细的方法论,产品焦点,和研究地点。最初从9个数据库收集972篇文章,合成了110篇文章。我们发现,大多数研究主要考察了乙醇行业的增长和未来,而对特定副产品的关注有限。饲料用酒糟,尤其是干酒糟,是最广泛出版的,而较新的副产品,如造粒,去油,和高蛋白酒糟的研究相对较少。非饲料产品明显被忽视,强调需要超越常规应用进行探索。乙醇副产品不断发展的市场格局已经超过了已发表的对经济权衡的学术理解,需要进一步研究产品动态,定价,市场营销,市场结构,和监管框架。这突出并强调了调查不同商品和地理背景下的增值谷物的重要性,以便为战略决策和政策制定提供信息。
    During the mid-2000s to the early 2010s, the domestic ethanol industry witnessed substantial growth, with ethanol coproducts emerging as vital elements for plant profitability and livestock feeding. Initially serving as supplementary revenue streams, coproducts from ethanol production have evolved into diverse value-added offerings, bolstering revenue streams, and sustaining profit margins. This study reviews existing economic research on ethanol coproducts, detailing methodologies, product focus, and research locations. Initially gathering 972 articles from 9 databases, 110 articles were synthesized. We find that most studies primarily examined the growth and future of the ethanol industry with a limited focus on specific coproducts. Feed-use distillers\' grains, especially dried distillers\' grains, were the most widely published while newer coproducts like pelletized, de-oiled, and high-protein distillers\' grains were relatively understudied. Non-feed-use products were notably overlooked, highlighting the need for exploration beyond conventional applications. The evolving market landscape for ethanol co-products has surpassed published academic understanding of the economic tradeoffs necessitating further research into product dynamics, pricing, marketing, market structures, and regulatory frameworks. This highlights and underscores the importance of investigating value-added grains across diverse commodities and geographic contexts to inform strategic decision-making and policy formulation.
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  • 文章类型: Journal Article
    经皮药物递送是用于施用治疗剂的有吸引力且患者友好的途径。然而,皮肤的天然屏障,角质层,限制了许多药物的通过,限制其有效性。为了克服这一挑战,研究人员开发了各种纳米载体来增强药物通过皮肤的渗透。跨细胞小体,一种新颖且有前途的药物递送系统,已成为改善透皮给药的创新解决方案。跨核小体是两种已建立的纳米载体的杂种:醇核体和传递体。醇质体是基于脂质的囊泡,可以容纳亲脂性和亲水性药物,而传递体是可变形的脂质囊泡,旨在增强皮肤渗透。经塞小体结合了两个系统的优点,使它们成为有效透皮给药的理想候选者。它们由磷脂组成,乙醇,和水,表现出很高的灵活性,使它们能够挤压角质层的紧密连接。这篇摘要回顾了跨丝体的关键特征,包括他们的组成,制备方法,行动机制,表征参数,和前景。此外,最近的进展和应用的转塞体在提供各种治疗剂,如镇痛药,抗炎药,荷尔蒙,和护肤品,正在探索。增强的跨囊体的皮肤渗透能力可以潜在地减少全身副作用并提高患者的依从性。使它们成为透皮给药领域的有价值的工具。总之,跨囊体代表了克服经皮药物递送挑战的有前途的平台。它们独特的特性使药物能够有效地通过皮肤渗透,提供了一种更加可控和有效的方法来管理各种药物和化妆品。该摘要突出了转体作为经皮药物递送领域的有价值的补充的潜力,并为该领域的进一步研究和开发铺平了道路。
    Transdermal drug delivery is an attractive and patient-friendly route for administering therapeutic agents. However, the skin\'s natural barrier, the stratum corneum, restricts the passage of many drugs, limiting their effectiveness. To overcome this challenge, researchers have developed various nanocarriers to enhance drug penetration through the skin. Transethosomes, a novel and promising drug delivery system, have emerged as an innovative solution for improving transdermal drug delivery. Transethosomes are a hybrid of two established nanocarriers: ethosomes and transfersomes. Ethosomes are lipid-based vesicles that can accommodate lipophilic and hydrophilic drugs, while transfersomes are deformable lipid vesicles designed to enhance skin penetration. Transethosomes combine the advantages of both systems, making them ideal candidates for efficient transdermal drug delivery. They are composed of phospholipids, ethanol, and water and exhibit high flexibility, enabling them to squeeze through the tight junctions of the stratum corneum. This abstract reviews the key characteristics of transethosomes, including their composition, preparation methods, mechanisms of action, characterization parameters, and prospects. Moreover, the recent advancements and applications of transethosomes in delivering various therapeutic agents, such as analgesics, anti-inflammatories, hormones, and skincare products, are explored. The enhanced skin penetration capabilities of transethosomes can potentially reduce systemic side effects and improve patient compliance, making them a valuable tool in the field of transdermal drug delivery. In conclusion, transethosomes represent a promising platform for overcoming the challenges of transdermal drug delivery. Their unique properties enable efficient drug permeation through the skin, offering a more controlled and effective means of administering a wide range of pharmaceutical and cosmetic products. This abstract highlights the potential of transethosomes as a valuable addition to the field of transdermal drug delivery and paves the way for further research and development in this area.
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  • 文章类型: Journal Article
    周围神经病(PN)是一种多方面的并发症,其特征是由于氧化应激引起的神经损伤,炎症介质,和失调的代谢过程。早期PN表现为感官变化,以“长袜和手套”模式逐渐发展。
    对文献进行了彻底的回顾,以找到分子病理学,已经进行的临床试验,以筛选不同药物的效果,目前PN治疗中使用的治疗方法和新方法。糖尿病性神经病由于蛋白激酶C活性改变而发生,神经元中多元醇途径活性升高,和雪旺氏细胞诱导的高血糖症。其他原因包括化疗暴露,自身免疫性疾病,和长期摄入乙醇。
    神经性疼痛的对症治疗包括使用三环抗抑郁药,抗惊厥药,和乙酰-L-肉碱.如果临床医生专注于包括基因治疗在内的新疗法,患者将有新的希望。神经调节技术,和大麻二酚作为传统药物的替代品,因为管理仍然不理想。
    UNASSIGNED: Peripheral neuropathy (PN) is a multifaceted complication characterized by nerve damage due to oxidative stress, inflammatory mediators, and dysregulated metabolic processes. Early PN manifests as sensory changes that develop progressively in a \"stocking and glove\" pattern.
    UNASSIGNED: A thorough review of literature has been done to find the molecular pathology, clinical trials that have been conducted to screen the effects of different drugs, current treatments and novel approaches used in PN therapy. Diabetic neuropathy occurs due to altered protein kinase C activity, elevated polyol pathway activity in neurons, and Schwann cells-induced hyperglycemia. Other causes involve chemotherapy exposure, autoimmune ailments, and chronic ethanol intake.
    UNASSIGNED: Symptomatic treatments for neuropathic pain include use of tricyclic antidepressants, anticonvulsants, and acetyl-L-carnitine. Patients will have new hope if clinicians focus on novel therapies including gene therapy, neuromodulation techniques, and cannabidiol as an alternative to traditional medications, as management is still not ideal.
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  • 文章类型: Review
    由于自由放松管制和数字化转型,全球博彩业近年来大幅增长。同样,对个人经历的赌博相关危害的担忧,他们的家人,他们的当地社区或社会也发展了,越来越多的人呼吁应该通过公共卫生方法来解决这些问题。针对赌博相关危害的公共卫生方法需要多方面的策略,包括促进健康保护的倡议,危害最小化和社会不同阶层的健康监测。然而,几乎没有研究探索如何将公共卫生方法与赌博相关的危害从类似的方法中学习到其他潜在有害但合法的部门,例如酒精部门,烟草行业,脂肪含量高,盐和糖产品部门。因此,本文提出了一个概念框架,该框架是在对上述部门的公共卫生方法进行范围审查之后开发的。具体来说,我们综合了每个部门的战略,以制定一套总体的公共卫生目标和战略,当这些目标和战略与社会生态模式相互联系并结合时,可以由一系列利益相关者部署,包括学者和治疗提供者,尽量减少与赌博有关的危害。Wedemonstratethesignificanceoftheconceptualframeworkbyhighingitsuseinmappinginitionsaswellasunifyingstakeholderstowardtheminimizationofgambling-relatedharms,以及对社区和社会的保护。
    The global gambling sector has grown significantly over recent years due to liberal deregulation and digital transformation. Likewise, concerns around gambling-related harms-experienced by individuals, their families, their local communities or societies-have also developed, with growing calls that they should be addressed by a public health approach. A public health approach towards gambling-related harms requires a multifaceted strategy, comprising initiatives promoting health protection, harm minimization and health surveillance across different strata of society. However, there is little research exploring how a public health approach to gambling-related harms can learn from similar approaches to other potentially harmful but legal sectors such as the alcohol sector, the tobacco sector, and the high in fat, salt and sugar product sector. Therefore, this paper presents a conceptual framework that was developed following a scoping review of public health approaches towards the above sectors. Specifically, we synthesize strategies from each sector to develop an overarching set of public health goals and strategies which-when interlinked and incorporated with a socio-ecological model-can be deployed by a range of stakeholders, including academics and treatment providers, to minimise gambling-related harms. We demonstrate the significance of the conceptual framework by highlighting its use in mapping initiatives as well as unifying stakeholders towards the minimization of gambling-related harms, and the protection of communities and societies alike.
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  • 文章类型: Journal Article
    背景:重度饮酒和饮酒障碍(AUD)作为公共卫生问题继续上升,并增加了患病的风险。焦虑率上升,抑郁症,睡眠中断和压力与饮酒有关。如果尝试禁欲,症状可能会发展为诊断的神经生理状况,并增加复发的风险。关于通过肠-脑轴将胃肠道微生物组连接到神经心理疾病的机制的研究已经建立。鲜为人知的是口腔微生物组和口腔微生物相关生物标志物如何向大脑发出信号。因此,研究酒精摄入量之间关系的综合研究,酒精相关的神经生理症状和口腔微生物组需要了解当前科学的状态。在本文中,我们概述了我们要收集的协议,评估和综合研究集中在酒精摄入和AUD相关神经心理障碍与口腔微生物组之间的关联。
    方法:搜索策略已制定,并将与医学研究图书馆员合作执行。研究将由两名独立的研究人员根据范围审查的目的进行筛选,以及概述的排除和纳入标准。筛选后,数据将根据预定义的人口统计从包含的论文中提取和合成,临床和微生物组方法学指标。
    背景:需要对主要来源进行范围审查,以综合有关酒精使用之间关系的数据,与AUD和口腔微生物组相关的神经心理状况。拟议的范围审查基于公开数据库中的数据,不需要道德批准。我们预计,这种综合的结果将发现越来越多的文献中的空白,并突出显示将口腔-脑轴与成瘾和其他相关神经心理状况联系起来的潜在机制。研究结果和结果将通过与心理学有关的期刊和会议传播,神经科学,牙科和微生物组。
    BACKGROUND: Heavy alcohol use and alcohol use disorder (AUD) continues to rise as a public health problem and increases the risk for disease. Elevated rates of anxiety, depression, sleep disruption and stress are associated with alcohol use. Symptoms may progress to diagnosed neurophysiological conditions and increase risk for relapse if abstinence is attempted. Research on mechanisms connecting the gastrointestinal microbiome to neuropsychological disorders through the gut-brain axis is well-established. Less is known how the oral microbiome and oral microbial-associated biomarkers may signal to the brain. Therefore, a synthesis of research studying relationships between alcohol intake, alcohol-associated neurophysiological symptoms and the oral microbiome is needed to understand the state of the current science. In this paper, we outline our protocol to collect, evaluate and synthesise research focused on associations between alcohol intake and AUD-related neuropsychological disorders with the oral microbiome.
    METHODS: The search strategy was developed and will be executed in collaboration with a medical research librarian. Studies will be screened by two independent investigators according to the aim of the scoping review, along with the outlined exclusion and inclusion criteria. After screening, data will be extracted and synthesised from the included papers according to predefined demographic, clinical and microbiome methodology metrics.
    BACKGROUND: A scoping review of primary sources is needed to synthesise the data on relationships between alcohol use, neuropsychological conditions associated with AUD and the oral microbiome. The proposed scoping review is based on the data from publicly available databases and does not require ethical approval. We expect the results of this synthesis will identify gaps in the growing literature and highlight potential mechanisms linking the oral-brain axis to addiction and other associated neuropsychological conditions. The study findings and results will be disseminated through journals and conferences related to psychology, neuroscience, dentistry and the microbiome.
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  • 文章类型: Journal Article
    BACKGROUND: Limited research exists on substance-related acute toxicity deaths (ATDs) in older adults (≥60 years) in Canada. This study aims to examine and describe the sociodemographic characteristics, health histories and circumstances of death for accidental ATDs among older adults.
    METHODS: Following a retrospective descriptive analysis of all coroner and medical examiner files on accidental substance-related ATDs in older adults in Canada from 2016 to 2017, proportions and mortality rates for coroner and medical examiner data were compared with general population data on older adults from the 2016 Census. Chisquare tests were conducted for categorical variables where possible.
    RESULTS: From 2016 to 2017, there were 705 documented accidental ATDs in older adults. Multiple substances contributed to 61% of these deaths. Fentanyl, cocaine and ethanol (alcohol) were the most common substances contributing to death. Heart disease (33%), chronic pain (27%) and depression (26%) were commonly documented. Approximately 84% of older adults had contact with health care services in the year preceding their death. Only 14% were confirmed as having their deaths witnessed.
    CONCLUSIONS: Findings provide insight into the demographic, contextual and medical history factors that may influence substance-related ATDs in older adults and suggest key areas for prevention.
    BACKGROUND: Il existe peu de recherches sur les décès liés à une intoxication aiguë due à une substance chez les aînés (60 ans et plus) au Canada. Cette étude vise à explorer et à décrire les caractéristiques sociodémographiques, les antécédents en matière de santé et les circonstances des décès en ce qui concerne les décès accidentels liés à une intoxication aiguë chez les aînés.
    UNASSIGNED: À la suite d’une analyse descriptive rétrospective de tous les dossiers des coroners et des médecins légistes sur les décès accidentels liés à une intoxication aiguë due à une substance chez les aînés au Canada de 2016 à 2017, les pourcentages de décès et les taux de mortalité issus des données des coroners et des médecins légistes ont été comparés aux données sur les aînés de la population générale tirées du recensement de 2016. Dans la mesure du possible, nous avons réalisé des tests du chi carré pour les variables nominales.
    UNASSIGNED: En 2016 et 2017, 705 décès accidentels liés à une intoxication aiguë chez les aînés ont été documentés. Dans 61 % des cas, ce sont plusieurs substances qui ont contribué au décès. Le fentanyl, la cocaïne et l’éthanol (alcool) sont les substances les plus souvent en cause. Les maladies du cœur (33 %), la douleur chronique (27 %) et la dépression (26 %) ont souvent été documentées. Environ 84 % des aînés avaient pris contact avec des services de soins de santé au cours de l’année précédant leur décès. Le décès a eu lieu en présence d’un témoin dans 14 % des cas seulement.
    CONCLUSIONS: Nos constatations permettent de mettre en lumière les facteurs sociodémographiques, contextuels et les antécédents médicaux pouvant avoir une incidence sur les décès liés à une intoxication aiguë due à une substance chez les aînés et d’ainsi proposer des aires clés de prévention.
    Males 60 years or older had a higher mortality rate due to accidental acute toxicity than females. When a pharmaceutical substance contributed to accidental acute toxicity death, 61% of older adults had a prescription for the substance. At least one nonpharmaceutical substance contributed to 43% of accidental older adult acute toxicity deaths. Multiple substances contributed to most of the accidental deaths (61%), with fentanyl, cocaine and ethanol (alcohol) most often contributing to death. Almost three-quarters of the older adults who died of acute toxicity had accessed health care in the year preceding death.
    Les hommes de 60 ans et plus ont un taux plus élevé de décès lié à une intoxication aiguë accidentelle que les femmes. Dans les cas où une substance pharmaceutique a contribué au décès accidentel par intoxication aiguë, 61 % des aînés avaient obtenu une ordonnance pour cette substance. Au moins une substance non pharmaceutique a contribué au décès dans 43 % des décès accidentels par intoxication aiguë chez les aînés. Une combinaison de substances a contribué à la plupart des décès accidentels (61 %), le fentanyl, la cocaïne et l’éthanol (alcool) étant les substances les plus souvent en cause. Près des trois quarts des aînés décédés d’une intoxication aiguë avaient eu accès à des soins de santé au cours de l’année précédant leur décès.
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  • 文章类型: Journal Article
    背景:术语“问题饮酒”包括一系列酒精问题,从过量或大量饮酒到饮酒障碍。饮酒问题是全球死亡和残疾的主要风险因素。它以不同的方式被衡量和概念化,这使得很难确定问题酒精使用的常见风险因素。这项范围审查旨在综合有关饮酒问题评估的知识,其规模和相关因素。
    方法:四个数据库(PubMed,Embase,PsycINFO,从成立之初到2023年11月25日,搜索了全球指数Medicus)和GoogleScholar。如果研究的重点是15岁及以上的人,以人群为基础的研究报告了酒精使用问题,并以英语发表。本综述是根据“系统综述和Meta分析的首选报告项目扩展范围”中的指南报告的。使用纽卡斯尔-渥太华量表进行关键评估。
    结果:从确定的14296条记录中,10749进行了标题/摘要筛选,其中评估了352篇全文,并纳入81篇文章进行数据提取。纳入的研究通过自我报告数量/频率问卷评估酒精使用情况,确定有风险的单次饮酒的标准,经过验证的筛选工具,或结构化的临床和诊断访谈。最广泛使用的筛选工具是酒精使用障碍鉴定测试。研究以各种方式定义了饮酒问题,包括过量/大量饮酒,暴饮暴食,酒精使用障碍,酗酒和酒精依赖。在整个研究中,大量饮酒的患病率从<1.0%到53.0%不等,暴饮暴食从2.7%上升到48.2%,酒精滥用从4.0%到19.0%,酒精依赖从0.1%到39.0%,酒精使用障碍从2.0%到66.6%。与饮酒问题相关的因素在不同的研究中有所不同。这些包括社会人口和经济因素(年龄,性别,关系状态,教育,employment,收入水平,宗教,种族,位置和酒精出口密度)和临床因素(如医疗问题,精神障碍,其他物质的使用和生活质量)。
    结论:由于测量的差异,研究设计和评估风险因素,问题饮酒的患病率和相关因素在研究和环境中差异很大.酒精领域将受益于酒精使用和问题饮酒的统一测量,因为这将允许在各国之间进行比较并进行荟萃分析。
    背景:开放科学框架ID:https://osf.io/2anj3。
    BACKGROUND: The term \"problem drinking\" includes a spectrum of alcohol problems ranging from excessive or heavy drinking to alcohol use disorder. Problem drinking is a leading risk factor for death and disability globally. It has been measured and conceptualised in different ways, which has made it difficult to identify common risk factors for problem alcohol use. This scoping review aims to synthesise what is known about the assessment of problem drinking, its magnitude and associated factors.
    METHODS: Four databases (PubMed, Embase, PsycINFO, Global Index Medicus) and Google Scholar were searched from inception to 25 November 2023. Studies were eligible if they focused on people aged 15 and above, were population-based studies reporting problem alcohol use and published in the English language. This review was reported based on guidelines from the \'Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews Checklist\'. Critical appraisal was done using the Newcastle-Ottawa Scale.
    RESULTS: From the 14 296 records identified, 10 749 underwent title/abstract screening, of which 352 full-text articles were assessed, and 81 articles were included for data extraction. Included studies assessed alcohol use with self-report quantity/frequency questionnaires, criteria to determine risky single occasion drinking, validated screening tools, or structured clinical and diagnostic interviews. The most widely used screening tool was the Alcohol Use Disorder Identification Test. Studies defined problem drinking in various ways, including excessive/heavy drinking, binge drinking, alcohol use disorder, alcohol abuse and alcohol dependence. Across studies, the prevalence of heavy drinking ranged from <1.0% to 53.0%, binge drinking from 2.7% to 48.2%, alcohol abuse from 4.0% to 19.0%, alcohol dependence from 0.1% to 39.0% and alcohol use disorder from 2.0% to 66.6%. Factors associated with problem drinking varied across studies. These included sociodemographic and economic factors (age, sex, relationship status, education, employment, income level, religion, race, location and alcohol outlet density) and clinical factors (like medical problems, mental disorders, other substance use and quality of life).
    CONCLUSIONS: Due to differences in measurement, study designs and assessed risk factors, the prevalence of and factors associated with problem drinking varied widely across studies and settings. The alcohol field would benefit from harmonised measurements of alcohol use and problem drinking as this would allow for comparisons to be made across countries and for meta-analyses to be conducted.
    BACKGROUND: Open Science Framework ID: https://osf.io/2anj3.
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  • 文章类型: Systematic Review
    背景:在许可娱乐环境(LES)和户外音乐节(OMF)中使用酒精和其他药物(AOD)的危害是持续存在的公共卫生和刑事司法问题。这个系统的审查提供了一个全面的,关于在这些环境中影响危害的干预措施的证据基础的综合报告,以及它们如何影响健康,行为,和刑事司法结果。
    方法:搜索了9个数据库,寻找2010年至2021年发表的实验和观察性研究。如果是同行评审的研究,以英文出版,描述了可能影响LES或OMF中AOD相关危害的干预措施(并在这些环境中交付),并报告健康状况,刑事司法和/或行为结果。使用有效公共卫生实践项目的定量研究质量评估工具和定性研究关键评估技能计划评估方法质量。进行了叙述性综合,以综合研究的结果。审查方案在PROSPERO(CRD42020140004)中注册。
    结果:在筛选的48,303项研究中,100人符合纳入标准。86只专注于减少与酒精有关的伤害,7关于减少与非法药物有关的伤害,7在这两个大多数(n=88)专注于LES,并评估了法律法规(n=28)和/或多组分干预/政策(n=41)的变化。多组分干预措施对健康(62%积极)和刑事司法(84%积极)结果均表现出最佳效果。71%的研究被评为高质量。也有充分的证据支持谨慎应用交易时间限制,并有有限但有希望的证据支持医疗服务和药物检查。
    结论:广度,在过去十年中,关于在娱乐环境中减少AOD相关伤害的证据的质量和数量有所增加,尤其是LES。调查结果支持现场医疗服务(降低救护车转运率),针对酒精可及性和可用性的多组分干预措施(减少攻击),和毒品检查服务,但建议其他干预措施,如药物检测狗可能会加剧伤害。Further,需要更高质量的研究来解决证据基础中发现的差距,特别是在OMF内部的最佳干预措施上,更广泛地和全球南方的非法药物。
    BACKGROUND: Harms associated with the use of alcohol and other drugs (AOD) in licensed entertainment settings (LES) and outdoor music festivals (OMF) are ongoing public health and criminal justice concerns. This systematic review provides a comprehensive, synthesized report on the evidence base of interventions that impact harm in these settings, and how they affect health, behavioral, and criminal justice outcomes.
    METHODS: Nine databases were searched for experimental and observational studies published between 2010 and 2021. Studies were included if they were peer-reviewed, published in English, described interventions which could impact AOD-related harms in LES or OMF (and were delivered in these environments), and reported on health, criminal justice and/or behavioral outcomes. Methodological quality was assessed using the Effective Public Health Practice Project\'s Quality Assessment Tool for Quantitative Studies and the Critical Appraisal Skills Program for qualitative studies. A narrative synthesis was conducted to synthesize outcomes across studies. The review protocol was registered in PROSPERO (CRD42020140004).
    RESULTS: Of the 48,303 studies screened, 100 met the inclusion criteria. 86 focused solely on reducing alcohol-related harm, 7 on reducing illicit drug-related harm, and 7 on both. Most (n = 88) focused on LES and evaluated changes in laws and regulations (n = 28) and/or multicomponent interventions/policies (n = 41). Multicomponent interventions showed the best results for both health (62% positive) and criminal justice (84% positive) outcomes, with 71% of studies being rated as strong quality. There was also good evidence to support the careful application of trading hour restrictions and limited but promising evidence to support medical services and drug checking.
    CONCLUSIONS: The breadth, quality and volume of evidence regarding what works in reducing AOD-related harm in recreational settings have increased in the past decade, particularly regarding LES. Findings support onsite medical services (reducing ambulance transfer rates), multicomponent interventions targeting alcohol accessibility and availability (reducing assaults), and drug checking services, but suggest other interventions such as drug detection dogs may exacerbate harm. Further, higher quality research is required to address identified gaps in the evidence base, particularly on optimal interventions within OMF, around illicit drugs more broadly and in the Global South.
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  • 文章类型: Systematic Review
    目的:医院酒精和/或其他药物(AOD)检测对于识别AOD相关损伤很重要;然而,测试方法各不相同。本系统综述旨在从基于医院的受伤患者研究中检查生物AOD测试方法,并量化报告这些测试方法的关键信息的比例。
    方法:纳入了2010年以后以英文发表的观察性研究,这些研究涉及到医院就诊的受伤患者的生物AOD检测。排除了检查单个损伤原因的研究。提取的数据包括AOD检测的浓度阈值(例如,检测下限,作者定义的截止日期),测试类型(例如,免疫测定,呼吸分析仪)和方法(例如,常规,临床自由裁量权),测试时间,样本类型和接受AOD测试的受伤病例比例。
    结果:在83项纳入研究中,76测酒精和其他药物37。49项研究定义了血液酒精浓度阈值(范围为0至0.1g/100mL)。七项研究定义了其他药物的浓度阈值。在39/76酒精和18/37其他药物研究中报道了测试方法。通常报告样品类型(酒精:n=69/76;其他药物:n=28/37);通常使用血液(n=60)和使用尿液(n=20)的其他药物测量酒精。报告所测试病例比例的研究(酒精:n=53/76;其他药物:n=28/37),报告称,0%至89%的病例没有进行酒精测试,0%和91%的病例没有进行其他药物测试。测试时间通常未报告(酒精:n=61;其他药物:n=30)。
    结论:AOD测试方法的差异以及这些方法的不完整报告限制了数据的可比性和解释。测试方法的标准化报告将有助于AOD相关伤害的监测和预防。
    OBJECTIVE: Hospital alcohol and/or other drug (AOD) testing is important for identifying AOD-related injuries; however, testing methods vary. This systematic review aimed to examine biological AOD testing methods from hospital-based studies of injured patients and quantify what proportion reported key information on those testing methods.
    METHODS: Observational studies published in English from 2010 onwards involving biological AOD testing for injured patients presenting to hospital were included. Studies examining single injury causes were excluded. Extracted data included concentration thresholds for AOD detection (e.g., lower limits of detection, author-defined cut-offs), test type (e.g., immunoassay, breathalyser) and approach (e.g., routine, clinical discretion), timing of testing, sample type and the proportion of injured cases tested for AODs.
    RESULTS: Of 83 included studies, 76 measured alcohol and 37 other drugs. Forty-nine studies defined blood alcohol concentration thresholds (ranging from 0 to 0.1 g/100 mL). Seven studies defined concentration thresholds for other drugs. Testing approach was reported in 39/76 alcohol and 18/37 other drug studies. Sample type was commonly reported (alcohol: n = 69/76; other drugs: n = 28/37); alcohol was typically measured using blood (n = 60) and other drugs using urine (n = 20). Studies that reported the proportion of cases tested (alcohol: n = 53/76; other drugs: n = 28/37), reported that between 0% and 89% of cases were not tested for alcohol and 0% and 91% for other drugs. Timing of testing was often unreported (alcohol: n = 61; other drugs: n = 30).
    CONCLUSIONS: Variation in AOD testing methods alongside incomplete reporting of those methods limits data comparability and interpretation. Standardised reporting of testing methods will assist AOD-related injury surveillance and prevention.
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