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HUMAN MEDICAL SCHOOL
INTRODUCTION




      It’s not always easy to see when
     your drinking has crossed the line
       from moderate or social use to
   problem drinking. But if you consume
    alcohol to cope with difficulties or to
          avoid feeling bad, you’re in
        potentially dangerous territory.
Alcohol abuse is a psychiatric diagnosis describing the recurring
use of alcoholic beverages negative consequences.
Alcohol is a psychoactive substance or
                 drug.




  whose excessive consumption can
        damage to the body




                                          basically
                                             the
                                          nervous
                                         system or
                                            liver
Alcohol abuse differs
  from alcoholism


   in that it does not include




                                       the desire or
                                 compulsion to drink alcohol




                                   loss of control or physical
                                          dependence.
Somebody that abuse alcohol                   But others are people


                                           who drink large amounts of alcohol

             drink every day




                                                 only in certain moments




And other, drinking heavily for weeks or
                months
Alcohol abuse is defined
                                 as a pattern of drinking
                                                                        that is
                                                                     accompanied



                                                        by one or more of the
                                                         following conditions


                                                                   over a period of 12
                                                                        months:




Failure to comply with work
responsibilities, college or home;
Drinking alcohol while you are physically dangerous activities




                                                             such as operating
                                                          machinery or driving a car




                 arrested for
        Driving under the influence of
                   alcohol
by physically hurting someone while
        intoxicated (drunk).




                                         Continuing to drink despite
                                      struggling constantly to interact
                                             with other people
There is no known cause.


              But there are factors that may
              play a role in its development.


It is more likely the unleashing of a alcoholism
in persons with some alcoholic family.
The need for relief for
             anxiety.




                    Low self-esteem.

Conflicts in personal relationships
The social acceptance of
             alcohol consumption.


             Social factors


                 Lifestyles of stress.

Ease of use of alcohol.
Other factors …



Can be found in
biochemical or genetic
abnormalities.
People suffering from alcoholism often:




                            continue to drink, but are
                             affected health, work or
                                      family




                              They become violent when they drink.
Memory lapses (gaps) after binge
                                                     drinking.




Shiver in the morning or after periods without a
drink.




    They do not care or are ignorant of how they are dressed or if they are clean
They can not control their drinking: are unable to stop or reduce
alcohol consumption.




                                                             drinking alone

  Enfermedades relacionadas con el
alcohol, como hepatopatía alcohólica
The following questions are used by the National Institute on Alcohol Abuse and
             Alcoholism to assess alcohol abuse and dependence




Do you ever drive when you have been
drinking?
Do you have to drink more than before to get
                               drunk or feel the desired effect?




Do you ever missed work or lost a
job because of drinking?



                                    Is there someone in your family worried
                                    about your drinking?
Put the entire consumption of alcohol is
   the ideal goal of treatment.




                   This is called abstinence.




A strong social network and family
support are important in achieving this.
Many people with alcohol problems do not
                                    recognize when their drinking gets out of
                                    hand.




The ideal method of treatment is to help
people to realize how much damage he is
doing alcohol to his life and the lives of those
around them.
Alcohol withdrawal is best done in a
controlled, supervised setting in which
medications relieve symptoms.




                                 Complications from withdrawal can
                                 be fatal.




 The doctor should order blood and urine tests to
check for health problems that are common in
people who abuse alcohol.
Recovery programs or support can help
you stop drinking entirely.




                               These programs usually offer:
                                • Counseling and therapy to address
                               alcoholism and its effects and how to
                               control your thoughts and behaviors.
                               • Mental health support.
                               • Care.
Sometimes medications are prescribed to
prevent relapses.




  • The acomprosato is a drug that has been
  shown to reduce relapse rates in those
  who are alcohol dependent.
  • Naltrexone (Vivitrol) decreases the
  craving for alcohol and is available as an
  injection.




                     You can not take these medications if you are
                     pregnant or have certain diseases.
Often, you need long-term
 treatment with counseling or
 support groups.




 Depression or other anxiety disorders or
mood can manifest once you are no longer
taking alcohol and should be treated
promptly.
Support groups are
available to help
people who are
dealing with
alcoholism.
Alcoholics Anonymous (AA) is a
     self-help group of recovering
     alcoholics that offers emotional
     support and specific steps for
     people recovering from alcohol
     dependence.




Alcoholics Anonymous offers help 24
hours a day and shows that it is possible
to participate in social activities without
drinking.
What is AL-ANON?



                   Family Groups Al-Anon is a
                   community resource that provides
                   assistance to people affected by
                   the compulsive drinking of another.
                   The     only   requirement      for
                   membership is being or be affected
                   by the compulsive drinking of
                   another.
What is Alateen?




                   Alateen is part of Al-Anon. It
                   consists of the youngest
                   members, aged 12 to 20 years,
                   whose lives have been or are
                   being    affected    by   the
                   compulsive      drinking   of
                   another.
• Alcoholism is a major
  problem at the social,
  economic and public
  health. The drinking
  problem can affect every
  part of a person's life.
Causing risks to alcoholism
                         •     relationship between excessive alcohol
                               intake and malnutrition in patients with
• Incidence of                 head and neck cancer.

  malnutrition in    •       malnutrition
  alcoholic intake   •       nutrition

  function.

                                                               •   malnutrition
                                                               •   nutrition
• Incidence of tumor
  recurrence
  according to
  alcohol intake.


                 •   IMPACT ON THE HOSPITAL STAY OF THE PRIMARY TUMOR
                 •   p<0.05




             •   TUMOR RECURRENCE
                 NO RECURRENCE.
• Individuals who drink heavily are at greater risk of dying
  by the immunosuppressive effects of alcohol, which are enhanced
  by malnutrition-
  and systemic disorders related to alcohol. In cancer patients,
  alcohol increases the incidence of cancer and co-morbidity.




    • desnutrition              immunological




   promoting factor?                               • Overall
                                                     mortality.
• DALY global
  percentages
  attributed to
  the 19 most
  important risk
  factors, by
  income group.
•       severe brain damage and addiction
                  •     severe brain damage and addiction
•• harmful
    harmful            • • blurred vision
                            blurred vision
   effects
    effects            • slurred speech
                        • slurred speech
                        • bleeding throat
                         • bleeding throat
                          • • breathing may stop
                               breathing may stop
                      •       heart disease irregular heart beat.
                          •    heart disease irregular heart beat.
                          stomach ulcers
                            stomach ulcers
                          liver disease liver failure.
                               liver disease liver failure.
                              muscle weakness
                               muscle weakness
                           Intestinal cancer.
                             Intestinal cancer.
                          Intestinal ulcers
                            Intestinal ulcers
                              Impotence and infertility
                               Impotence and infertility
                          osteoporosis
                           osteoporosis
LONG TERM (chronic).

• Hipert and arterial nsión
• Alterations of the dream
  Gastritis                                          CHD risk by sex.
• Aggressiveness gastroduodenal
  Ulcer



                                  Relative risk.
• Depression
• Hepática cirrhosis
• Disfunciones sexual
• Cardiopathies
• Cognitivo deterioration
• Encefalopatías
• Dementia
• Cancer
• Psychosis

                                                   Alcohol consumption in grams per day.
It is remarkable the physical and psychic deterioration, and its social
 behavior. It is reduced to the tolerance to the toxic and the occasional
 appearance of convulsive pictures. The patients present/display severe
 pictures of undernourishment, can appear cancer of the digestive
 subsystem

                                                   •    Problems of the system, nervous
                                                        power station
                                                   •    loss of memory psychological
• larynx, mouth, lip cancer,                            disorders

• of esophagus and liver


                                                               • skin problems
    • pancreatitis
                                                       lost of the appetite and
        • hepática cirrhosis
                                               •


         • hepática cirrhosis                          vitaminic deficiency

        • bad food digestion.
                                                             • obesity
    •    sexual impotence
Some of the possible long-term effects of ethanol an individual
may develop. In addition, pregnant women, alcohol can cause
                  fetal alcohol syndrome.
Students per information received, according
• From table No. 03 and          to alcohol consumption in educational
  figure No. 03, we can see      institutions.
  that the group of teenagers
  of School "United States"
  who received prevention
  information, the 64.0%
  consume alcohol and
  36.0% did not consume,
  while the group that did not
  receive prevention
  information, 78.4%
  consume alcohol compared
  to 21.6% who do not
  consum.e
                                  prevention of consumption..
• No alcohol sales in
  places or in the popular
  camping sites.
• Eliminate the sale of beer
  pilots
  in urban areas and near
  highways.
• No alcohol in official activities
  of organizations and
  institutions,unions or centers
  working.
• A glass or drink is
  defined as a bottle
  of beer of 12 ounces
  (340 mililiter), a wine
  glass of 5 ounces
  (142) or one 1 ½
  ounces (40 mililiter)
  of a drink of licor.
   Women should not drink
    more than one drink a day.
   Men should not drink more
    than two drinks a day
   Sale of alcoholic beverages
    in restaurants limited in
    amount.
   Increase the rigor of traffic
    laws.
    Activities festive and
    massive social agencies
    alcohol-free youth.
10   alcohol abuse

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10 alcohol abuse

  • 2.
  • 3. INTRODUCTION It’s not always easy to see when your drinking has crossed the line from moderate or social use to problem drinking. But if you consume alcohol to cope with difficulties or to avoid feeling bad, you’re in potentially dangerous territory.
  • 4. Alcohol abuse is a psychiatric diagnosis describing the recurring use of alcoholic beverages negative consequences.
  • 5. Alcohol is a psychoactive substance or drug. whose excessive consumption can damage to the body basically the nervous system or liver
  • 6. Alcohol abuse differs from alcoholism in that it does not include the desire or compulsion to drink alcohol loss of control or physical dependence.
  • 7. Somebody that abuse alcohol But others are people who drink large amounts of alcohol drink every day only in certain moments And other, drinking heavily for weeks or months
  • 8. Alcohol abuse is defined as a pattern of drinking that is accompanied by one or more of the following conditions over a period of 12 months: Failure to comply with work responsibilities, college or home;
  • 9. Drinking alcohol while you are physically dangerous activities such as operating machinery or driving a car arrested for Driving under the influence of alcohol
  • 10. by physically hurting someone while intoxicated (drunk). Continuing to drink despite struggling constantly to interact with other people
  • 11. There is no known cause. But there are factors that may play a role in its development. It is more likely the unleashing of a alcoholism in persons with some alcoholic family.
  • 12. The need for relief for anxiety. Low self-esteem. Conflicts in personal relationships
  • 13. The social acceptance of alcohol consumption. Social factors Lifestyles of stress. Ease of use of alcohol.
  • 14. Other factors … Can be found in biochemical or genetic abnormalities.
  • 15. People suffering from alcoholism often: continue to drink, but are affected health, work or family They become violent when they drink.
  • 16. Memory lapses (gaps) after binge drinking. Shiver in the morning or after periods without a drink. They do not care or are ignorant of how they are dressed or if they are clean
  • 17. They can not control their drinking: are unable to stop or reduce alcohol consumption. drinking alone Enfermedades relacionadas con el alcohol, como hepatopatía alcohólica
  • 18. The following questions are used by the National Institute on Alcohol Abuse and Alcoholism to assess alcohol abuse and dependence Do you ever drive when you have been drinking?
  • 19. Do you have to drink more than before to get drunk or feel the desired effect? Do you ever missed work or lost a job because of drinking? Is there someone in your family worried about your drinking?
  • 20.
  • 21. Put the entire consumption of alcohol is the ideal goal of treatment. This is called abstinence. A strong social network and family support are important in achieving this.
  • 22. Many people with alcohol problems do not recognize when their drinking gets out of hand. The ideal method of treatment is to help people to realize how much damage he is doing alcohol to his life and the lives of those around them.
  • 23. Alcohol withdrawal is best done in a controlled, supervised setting in which medications relieve symptoms. Complications from withdrawal can be fatal. The doctor should order blood and urine tests to check for health problems that are common in people who abuse alcohol.
  • 24. Recovery programs or support can help you stop drinking entirely. These programs usually offer: • Counseling and therapy to address alcoholism and its effects and how to control your thoughts and behaviors. • Mental health support. • Care.
  • 25. Sometimes medications are prescribed to prevent relapses. • The acomprosato is a drug that has been shown to reduce relapse rates in those who are alcohol dependent. • Naltrexone (Vivitrol) decreases the craving for alcohol and is available as an injection. You can not take these medications if you are pregnant or have certain diseases.
  • 26. Often, you need long-term treatment with counseling or support groups. Depression or other anxiety disorders or mood can manifest once you are no longer taking alcohol and should be treated promptly.
  • 27. Support groups are available to help people who are dealing with alcoholism.
  • 28. Alcoholics Anonymous (AA) is a self-help group of recovering alcoholics that offers emotional support and specific steps for people recovering from alcohol dependence. Alcoholics Anonymous offers help 24 hours a day and shows that it is possible to participate in social activities without drinking.
  • 29. What is AL-ANON? Family Groups Al-Anon is a community resource that provides assistance to people affected by the compulsive drinking of another. The only requirement for membership is being or be affected by the compulsive drinking of another.
  • 30. What is Alateen? Alateen is part of Al-Anon. It consists of the youngest members, aged 12 to 20 years, whose lives have been or are being affected by the compulsive drinking of another.
  • 31. • Alcoholism is a major problem at the social, economic and public health. The drinking problem can affect every part of a person's life.
  • 32. Causing risks to alcoholism • relationship between excessive alcohol intake and malnutrition in patients with • Incidence of head and neck cancer. malnutrition in • malnutrition alcoholic intake • nutrition function. • malnutrition • nutrition
  • 33. • Incidence of tumor recurrence according to alcohol intake. • IMPACT ON THE HOSPITAL STAY OF THE PRIMARY TUMOR • p<0.05 • TUMOR RECURRENCE NO RECURRENCE.
  • 34. • Individuals who drink heavily are at greater risk of dying by the immunosuppressive effects of alcohol, which are enhanced by malnutrition- and systemic disorders related to alcohol. In cancer patients, alcohol increases the incidence of cancer and co-morbidity. • desnutrition immunological promoting factor? • Overall mortality.
  • 35. • DALY global percentages attributed to the 19 most important risk factors, by income group.
  • 36. severe brain damage and addiction • severe brain damage and addiction •• harmful harmful • • blurred vision blurred vision effects effects • slurred speech • slurred speech • bleeding throat • bleeding throat • • breathing may stop breathing may stop • heart disease irregular heart beat. • heart disease irregular heart beat. stomach ulcers stomach ulcers liver disease liver failure. liver disease liver failure. muscle weakness muscle weakness Intestinal cancer. Intestinal cancer. Intestinal ulcers Intestinal ulcers Impotence and infertility Impotence and infertility osteoporosis osteoporosis
  • 37. LONG TERM (chronic). • Hipert and arterial nsión • Alterations of the dream Gastritis CHD risk by sex. • Aggressiveness gastroduodenal Ulcer Relative risk. • Depression • Hepática cirrhosis • Disfunciones sexual • Cardiopathies • Cognitivo deterioration • Encefalopatías • Dementia • Cancer • Psychosis Alcohol consumption in grams per day.
  • 38. It is remarkable the physical and psychic deterioration, and its social behavior. It is reduced to the tolerance to the toxic and the occasional appearance of convulsive pictures. The patients present/display severe pictures of undernourishment, can appear cancer of the digestive subsystem • Problems of the system, nervous power station • loss of memory psychological • larynx, mouth, lip cancer, disorders • of esophagus and liver • skin problems • pancreatitis lost of the appetite and • hepática cirrhosis • • hepática cirrhosis vitaminic deficiency • bad food digestion. • obesity • sexual impotence
  • 39. Some of the possible long-term effects of ethanol an individual may develop. In addition, pregnant women, alcohol can cause fetal alcohol syndrome.
  • 40. Students per information received, according • From table No. 03 and to alcohol consumption in educational figure No. 03, we can see institutions. that the group of teenagers of School "United States" who received prevention information, the 64.0% consume alcohol and 36.0% did not consume, while the group that did not receive prevention information, 78.4% consume alcohol compared to 21.6% who do not consum.e prevention of consumption..
  • 41. • No alcohol sales in places or in the popular camping sites. • Eliminate the sale of beer pilots in urban areas and near highways. • No alcohol in official activities of organizations and institutions,unions or centers working.
  • 42. • A glass or drink is defined as a bottle of beer of 12 ounces (340 mililiter), a wine glass of 5 ounces (142) or one 1 ½ ounces (40 mililiter) of a drink of licor.
  • 43. Women should not drink more than one drink a day.  Men should not drink more than two drinks a day  Sale of alcoholic beverages in restaurants limited in amount.  Increase the rigor of traffic laws.  Activities festive and massive social agencies alcohol-free youth.