Alcohol consumption

酒精消费
  • 文章类型: Journal Article
    大学生饮酒仍然是全国高校关注的重大公共卫生问题。然而,主要的研究包括来自以白人为主的机构的白人样本。毫不奇怪,这种做法限制了历史上黑人校园中关于非裔美国男大学生饮酒的知识。值得注意的是,作为从童年到成年的“仪式”,在非裔美国人家庭中,早期饮酒被视为一种文化规范。与酗酒相关的负面后果,早期接触酒精,以及一般大学生中问题饮酒的患病率,授权的进一步研究有助于更好地理解历史上黑人校园的这种公共卫生问题。这项研究调查了非裔美国男大学生的饮酒情况,调查人口统计学与社会文化因素之间的关系,这些因素是饮酒的非裔美国男大学生饮酒的预测因素。使用了94名学生的便利样本。进行了多元回归以测试人口统计学和社会文化因素是否是饮酒的预测因素。这项研究的结果将促进社会工作研究,并激发有关饮酒的非裔美国男大学生之间药物滥用差异的讨论。此外,这项研究突出了公共卫生问题,促进预防和干预计划的发展,旨在解决历史上黑人大学的非裔美国男大学生饮酒的社会问题。
    Alcohol consumption among college students continues to be a significant public health concern for colleges and universities across the country. However, a preponderance of research primarily included White samples from predominantly white institutions. Unsurprisingly, this practice limits what is known regarding alcohol consumption among African American male college students on historically Black campuses. Notably, as a \"rite of passages\" from childhood to adulthood, early exposure to alcohol consumption has been viewed as a cultural norm in African American families. The negative consequences associated with alcohol abuse, early exposure to alcohol, and the prevalence of problem drinking among college students in general, mandated further research facilitating a better understanding of this public health concern on historically Black campuses. This study examined alcohol use among African American male college students, investigating relationships between demographics and socio-cultural factors as predictors of alcohol consumption among African American male college students who drink. A convenience sample of 94 students was used. A multiple regression was conducted to test whether demographics and socio-cultural factors were predictors of alcohol consumption. Findings from this study will advance social work research and stimulate discussions about substance abuse disparities among African American male college students who consume alcohol. Furthermore, this research highlights the public health issue, prompting the development of prevention and intervention programs aimed at addressing the social problem of alcohol consumption among African American male college students at historically Black universities.
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  • 文章类型: Journal Article
    关于高尿酸血症与阵发性心房颤动(AF)导管消融术后心律失常复发之间的关联的证据很少。我们调查了高尿酸血症是否可预测阵发性房颤导管消融术后心律失常复发,以及高尿酸血症与饮酒在房颤复发中的关系。
    接受导管消融术治疗阵发性房颤的患者被分为高尿酸血症组(血清尿酸指数[UA]>7.0mg/dL;n=114)和对照组(UA≤7.0mg/dL;n=609),并在消融术后中位随访24(12-48)个月。
    高尿酸血症组酒精摄入量≥20克/天的患者较多(33.3%vs.22.7%,p=.017)和较低的无AF生存率(p=.019)。同样,与其他患者相比,酒精摄入量≥20g/天的患者无AF生存率较低.多因素Cox回归分析显示以下房颤复发的独立预测因子(调整后的风险比,95%置信区间):高尿酸血症(1.64,1.12-2.40),女性(1.91,1.36-2.67),脑钠肽水平>100pg/mL(1.59,1.14-2.22),饮酒量≥20g/天(1.49,1.03-2.15)(所有p<0.05)。此外,因果中介分析显示,饮酒≥20g/天直接影响房颤复发,独立于高尿酸血症。
    高尿酸血症患者在阵发性房颤导管消融术后可能存在心律失常复发的高风险。尽管高饮酒量可能会导致UA水平升高,高尿酸血症的存在可以独立预测房颤复发.
    UNASSIGNED: Evidence regarding the association between hyperuricemia and arrhythmia recurrence after catheter ablation for paroxysmal atrial fibrillation (AF) is scarce. We investigated whether hyperuricemia predicts arrhythmia recurrence after catheter ablation for paroxysmal AF and the relationship between hyperuricemia and alcohol consumption in AF recurrence.
    UNASSIGNED: Patients who underwent catheter ablation for paroxysmal AF were divided into the hyperuricemia (index serum uric acid [UA] >7.0 mg/dL; n = 114) and control (UA ≤7.0 mg/dL; n = 609) groups and were followed for a median of 24 (12-48) months after ablation.
    UNASSIGNED: The hyperuricemia group had more patients with an alcohol intake of ≥20 g/day (33.3% vs. 22.7%, p = .017) and a lower incidence of AF-free survival (p = .019). Similarly, those with an alcohol intake of ≥20 g/day had a lower incidence of AF-free survival than other patients. Multivariate Cox regression analysis revealed the following independent predictors of AF recurrence (adjusted hazard ratio, 95% confidence interval): hyperuricemia (1.64, 1.12-2.40), female gender (1.91, 1.36-2.67), brain natriuretic peptide level >100 pg/mL (1.59, 1.14-2.22), and alcohol consumption ≥20 g/day (1.49, 1.03-2.15) (all p < .05). In addition, causal mediation analysis revealed that alcohol consumption of ≥20 g/day directly affected AF recurrence, independent of hyperuricemia.
    UNASSIGNED: Patients with hyperuricemia may be at a high risk of arrhythmia recurrence after catheter ablation for paroxysmal AF. Although high alcohol consumption may contribute to increased UA levels, the presence of hyperuricemia may independently predict AF recurrence.
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  • 文章类型: Journal Article
    虽然观察性研究证明了吸烟之间的联系,酒精消费,动脉僵硬度,由于潜在的混杂因素,建立因果关系已被证明具有挑战性。为了解决这个问题,我们采用了双样本孟德尔随机化方法.
    我们从全基因组关联研究中选择了这些风险因素的遗传工具,这些研究包括3,383,199个个体在全基因组显著性水平(p<5×10-9)。动脉硬度数据来自英国生物库,其中包括127,121名参与者。我们的主要分析使用逆方差加权方法来探索因果关系。为了证实我们的结果的稳健性,我们使用Egger回归进行了敏感性分析,加权中位数法,和孟德尔随机化多效度测量和异常值(MR-PRESSO)。
    我们的分析显示,开始吸烟的遗传倾向与动脉僵硬指数的增加之间存在显着关联(β=0.11;95%置信区间[CI],0.06至0.16;p=1.95×10-5)。此外,基因预测的每日香烟数量与动脉僵硬指数之间存在暗示性联系(β=0.05;95%CI,5.25×10-4~0.10;p=4.75×10-2).在遗传预测的开始吸烟年龄之间没有观察到因果关系,戒烟,或饮酒和动脉僵硬指数的风险。
    这项孟德尔随机化研究表明,开始吸烟可能是动脉僵硬的致病危险因素。然而,需要进一步的研究来确定日常香烟的数量是否直接有助于动脉僵硬的发展。关于酒精消费,开始吸烟的年龄,戒烟,没有足够的证据证明因果关系。
    UNASSIGNED: While observational studies have demonstrated connections between cigarette smoking, alcohol consumption, and arterial stiffness, establishing a causal relationship has proven challenging because of potential confounding factors. To address this problem, we employed a two-sample Mendelian randomization approach.
    UNASSIGNED: We selected genetic instruments for these risk factors from genome-wide association studies encompassing 3,383,199 individuals at the genome-wide significance level (p < 5 × 10 - 9 ). Arterial stiffness data were acquired from the UK Biobank, which included 127,121 participants. Our primary analysis utilized the inverse variance-weighted method to explore causality. To confirm our results\' robustness, we conducted sensitivity analyses using Egger regression, the weighted median method, and Mendelian Randomization Pleiotropy RESidual Sum and Outlier (MR-PRESSO).
    UNASSIGNED: Our analysis revealed a significant association between genetic inclination to smoking initiation and an increase in the arterial stiffness index ( β = 0.11; 95% confidence interval [CI], 0.06 to 0.16; p = 1.95 × 10 - 5 ). Additionally, there was a suggestive connection between genetically predicted number of cigarettes per day and the arterial stiffness index ( β = 0.05; 95% CI, 5.25 × 10 - 4 to 0.10; p = 4.75 × 10 - 2 ). No causal relationships were observed between the genetically predicted age of smoking initiation, smoking cessation, or alcohol consumption and the risk of arterial stiffness index.
    UNASSIGNED: This Mendelian randomization study indicates that smoking initiation is likely a causative risk factor for arterial stiffness. However, further research is needed to determine if the quantity of daily cigarettes directly contributes to arterial stiffness development. Regarding alcohol consumption, age of smoking initiation, and smoking cessation, there was insufficient evidence to establish causality.
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  • 文章类型: Journal Article
    目的:研究韩国医疗援助受益人和国民健康保险受益人过去饮酒模式与抑郁风险之间的关系。
    方法:我们使用了国家健康信息数据库(NHID)的数据,该数据库在2015-16年和2017-18年接受了健康检查的1,292,618名参与者。我们将饮酒分为四组:持续高,增加,减少,和非消费者。我们从2019年到2021年跟踪了参与者,并确定了新的抑郁症发作。我们根据饮酒组和社会经济状况计算了抑郁症的调整比值比(aOR)和95%置信区间(CI)。
    结果:在所有饮酒群体中,医疗援助受益人患抑郁症的风险高于国民健康保险受益人。在连续的高消费者中观察到最高的风险(AOR,2.31;95%CI,1.36-3.93),其次是增加(AOR,1.51;95%CI,1.17-1.94),减少(AOR,1.48;95%CI,1.18-1.84),和非消费者(AOR,1.37;95%CI,1.22-1.54)。
    结论:过去的社会经济状况和饮酒方式与抑郁症的风险相关。公共卫生干预措施应同时考虑这两个因素,以减少与酒精有关的抑郁症和健康不平等。
    OBJECTIVE: To examine the association between patterns of alcohol consumption in the past and the risk of depression among medical aid beneficiaries and National Health Insurance beneficiaries in Korea.
    METHODS: We used data from the National Health Information Database (NHID) of 1,292,618 participants who underwent health checkups in 2015-16 and 2017-18. We categorized alcohol consumption into four groups: continuous high, increased, decreased, and non-consumers. We followed the participants from 2019 to 2021 and identified new episodes of depression. We calculated adjusted odds ratios (aOR) and 95% confidence intervals (CI) for depression by alcohol consumption groups and socioeconomic status.
    RESULTS: Medical aid beneficiaries had higher risks of depression than National Health Insurance beneficiaries across all alcohol consumption groups. The highest risk was observed among continuous high consumers (aOR, 2.31; 95% CI, 1.36-3.93), followed by increased (aOR, 1.51; 95% CI, 1.17-1.94), decreased (aOR, 1.48; 95% CI, 1.18-1.84), and non-consumers (aOR, 1.37; 95% CI, 1.22-1.54).
    CONCLUSIONS: Socioeconomic status and patterns of alcohol consumption in the past are associated with the risk of depression. Public health interventions should consider both factors to reduce alcohol-related depression and health inequalities.
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  • 文章类型: Journal Article
    本文调查了家庭暴力和虐待(DVA)它的漏报及其与酒精消费的联系,在寻求帮助的电话中表现并影响到英国警察服务的结果。对接听者关于酒精问题的对话分析发现,他们要么(a)只关注肇事者的饮酒,并在通知来电者正在派遣帮助后发生,或(b)针对受害者和肇事者饮酒并使派遣警察援助的决定复杂化。本文有助于指定可能构成受害者的交流方式,即向警方披露DVA的负面经历。
    This article investigates how domestic violence and abuse (DVA), its underreporting and its links with alcohol consumption, manifest in and impact the outcome of help-seeking telephone calls to U.K.-based police services. Conversation analysis of call-takers\' questions about alcohol found that they either (a) focused only on the perpetrator\'s drinking, and occurred after informing callers that help was being dispatched, or (b) targeted both victims\' and perpetrators\' drinking and complicated the decisions to dispatch police assistance. The article helps specify the communicative practices that may constitute victims\' negative experiences of disclosing DVA to the police.
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  • 文章类型: Journal Article
    目标:长期饮酒会导致体内氧化应激,可能过度积累并导致记忆力下降;解决问题,学习,和锻炼能力;以及对大脑结构和功能的永久性损害。因此,长期饮酒会导致酒精相关疾病。
    方法:在本研究中,使用小鼠模型评估了毛竹(Carrère)J.Houz(PE)对酒精诱导的神经炎症和认知障碍的保护作用.酒精(16%,5g/kg/天,持续6周)和PE(100、250和500mg/kg/天,持续21天)胃内给予小鼠。
    结果:PE对饮酒引起的记忆缺陷和认知功能障碍具有保护作用,通过T迷宫等行为测试证实,物体识别,和Morris水迷宫测试.此外,PE通过减少脂质氧化来减弱氧化应激,一氧化氮,和小鼠大脑中的活性氧水平,肝脏,还有肾脏.在饲喂低浓度和中等浓度PE的小鼠的大脑中证实了神经营养因子的改善和凋亡相关蛋白的下调。此外,抗氧化酶相关蛋白GPx-1和SOD-1在PE处理的小鼠肝脏中的表达增强,与它们对氧化应激的抑制作用有关。
    结论:这表明PE具有神经再生和抗氧化作用。总的来说,这些行为和组织学结果证实,PE可以通过脑神经营养和凋亡保护以及氧化应激的调节来改善酒精引起的认知缺陷。
    OBJECTIVE: Chronic alcohol consumption causes oxidative stress in the body, which may accumulate excessively and cause a decline in memory; problem-solving, learning, and exercise abilities; and permanent damage to brain structure and function. Consequently, chronic alcohol consumption can cause alcohol-related diseases.
    METHODS: In this study, the protective effects of Phyllostachys edulis (Carrière) J. Houz (PE) against alcohol-induced neuroinflammation and cognitive impairment were evaluated using a mouse model. Alcohol (16%, 5 g/kg/day for 6 weeks) and PE (100, 250, and 500 mg/kg/day for 21 days) were administered intragastrically to mice.
    RESULTS: PE showed a protective effect against memory deficits and cognitive dysfunction caused by alcohol consumption, confirmed through behavioral tests such as the T-maze, object recognition, and Morris water maze tests. Additionally, PE attenuated oxidative stress by reducing lipid oxidation, nitric oxide, and reactive oxygen species levels in the mice\'s brains, livers, and kidneys. Improvement of neurotrophic factors and downregulation of apoptosis-related proteins were confirmed in the brains of mice fed low and medium concentrations of PE. Additionally, expression of antioxidant enzyme-related proteins GPx-1 and SOD-1 was enhanced in the liver of PE-treated mice, related to their inhibitory effect on oxidative stress.
    CONCLUSIONS: This suggests that PE has both neuroregenerative and antioxidant effects. Collectively, these behavioral and histological results confirmed that PE could improve alcohol-induced cognitive deficits through brain neurotrophic and apoptosis protection and modulation of oxidative stress.
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  • 文章类型: Journal Article
    目的:阴道微生物群为女性的性健康以及发生性传播感染(STIs)和细菌性阴道病的风险提供了有价值的见解。尽管阴道环境的变化对公众健康有影响,有关此主题的现有数据仍然很少。
    方法:遵循PRISMA声明指南,我们查阅了五个书目数据库,关注五种主要的日常习惯和行为。我们只包括截至2023年10月发表的研究,调查个人卫生的影响,性行为,荷尔蒙避孕,吸烟,酒精消费,以及使用下一代测序对阴道微生物群的社会心理应激。
    结果:根据我们的纳入标准,我们将37项研究纳入本综述.发现激素避孕和个人卫生可促进阴道微生物群的优生。相比之下,性行为,吸烟,酒精消费,心理社会压力与细菌性阴道病的易感性增加有关,性传播感染,和严重的盆腔炎由于阴道微生物群的改变。黑人种族成为一个混杂因素,该人群表现出不稳定的阴道微生物群。发现口服避孕药和稳定的男性性伴侣有利于乳酸杆菌定植,作为保护因素。相反,非激素避孕和无保护或非阴茎/阴道性活动通过扰乱阴道微生物群和降低乳酸杆菌丰度增加了阴道炎症和细菌性阴道病的发生率.
    结论:日常习惯和生活方式可以影响阴道菌群的组成,从而影响阴道健康。阴道微生物群的紊乱可能是性传播感染和阴道病的相关因素。因此,对阴道微生物群进行更适当的管理是至关重要的。
    OBJECTIVE: The vaginal microbiota offers valuable insights into women\'s sexual health and the risk of developing sexually transmitted infections (STIs) and bacterial vaginosis. Despite the public health implications of changes in the vaginal environment, existing data on this topic remain sparse.
    METHODS: Following the PRISMA statement guidelines, we consulted five bibliographic databases, focusing on five main daily habits and behaviors. We included only studies published up to October 2023, investigating the influence of personal hygiene, sexual behaviors, hormonal contraception, smoking, alcohol consumption, and psychosocial stress on the vaginal microbiota using next-generation sequencing.
    RESULTS: Based on our inclusion criteria, we incorporated 37 studies into this review. Hormonal contraception and personal hygiene were found to promote eubiosis of the vaginal microbiota. In contrast, sexual behaviors, smoking, alcohol consumption, and psychosocial stress were associated with an increased susceptibility to bacterial vaginosis, STIs, and severe pelvic inflammatory diseases due to a modified vaginal microbiota. Black ethnicity emerged as a confounding factor, with this population showing unstable vaginal microbiota. Oral contraception and a stable male sexual partner were found to favor Lactobacillus colonization, acting as a protective factor. Conversely, non-hormonal contraception and unprotected or non-penile/vaginal sexual activity increased the incidence of vaginal inflammation and bacterial vaginosis by disturbing the vaginal microbiota and reducing Lactobacillus abundance.
    CONCLUSIONS: Daily habits and lifestyle can influence the composition of the vaginal microbiota, thereby affecting vaginal health. Disturbances in the vaginal microbiota could be associated factors for STIs and vaginosis. Therefore, prioritizing more appropriate management of the vaginal microbiota is crucial.
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  • 文章类型: Journal Article
    胎儿酒精谱系障碍的患病率增加是一个关键的公共卫生问题。两种行为,饮酒和使用不太有效的怀孕预防,可能会导致可能怀孕的个体发生酒精暴露妊娠(AEP)。在酒精筛查和简短干预(SBI)服务的背景下,广泛使用的酒精风险评估的截止分数(例如,酒精使用障碍识别测试,美国版[USAUDIT])可能无法识别由于其怀孕预防方法而相对较低的饮酒量仍可能使他们面临AEP风险的个人。
    为了确定酒精SBI服务交付中的这一差距,我们检查了来自两个实施酒精SBI的生殖保健系统的数据,调查同时满足以下两种风险条件的个体的患病率:USAUDIT报告的任何酒精使用和低于88%的妊娠预防方法的有效性。分析了2021年18至49岁接受预防保健的个人的电子健康记录。
    在11567筛选中,7638报告了一些酒精使用,但在低风险水平下进行筛查,且未被标记为接受以酒精为重点的短暂干预(BI).其中,1477使用了一种有效的预防怀孕的方法,该方法的有效率不到88%。此外,在USAUDIT上筛查呈阳性的1676人中,有118人使用了效果较差的避孕方法,并且没有接受BI。总之,未接受酒精BI的有AEP风险的个体数量占酒精使用风险筛查患者总数的1595例(13.8%).
    需要对系统进行修改,以同时评估多种行为,并在行为组合增加特定健康风险时向提供者发出警报,比如AEP。量身定做的酒精BI,包括各种预防怀孕方法的风险/好处,以减少AEP,为提高标准酒精SBI服务的范围提供了机会。
    UNASSIGNED: The increasing prevalence of fetal alcohol spectrum disorders is a critical public health issue. Two behaviors, consuming alcohol and using less effective pregnancy prevention, may result in alcohol-exposed pregnancies (AEPs) in individuals who can become pregnant. In the context of alcohol screening and brief intervention (SBI) services, cutoff scores on widely used alcohol risk assessments (eg, Alcohol Use Disorders Identification Test, U.S. version [USAUDIT]) may fail to identify individuals whose relatively low alcohol consumption may still put them at risk for an AEP due to their pregnancy prevention method.
    UNASSIGNED: To identify this gap in alcohol SBI service delivery, we examined data from 2 reproductive healthcare systems implementing alcohol SBI, to explore the prevalence of individuals who met both of the following risk conditions: reported any alcohol use on the USAUDIT and a pregnancy prevention method less than 88% effective. Electronic health records for individuals aged 18 to 49 presenting for preventive care in 2021 were analyzed.
    UNASSIGNED: Of 11 567 screened, 7638 reported some alcohol use, but screened at a lower-risk level and were not flagged to receive an alcohol-focused brief intervention (BI). Of these, 1477 were using a method of pregnancy prevention that was less than 88% effective. In addition, 118 of the 1676 who screened positive on the USAUDIT were using less effective contraception and did not receive a BI. In summary, the number of individuals at risk of an AEP who did not receive an alcohol BI was 1595 (13.8%) of the total patients screened for at-risk alcohol use.
    UNASSIGNED: There is a need for system modifications to assess multiple behaviors simultaneously and alert providers when a combination of behaviors increases a specific health risk, such as an AEP. Tailored alcohol BIs that include the risks/benefits of various pregnancy prevention methods to reduce AEPs provide opportunities to enhance the reach of standard alcohol SBI services.
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  • 文章类型: Journal Article
    背景:酒精使用障碍(AUD)是一种复杂的疾病,尚不清楚哪些特定的神经元底物介导了寻求和服用酒精的行为。Engram细胞及其相关的合奏,编码学习和记忆,可以在这个过程中发挥作用。我们旨在评估酒精寻求和服用行为背后的精确神经底物,并确定它们如何相互影响。
    方法:使用FLiCRE(快光和钙调节的表达;一种新开发的技术,可以捕获急性激活的神经元集合)和操作性自我给药(OSA),我们标记了在饮酒行为期间激活的纹状体神经元。我们使用FLiCRE在服用酒精的神经元中表达抑制性卤视紫红质,允许函数损失操作。
    结果:我们发现,在未来的OSA试验中,对OSA标记的酒精摄取神经元的抑制降低了寻求酒精和摄取酒精的行为。此外,在灭绝训练期间对这些OSA标记的酒精摄取神经元的光遗传学抑制促进了寻求酒精行为的灭绝。此外,这些OSA标记的酒精摄取神经元的抑制抑制了酒精寻求行为的恢复,但是,有趣的是,在复职期间,它并没有显著抑制饮酒行为.
    结论:我们的研究结果表明,饮酒神经元对于未来灭绝和恢复期间的寻酒行为至关重要。这些结果可能有助于开发新的治疗方法,以增强AUD患者的灭绝和抑制复发。
    BACKGROUND: Alcohol use disorder (AUD) is a complex condition, and it remains unclear which specific neuronal substrates mediate alcohol-seeking and -taking behaviors. Engram cells and their related ensembles, which encode learning and memory, may play a role in this process. We aimed to assess the precise neural substrates underlying alcohol-seeking and -taking behaviors and determine how they may affect one another.
    METHODS: Using FLiCRE (Fast Light and Calcium-Regulated Expression; a newly developed technique which permits the trapping of acutely activated neuronal ensembles) and operant self-administration (OSA), we tagged striatal neurons activated during alcohol-taking behaviors. We used FLiCRE to express an inhibitory halorhodopsin in alcohol-taking neurons, permitting loss-of-function manipulations.
    RESULTS: We found that the inhibition of OSA-tagged alcohol-taking neurons decreased both alcohol-seeking and -taking behaviors in future OSA trials. In addition, optogenetic inhibition of these OSA-tagged alcohol-taking neurons during extinction training facilitated the extinction of alcohol-seeking behaviors. Furthermore, inhibition of these OSA-tagged alcohol-taking neurons suppressed the reinstatement of alcohol-seeking behaviors, but, interestingly, it did not significantly suppress alcohol-taking behaviors during reinstatement.
    CONCLUSIONS: Our findings suggest that alcohol-taking neurons are crucial for future alcohol-seeking behaviors during extinction and reinstatement. These results may help in the development of new therapeutic approaches to enhance extinction and suppress relapse in individuals with AUD.
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