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HTH 378 E2 Alcohol
Use and Effects of Drugs
164
Health Care
Undergraduate 3
03/26/2013

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Term
fermentation
Definition
the production of alcohol from sugars through the action of yeasts
Forms the basis of all alcoholic beverages
Term
Fruits + yeast
Definition
fermentation will begin
Fruits naturally contain sugar
Term
Cereal grains contain starch, which must be converted to sugar by malt before
Definition
fermentation begins
Term
Yeast has a limited _______ for alcohol
Definition
tolerance
Term
When the concentration of alcohol on yeast reaches a certain percentage (___% is possible, but standard for wine is about ___%) the yeast dies and fermentation ceases
Definition
15, 12
Term
Distillation
Definition
evaporation and condensing of alcohol vapors to produce beverages with alcohol content higher than 15 percent
Term
Distillation was first used in
Definition
Arabia around AD 800
Term
Distillation was introduced into Europe in the
Definition
10th century
Term
In U.S., distillation began on a large scale at the end of the
Definition
18th century
Term
Proof
Definition
alcohol content of a distilled beverage; twice the percentage of alcohol by weight
Term
Beer is made by
Definition
adding barley malt to other cereal grains
Term
____ are added with yeast to give beer its distinctive flavor
Definition
hops
Term
Lager
Definition
uses a type of yeast that settles to the bottom of the mash to ferment
Term
Most common type of beer in US
Definition
Lager
Term
Ale
Definition
uses a top-fermentation yeast, warmer fermentation temperature, more malt and hops
Term
Light beer
Definition
fermented longer at a cooler temperature
More sugar is converted to alcohol, then water added
Result is a beverage with similar alcohol content but less sugar (and fewer calories) than regular beer
Term
Alcoholic beverages have been consumed for thousands of years, at least as far back as _____ BC (beer and berry wine)
Definition
6400
Term
Grape wine has existed for over _____ years
Definition
2000
Term
Mead may date back to the Paleolithic Age, around ______ BC
Definition
8000
Term
Beer was consumed by ______ _________ at the time of Columbus’s landing
Definition
Native americans
Term
Most beer sold in the United States is mass-produced by the two largest brewers
Definition
Anheuser-Busch
MillerCoors
Term
Yuengling
Definition
largest US-owned brewer that makes all of its beer in America
Term
Imported beers and microbreweries are ________ in popularity
Definition
growing
Term
Wine is made from
Definition
fermented grapes
Term
Most wines contain about ____% alcohol
Definition
12
Term
factors in quality of wine
Definition
selection and cultivation of grapevines, good weather, timing of harvest, and careful monitoring of fermentation and aging
Term
Alcohol content in fortified wines is
Definition
near 20%
Term
generic vs varietals is determined by
Definition
type of grapes and flavor
Term
Grain neutral spirits
Definition
clear, tasteless, nearly pure alcohol (190 proof) produced by distillation
Term
Grain neutral spirits use
Definition
sold as Everclear or used in research
Term
Ethanol is used in
Definition
commercial products as a gasoline additive, cleaner, solvent
Term
Gin
Definition
distillate filtered through juniper berries and then diluted with water
Term
Vodka
Definition
mixture of grain neutral spirits and water
Term
Grain neutral spirits contain relatively few
Definition
congeners
Term
It is _______ to sell the 190-proof variety in California, Florida, Hawaii, Iowa, Maine, Massachusetts, Michigan, Minnesota, Nevada, New Hampshire, New York, North Carolina, Ohio and Washington. In Virginia it is legal, but it’s against state-controlled liquor stores to sell grain alcohol lacking distinctive color, odor and flavor.
Definition
illegal
Term
151-proof is ________ available for sale in California, Florida, Iowa, Michigan, Minnesota, Nevada, North Dakota, Washington, and West Virginia.
Definition
legally
Term
What gave whiskey its name
Definition
Early U.S. distiller from Bourbon County, KY
Term
whiskey is distilled at
Definition
a lower proof (160) and so contains more congeners and some flavor from the grain used
Term
Three types of whiskey
Definition
Rye whiskey, corn whiskey (bourbon), blended whiskey
Term
Whiskey
Definition
distillate of fermented malted barley
Term
Whiskey is normally aged for at least
Definition
2 years
Term
Liqueurs or cordials alcohol content
Definition
20-25%
Term
Liqueurs or cordials were originally made
Definition
from brandy mixed with flavorings from herbs, berries, or nuts
Term
Liqueurs or cordials are now made
Definition
from flavored, diluted grain neutral spirits
Term
Before American Revolution people drank more alcohol than _____
Definition
water
Term
Drunkenness was viewed as
Definition
misuse of positive product
Term
After AR alcohol itself viewed as the
Definition
cause of serious problems, an active agent of evil
Term
Alcohol was first psychoactive substance to become
Definition
demonized in American culture
Term
Temperance movement was started by
Definition
Benjamin Rush (1745-1813)
Term
Temperance societies
Definition
Initially promoted abstinence from distilled spirits and moderate consumption of beer and wine
Later promoted total abstinence
Became fashionable to “take the pledge”
Term
Women's Christian Temperance Union
Definition
“Organized in 1874 by women who were concerned about the problems alcohol was causing their families and society.”
“The members chose total abstinence from all alcohol as their life style and protection of the home as their watchword.”
Term
Prohibition Party
Definition
Formed in 1869, against the commercial sale of alcohol and other drugs.
Term
Anti Saloon League
Definition
worked for unification of public anti-alcohol sentiment, enforcement of existing temperance laws, and enactment of further anti-alcohol legislation.
Term
Benjamin Rush said
Definition
Heavy drinking = health problems
Alcohol use damages morality
Alcohol addiction = a disease
Term
States began passing prohibition laws in
Definition
1851
Term
By 1917, ___% of Americans lived in “dry” territory
Definition
64
Term
Laws reflected issues of
Definition
class, ethnicity, religion, immigration, and politics
Term
People still drank ________ in speakeasies and private clubs and legally through purchase of patent medicines
Definition
illegally
Term
___th Amendment to the U.S. Constitution, banning the sale of alcohol, was ratified in January 1919
Definition
18
Term
National prohibition went into effect in January ______
Definition
1920
Term
Prohibition was repealed by the
Definition
21st amendment
Term
Alcohol per capita sales and consumption ________ slowly until after World War II, when they returned to pre-Prohibition levels
Definition
increased
Term
Use peaked in 1981, followed by a decline, mirroring patterns of
Definition
illicit drug use
Term
About ____ of Americans abstain
Definition
one third
Term
Average consumption among drinkers = about ___ drinks per day—but most drink far less
Definition
3
Term
Half of all alcohol consumed in the United States is consumed by about ___ percent of the drinkers
Definition
10
Term
Stress index
Definition
Drinking rates higher in states where people experience a great deal of social stress and tension
Term
Drinking norms
Definition
Drinking rates higher in states where people tend to approve of the use of alcohol to relieve stress
Term
___ percent of men and ___ percent of women drink more alcohol than federal guidelines recommend, according to a study that also found that __ percent of men and __ percent of women are full-fledged "heavy drinkers
Definition
18, 11, 8, 3
Term
Gender differences
Definition
Males more likely to drink than females, and more likely to drink more
Term
College students drink ____ than their nonstudent peers
Definition
more
Term
Many campuses have ______ sale and advertising of alcohol, and many fraternities have banned keg parties
Definition
banned
Term
Today’s college students are _____ likely to drink and drive compared to students in the early 1980s
Definition
less
Term
Some absorbed in the stomach, most in the
Definition
small intestine
Term
Absorption is ______ if there is food or water in the stomach
Definition
slower
Term
Absorption is ________ in the presence of carbonated beverages
Definition
faster
Term
Blood alcohol concentration (BAC)
Definition
is a measure of the concentration of alcohol in blood, expressed as a percentage in terms of grams per 100 ml
Term
Alcohol is distributed throughout
Definition
body fluids
Term
Alcohol is ____ distributed in fatty tissues, so a lean person will have a lower BAC than a fatter person of the same weight
Definition
less
Term
Liver metabolizes about ____ ounces of alcohol per hour
Definition
0.25
Term
If rate of intake = rate of metabolism,
Definition
BAC is stable
Term
If rate of intake exceeds rate of metabolism,
Definition
BAC climbs
Term
BAC
Definition
The relationship between blood alcohol concentration and alcohol intake
Term
Standard drink has about ____ ounces of pure alcohol
Definition
0.5
Term
1 drink is
__ ounces of beer
__ ounces of wine
__ ounce of 100-proof spirits
___ ounces of 80 proof
Definition
12, 5, 1, 1.5
Term
Women tend to be _____ susceptible than men to the effects of alcohol after consuming the same amount
Definition
more
Term
Alcohol dehydrogenase (a stomach enzyme) is _____ active in men
Definition
more
Term
Women absorb a ______ proportion of the alcohol they drink
Definition
greater
Term
Women tend to weigh -____ and have a _______ proportion of body fat
Definition
less, higher
Term
About __ percent of alcohol is excreted unchanged
Definition
2
Term
About ___ percent is metabolized in the liver
Definition
90
Term
Exercise, coffee, and other strategies ___ ____ speed up the rate of metabolism
Definition
do not
Term
Liver responds to chronic intake of alcohol by ________ enzyme activity
Definition
increasing
Term
Liver responds to chronic intake of alcohol by increasing enzyme activity does what two things
Definition
Contributes to tolerance among heavy users
Can result in cross-tolerance to other depressants
Term
____ depressant
Definition
CNS
Term
Used as anesthetic until the late
Definition
19th century
Term
Similar to barbiturates and benzodiazepines, it enhances the inhibitory effect of
Definition
GABA at the GABA-A receptor
Term
At high doses, it blocks the effects of the excitatory transmitter
Definition
glutamate
Term
It affects what three neurons
Definition
dopamine, serotonin, and acetylcholine
Term
Blood alcohol concentration determines
Definition
effects
Term
At low BAC
Definition
complex and abstract behaviors disrupted
Term
At high BAC
Definition
simpler behaviors also affected
Term
Mood changes include
Definition
euphoria, reduced anxieties, and reduced inhibitions
Term
A ______ BAC is needed to impair a chronic heavy drinker
Definition
higher
Term
Expectations (placebo effects) explain many of the effects on
Definition
social behavior
Term
Alcohol use serves as a social signal for a time-out
Definition
from responsibilities, work, and seriousness
Term
Alcohol myopia
Definition
Intoxicated individuals focus on the here and now, with little care for future consequences
Term
Less than __ percent of all traffic crash fatalities are linked to alcohol use
Definition
40
Term
Risk of a fatal crash is _____-related
Definition
dose
Term
Single-vehicle fatalities are _____ likely to involve alcohol than are multiple-vehicle fatalities
Definition
more
Term
Alcohol-related fatalities are more likely to occur during
Definition
dark hours and on weekends
Term
Men are ____ likely than women to be involved in an alcohol-related fatal crash
Definition
more
Term
Anyone who drinks and drives (not just problem drinkers) is a
Definition
potential threat
Term
Three current efforts against drinking and driving
Definition
Keep repeat offenders off the road
Publicize the dangers of drinking and driving
Target younger drinkers for special prevention efforts
Term
Sexual behavioral effects
Definition
Alcohol use enhances interest in sex but impairs physiological arousal
Linked to unsafe sex
Term
Black out
Definition
A danger sign of excessive alcohol use
Term
Two types of black out
Definition
En bloc
Fragmentary
Term
En bloc
Definition
begin and end at definitive points with full permanent amnesia for interim events, and require high blood alcohol concentrations (BACs) that disrupt limbic areas to prevent consolidation of encoded stimuli into lasting memory traces. Thus, EBs reflect a loss of ability to place
all perceptions occurring in a specific interval into long-term memory. Sweeney (1989) aptly referred to this not as a process of forgetting, but rather one of not remembering.
Term
Fragmentary
Definition
involve a more transient, perhaps forgetful, memory loss for which aspects of experience are recalled via provision of pertinent cues. Thus, memory traces form but require facilitation to be accessed.
Term
alcohol use is statistically related to violence like
Definition
Homicide
Assault, including family violence, sexual assault, and date rape
Suicide
Term
Peripheral circulation
Definition
Dilation of peripheral blood vessels means that drinkers lose body heat but feel warm
Term
Fluid balance
Definition
Alcohol has a diuretic effect that can lower blood pressure in some people
Term
Hormonal effects
Definition
Chronic abusers of alcohol can develop a variety of hormone-related disorders
Term
High risk drinking
Definition
5 drinks in a row for a man on a single occ.
4 drinks in a row for a woman on a single occ.
Term
Alcohol overdose
Definition
is common and dangerous
Term
If someone drinks enough to pass out
Definition
Place her or him on side and monitor breathing or take to ER immediately
Do not leave the person alone
Term
If someone drinks enough to vomit
Definition
He or she should stop drinking
Vomiting reflex indicates a rapidly rising BAC but is suppressed at BACs above 0.20 percent
Term
Symptoms of a hangover
Definition
upset stomach, fatigue, headache, thirst, depression, anxiety, and general malaise
Term
Possible causes of a hangover
Definition
alcohol withdrawal, exposure to congeners, cellular dehydration, gastric irritation, reduced blood sugar, and/or the accumulation of acetaldehyde
Term
_______ drinking is the only way to avoid a hangover
Definition
moderate
Term
Liver disease
Definition
hepatitis, fatty liver, cirrhosis
Term
Heart disease
Definition
cardiomyopathy, heart attack, hypertension, stroke
Term
Alcohol’s effects on HDL may ______ heart attack risk among moderate drinkers
Definition
reduce
Term
Alcohol disrupts
Definition
personal, family, social, and professional functioning
Term
Approximately $____ billion are spent annually dealing with social and health problems related to alcohol use
Definition
140
Term
baby problem
Definition
Fetal Alcohol Spectrum Disorder
Term
Fetal alcohol syndrome
Definition
is a series of mental and physical birth defects that can include mental retardation, growth deficiencies, central nervous system dysfunction, craniofacial abnormalities and behavioral maladjustment's
Term
Three diagnostic criteria of fetal alcohol syndrome
Definition
Growth retardation before and/or after birth
Pattern of abnormal features of the face and head
Evidence of central nervous system abnormality
Term
Incidence of FAS in America is ____ cases per ______ live births
Definition
1.9, 1,000
Term
Incidence of babies born with disabilities due to prenatal alcohol exposure is 1/____
Definition
100
Term
Drinking during pregnancy increases risk of pregnancy are safe or that they are unsafe
Definition
spontaneous abortion
Term
Data _______ prove that low levels of alcohol use during pregnancy are safe or that they are unsafe
Definition
doesn't
Term
Problems associated with fetal alcohol syndrome
Definition
Difficulty storing and retrieving information
Inconsistent performance ("on" and "off") days
Impulsivity, distractibility, disorganization
Ability to repeat instructions, but inability to put them into action ("talk the talk but don't walk the walk")
Memory problems
Term
FASD is the leading known cause of _____ _________ in the western civilization.
Definition
mental retardation
Term
FASD can produce
Definition
mental retardation, central nervous dysfunction, organ dysfunction and facial abnormalities
Term
Behavioral problems of FASD children can be as severe as those with
Definition
FAS
Term
FASD crosses all _____-_______ _____ and effects all ______.
Definition
socio-economic groups, races
Term
Alcohol is broken down much more slowly in a fetus than in an adult's body. As a result, the alcohol level of the fetus’s blood can be even _______ and can remain elevated _____ than in the mother's blood.
Definition
higher, longer
Term
Abstinence syndrome is medically more severe and more deadly than
Definition
opioid withdrawal
Term
Abstinence syndrome occurs in
Definition
stages
Term
Stage 1
Definition
tremors, rapid heartbeat, hypertension, heavy sweating, loss of appetite, insomnia
Term
Stage 2
Definition
hallucinations (auditory, visual, and/or tactile
Term
Stage 3
Definition
delusions, disorientation, delirium
Term
Stage 4
Definition
seizures
Term
Initial detoxification should be carried out in an
Definition
inpatient medical setting
Term
Sedatives given in stage 1 or 2
Definition
prevent stages 3 and 4
Term
Some symptoms can last for up to
Definition
several weeks
Term
Alcoholics Anonymous view—
Definition
alcohol dependence as a disease—became popular beginning in the 1940s and 1950s
A progressive disease characterized by loss of control over drinking
Only treatment is abstinence from alcohol
Term
Disease model
Definition
alcohol dependence is the primary disease and not the result of another underlying cause
Term
Criticisms of disease model
Definition
What is the cause of the disease?
Why don’t all dependent drinkers exhibit the same symptoms?
Term
APA defines ______ ____ ____ _______ and includes alcohol as a _________ substance
Definition
substance abuse and dependence, psychoactive substances
Term
Alcohol abuse
Definition
is a maladaptive pattern indicated by continued use despite knowledge of having persistent problems caused by alcohol
Term
Alcohol dependence
Definition
involves more serious psychosocial characteristics and includes the physiological factors of tolerance and withdrawal among the possible symptoms
Term
Cognitive and genetic factors are potential underlying causes of
Definition
dependence
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