1. a WHY FORBIDDEN IN ISLAM BY SYED ZULFEQUAR AHMAD MBBS

2. You will conceive and bear a son…now then be careful to take no wine or strong drink and to eat nothing unclean. Bible - Judges 13:3-4

3. WHAT THE HOLY QURAN SAYS ABOUT ALCOHOLISM "O you who believe, intoxicants, and gambling, and altars, and arrows of chance are tools of affliction used by the devil. You shall avoid him so that you may be successful." (5:90) "They ask you about intoxicants and gambling. Say: “In them is great harm, and a benefit for the people; but their harm is greater than their benefit.” And they ask you how much are they to give, Say: “The excess.” It is thus that God clarifies for you the revelations that you may think." (2:219)

5. HENCE DRINKING MODERATE DECREASES THE RISK OF -HEART ATTACK -SUDDEN CARDIAC DEATH -STROKE -PERIPHERAL VASCULAR DISEASES -GALL STONES Alcohol decreases blood glucose level so prevent diabetes mellitus in low to moderate drinkers.

6. NOW LET AS SEE WHAT ARE THE GREAT HARM IN ALCOHOL ALLAH SAYING IN HOLY QURAN AND HOW THEIR HARM GREATER THAN THEIR THEIR BENEFITS

7. Imam Sadiq(MGB) expressed the reason why we are forbidden to drink wine or alcoholic drinks “Analcoholic is like an idol-worshipper. He will suffer from shivering. His manliness will disappear. He will dare to violate the forbidden. He will commit fornication and bloodshed. Moreover, even his closest relatives are not secure from being molested by him when he is drunk

8. Blood Alcohol Content of 0.1 – 0.24 Blood Alcohol Content of 0.24. Blood Alcohol Content of 0.48 Blood Alcohol Content of 0.8 Blood Alcohol Content of 1.5. Blood Alcohol Content of 2.0 feeling happy and loss of shyness Some minor loss of reasoning and memory. Less careful - Slight loss of balance, speech, vision, reaction time and hearing. Judgment and self-control are reduced, and caution, reason and memory impaired Anxious, restlessness, nausea (feeling sick). ‘ looks drunk, cannot control movements and has a general lack of physical control. ‘blurred vision is now close to losing consciousness. Needs assistance in walking and has total mental confusion. Now comatose may die due to respiratory arrest. BODY ALCOHOL CONTENT AND ITS EFFECTS ON BEHEVIOUR

9. WHAT HAPPENS WHEN MOTHER DRINKS ALCOHOL DURING PREGNANCY

10. Characteristics Growth deficiency Learning dysfunction Nervous systems disabilities FETAL ALCOHOL SYNDROME

12. EFFECTS OF ALCOHOL ON ORGAN SYSTEMS

13. ALCOHOLIC MALNUTRITION VITAMIN DEFICIENCY –VITAMIN A -PYRIDOXINE -FOLATE -THIAMINE

14. ALCOHOLIC THIAMINE DEFICIENCY IT LEADS TO BERI-BERI 1) FOOTDROP 2)DILATATION OF HEART 3)WERNICKE-KARAKOFF SYNDROME-BLURRING VISION - CONFUSION - MEMORY LOSS

16. Increased acid secretion

18. NERVOUS SYSTEM Peripheral nerve damage-in chronic cases tingling ,numbness sensation. Brain damage-progressive unsteady walking Thought problems-lasting for weeks or month after alcoholic binge.

20. ALCOHOL INCREASES RISKS OF CANCER COTD… ESOPHAGEAL CANCER LIVER CANCER

21. ALCOHOL INCREASES RISKS OF CANCER LARYNGEAL CANCER INTESTINAL CANCER BREAST CANCER

22. The Adolescent Brain is Still Developing During adolescence, the brain is undergoing dramatic transformations In some brain regions, over 50%of neuronal connections are lost Some new connections are formed Net effect is pruning (a loss of neurons)

23. Adolescent Brain Changes These brain changes are relevant to adolescent behavior Prefrontal cortex (PFC) is pruned; not fully developed until mid-20’s Amygdala (and n.a.) show less pruning and tend prefrontal cortex amygdala JUDGEMENT REWARD SYSTEM

25. may die due to respiratory arrest. This imbalance leads to… planned thinking impulsiveness self-control risk-taking

26. In the presense of stresssd drunk I hate school ;I am going to skip class and get drunk… PFC AMYGDALA

27. From “Oops” to Dependence

28. “Oops Phenomenon” First use to “FEEL GOOD” Some continue to compulsively use because of the reinforcing effects (e.g., to “FEEL NORMAL”) Changes occur in the “reward system” that promote continued use

29. Reward System The reward system is responsible for seeking natural rewards that have survival value seeking food, water, sex, and nurturing Dopamine is this system’s primary neurotransmitter

30. Drugs Hijack the Brain’s Reward Circuitry Immediate effect of drug use is an increase in dopamine Continued use of drugs reduces the brain’s dopamine production. Because dopamine is part of the reward system, the brain is “fooled” that the drug has survival value for the organism. The reward system responds with “drug seeking behaviors” Craving occurs and, eventually, dependence.

31. WITHDRAWAL OF ALCOHOL AFTER PROLONG ALCOHOL ABUSE (a) Hearing voices? These are called auditory hallucinations. It starts with buzzing in the ears and becomes voices saying unpleasant things . (b) Seeing crawling bugs? Delirium tremens: 2-5 days after alcohol withdrawal trembling starts, with nightmares usually of animals e.g. crawling insects. It only lasts a few days but because the experience is terrifying one could die by injuring themselves when they are confused.

32. ALCOHOL WITHDRAWL SYNDROME CONTD…. ALCOHOLIC SEIZURES (RUM FITS)- generalized fits usually 10-12 hours after heavy drinking. Multiple fits (2-6 one time)are more common than single seizure.