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Reposted by Ashwin Dhanda

Institute of Alcohol Studies @ias.org.uk · Jul 3

As Professor Colin Angus states:

"We've spent the last year listening to the government say sensible, if generic, things about being committed to a prevention agenda. We're seeing today that this, from the perspective of alcohol, was all mouth and no trousers whatsoever."

Colin Angus @victimofmaths.bsky.social · Jul 3

The Government's big new 10 year health plan has finally been published.

In spite of lots of talk about moving towards prevention rather than treatment, there is basically no meaningful alcohol prevention policy here.

assets.publishing.service.gov.uk/media/686638...

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Reposted by Ashwin Dhanda

Institute of Alcohol Studies @ias.org.uk · Jul 3

"Embarrassing" 10-Year Plan.

The government has published its 10-Year Health Plan, which fails to include any of the most-effective prevention policies on alcohol.

The only measures are to improve labelling and support the growth of the zero..(1/2)

assets.publishing.service.gov.uk/media/686638...

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Reposted by Ashwin Dhanda

Centre for Mental Health @centreformh.bsky.social · May 20

🧵 People with both mental health and substance use difficulties are fighting a battle on two fronts. But they often face closed doors to care, unable to access services for one until they've dealt with the other. This has to change.
tinyurl.com/yeynkxba #SubstanceUse #MentalHealth

Illustration of a figure walking away from two closed doors. One door is labelled 'substance use services' and the other is labelled 'mental health services'. Text reads: People with both substance use and mental health difficulties too often face closed doors to care. This has to change

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Ashwin Dhanda @adhanda.bsky.social · May 10

So many unknowns! #microplastics An excellent meet the experts session at #EASLcongress2025 #LiverSky @plymouthmarine.bsky.social @hepatoresearch.bsky.social

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Reposted by Ashwin Dhanda

Dr Farbod @emergencybod.medsky.social · May 3

The far right feeds on fear, scapegoats, and fake "us vs. them" battles.

The worst thing you can do is echo them.

The best thing? Call them out and offer a better story.

A thread 🧵

#NoPasaran #StandUpToHate

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Ashwin Dhanda @adhanda.bsky.social · Mar 20

Thanks to Matthew Cramp and Louisa Vine for organising a fantastic SW Hep Group meeting. Excellent speakers. Great venue. And well done to the early morning runners! 🏃‍♂️🏃‍♂️
Blessed to be living and working here with such fab colleagues @uhpnhs.bsky.social @hepatoresearch.bsky.social

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Ashwin Dhanda @adhanda.bsky.social · Mar 19

Views on transplantation for alcohol related hepatitis from France USA and Canada.
❓ Time for the UK to catch up ❓

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Ashwin Dhanda @adhanda.bsky.social · Mar 19

Great BASL ARLD SIG meeting today. Thanks @richardparker for organising
ALERT audit results
➡️ No audit standard met
➡️ Poor patient information
➡️ Poor follow up
Lots of work needed to improve care
@britishlivertrust.bsky.social giving patient perspective

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Ashwin Dhanda @adhanda.bsky.social · Feb 7

Great news! Good to see @gwynnemp.bsky.social specifically mentions investment in addiction recovery services

Institute of Alcohol Studies @ias.org.uk · Feb 7

Funding for the public health grants will be increased to £3.858 billion - a 5.4% cash increase & 3.0% in real terms

As Public Health Minister Andrew @gwynnemp.bsky.social states: "Prevention is better than cure. If we can reach people earlier & help them stay healthy...

www.gov.uk/government/n...

Local public health services given £200 million boost

Local communities to receive funding for family and school nurses, sexual health clinics and other public health services.

www.gov.uk

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Ashwin Dhanda @adhanda.bsky.social · Jan 8

Looking forward to lots of groundbreaking work from Prof Chokshi's new lab in Plymouth #microplastics

Hepatology Research Group Plymouth @hepatoresearch.bsky.social · Jan 7

The beginning of our Environmental Hepatology research lab ✨
Head of the lab: Shilpa Chokshi
First post doc: Paula Boeira
Watch this space 👀

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Reposted by Ashwin Dhanda

Nature Reviews Gastroenterology & Hepatology @natrevgastrohep.nature.com · Jan 6

By @adhanda.bsky.social & @tom-marjot.bsky.social

#Sharedit link: rdcu.be/d5rwu

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Reposted by Ashwin Dhanda

Lorenz Adlung Lab @adlunglab.com · Jan 5

Thoughtful piece from Marjot & Dhanda (@adhanda.bsky.social) in @natrevgastrohep.bsky.social: Alcohol-free drinks show promise for motivated individuals to reduce alcohol consumption but may pose relapse risks in others. Balance is key for clinical guidance. 🧪
www.nature.com/articles/s41...

Alcohol-free and low-strength drinks: friend or foe? - Nature Reviews Gastroenterology & Hepatology

Consumption of no and low-alcohol (NoLo) beverages is now commonplace in modern society. However, the debate surrounding the relative risks and benefits of these products is nuanced and evolving, part...

www.nature.com

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Reposted by Ashwin Dhanda

EASL @easlnews.bsky.social · Jan 3

👋Hello #Liversky!
🗞️Proud to see our EASL experts @debbieshawcross.bsky.social , @ahmedelsharkawy.bsky.social, and Philip Newsome featured in The Guardian with advice on liver health.
Indulged during the holidays? It's not too late to give your liver some love!💚
www.theguardian.com/lifeandstyle...

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Ashwin Dhanda @adhanda.bsky.social · Jan 3

Do read my comment piece with @tom-marjot.bsky.social on NoLo alcohol 👇🏾

Nature Reviews Gastroenterology & Hepatology @natrevgastrohep.nature.com · Jan 3

JAN ISSUE | COMMENT

Alcohol-free and low-strength drinks: friend or foe?

www.nature.com/articles/s41...

#Liversky #Gastrosky

A quote from an article about alcohol-free drinks stating: "alcohol drinkers are twice as likely to consume alcohol-free drinks than non-drinkers"

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Reposted by Ashwin Dhanda

Juan Turnes @jturnes.bsky.social · Jan 3

Decompensated cirrhosis has often been considered the irreversible, terminal stage of liver disease, but this is not actually always the case

Have you heard of the concept of cirrhosis "recompensation"?

➡️ doi.org/10.1016/j.jhepr.2024.101233

#LiverSky

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Reposted by Ashwin Dhanda

Altmetric @altmetric.com · Dec 19

THREAD

This Is The Story Of The The Pernicious Rise of AI-Generated Papers and their Online Impact

An Incomplete History Told In The Voice of Documentarian Adam Curtis
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Adam Curtis Title Card: We Too Are Trapped In A System. Text over a background of a large office building

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Reposted by Ashwin Dhanda

Colin Angus @victimofmaths.bsky.social · Dec 19

Since England's alarming alcohol death statistics are in the news again today, here's a particularly alarming fact buried in the figures DHSC have released -

For the first time, in 2023 the rate of alcohol-specific deaths in the North East of England overtook Scotland and have risen 55% since 2019

A line chart showing age-standardised alcohol-specific death rates for every region of England, plus Wales, Northern Ireland and Scotland from 2001-2023. Except for Scotland, everywhere follows a similar trend - fairly stable, or rising gradually until 2019, then a sharp rise, although with significant variation between regions - London and the East/South East at the bottom and the Midlands and North at the top. In 2001 Scotland had more than double the rate of anywhere in England, but this fell substantially until 2011, then plateaued, and has risen less than many parts of the rest of the UK since 2019. In 2023, the North East overtook Scotland for the first time.

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Ashwin Dhanda @adhanda.bsky.social · Dec 16

🚨 Depression and anxiety are common in cirrhosis
🚨 High prevalence in #ALD
🚫 Diagnosed and treated
We need to do better for our patients
Great review 👇🏾
#Liversky

Elliot Tapper @ebtapper.bsky.social · Dec 16

Everything you want to know about the management of depression and anxiety in #cirrhosis

From Zimbrean (@YalePsych) and Jakab (@YaleDigestive)

journals.lww.com/hepcomm/full...
#liversky

Depression and anxiety management in cirrhosis : Hepatology Communications

nd depression are linked to lower health-related quality of life, more severe symptoms (eg, fatigue), and poorer response to medical treatment. Screening instruments for depression and anxiety have sh...

journals.lww.com

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Reposted by Ashwin Dhanda

Atoosa Rabiee @atoosarabiee.bsky.social · Dec 10

It's that time of the year again. In no particular order, I would like to share a few of #livertwitter in 2024 with #liversky

These could be original research, guidance statement, position paper or editorial. This is def not an inclusive list. Feel free to add to the 🧵

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Ashwin Dhanda @adhanda.bsky.social · Dec 9

So true! Last month saw a pt who had had severe alc hep and MOF 9 mo ago ▶️ Full recovery. Normal fibroscan!
We need better integrated care. Treating the #AUD is fundamental

Hanna Blaney, MD, MPH @blaneymd.medsky.social · Dec 9

Seeing high MELD patients w/ ALD who re-compensate with sobriety & get their lives back (and avoid transplant!) is incredibly rewarding. As Hepatologists treating ALD, it is essential that we treat the underlying alcohol use disorder so our patients can improve! @juanpabloarab.bsky.social #liversky

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Ashwin Dhanda @adhanda.bsky.social · Dec 8

Increase in #alcohol use in middle age in all generations
🚨 Worrying trends for Millennials as they reach their 40s+
➕ Rising #obesity
🟰 ⬆️ Liver disease and death
#MetALD

Tom Calver @tomcalver.bsky.social · Dec 8

This isn’t, to be clear, a life cycle effect - ie, it’s not just a natural thing older people do.

If we split the data into birth cohorts, we see women born in the 50s, 60s and 80s drastically increase their drinking when they hit middle age

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Ashwin Dhanda @adhanda.bsky.social · Dec 6

#Alcohol
⬇️ Affordability = ⬇️ Alcohol harm
@teamlabouruk.bsky.social need to bring in Minimum Unit Pricing
#MUPworks

www.bmj.com/content/387/...

It’s time to end the policy vacuum on alcohol harm in England, if this government is serious about shifting its focus to prevention

The newly elected United Kingdom’s government has moved quickly to resurrect legislation, initiated by its predecessors, that is designed to tackle the epidemic of youth vaping and create a smoke-free...

www.bmj.com

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Ashwin Dhanda @adhanda.bsky.social · Dec 6

Welcome @hepatoresearch.bsky.social to Bluesky
#LiverSky

Reposted by Ashwin Dhanda

Hepatology Research Group Plymouth @hepatoresearch.bsky.social · Dec 6

HRG Christmas Meal with our annual Christmas Quiz. Tamar was the big winner once again! Congrats 👏🏻🎅🏻

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Ashwin Dhanda @adhanda.bsky.social · Dec 4

📈 Increasing alcohol specific deaths in England
🚨 Alarming data
🎯 We need to address this growing problem at multiple levels. Read this report 👇🏾
m-c-a.org.uk/policy/

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