DOCSLIB.ORG

Abstract Positive and Negative Outcomes of Alcohol

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Abstract Positive and Negative Outcomes of Alcohol ABSTRACT POSITIVE AND NEGATIVE OUTCOMES OF ALCOHOL CONSUMPTION AMONG COLLEGE STUDENTS ON CELEBRATION DAYS COMPARED TO TYPICAL DAYS by Kathryn Alexandra Witmer College students experience both positive and negative consequences in each drinking occasion. In a longitudinal study, 62 college students reported on their alcohol consumption patterns and experience of positive and negative consequences over the course of 7 weeks. Celebration day alcohol consumption and consequences relates to typical day experiences. Blackout experiences were most commonly reported during the baseline assessment. In addition, heavy and light drinkers did not differ across consequences on celebrations days. College and universities might use this information to tailor interventions and develop prevention strategies with respect to celebration days. Implications are discussed. POSITIVE AND NEGATIVE OUTCOMES OF ALCOHOL CONSUMPTION AMONG COLLEGE STUDENTS ON CELEBRATION DAYS COMPARED TO TYPICAL DAYS A Thesis Submitted to the Faculty of Miami University in partial fulfillment of the requirements for the degree of Master of Science Department of Kinesiology and Health by Kathryn Alexandra Witmer Miami University Oxford, OH 2014 Advisor _____________________________ Rose Marie Ward, PhD Advisor ______________________________ Susan Cross Lipnickey, PhD, JD Reader ______________________________ Kyle Timmerman, PhD Table of Contents Page Number Chapter One: Introduction 1 Outcomes of High-Risk Drinking 2 Celebration Drinking 4 Additional Contexts of Student Drinking 7 The Present Study 9 Chapter Two: Methods 10 Participants 10 Measures 10 Procedure 12 Chapter Three: Results 13 Chapter Four: Discussion 16 References 20 Tables 25 Appendix A: Consent Form 41 Appendix B: Demographics 43 Appendix C: Timeline Followback (TLFB) 45 Appendix D: Young Adult Alcohol Consequences Questionnaire (YAACQ) 46 Appendix E: Positive Drinking Consequences Questionnaire (PDCQ) 48 Appendix F: Secondhand Effects of Alcohol Consumption 49 Appendix G: Daily Drinking Questionnaire (DDQ) 50 Appendix H: Debrief Form 51 ii List of Tables Page Number Table 1: Demographics. 25 Table 2: Survey Procedure. 26 Table 3: Correlations for the YAACQ Social-Interpersonal Consequences 27 Subscale. Table 4: Correlations for the YAACQ Impaired Control Subscale. 28 Table 5: Correlations for the YAACQ Risk Behaviors Subscale. 29 Table 6: Correlations for the YAACQ Blackout Drinking Subscale. 30 Table 7: Correlations for the YAACQ Self Perception Subscale. 31 Table 8: Correlations for the YAACQ Self-Care Subscale. 32 Table 9: Correlations for the YAACQ Academic/Occupational Consequences 33 Subscale. Table 10: Correlations for the YAACQ Physical Dependence Subscale. 34 Table 11: Correlations for the Positive Drinking Consequences Questionnaire. 35 Table 12: Independent t-tests Comparing Light and Heavy Drinkers across the 36 YAACQ subscales. Table 13: Proportion of People who Consumed a Certain Type of Alcohol on a 38 Respective Date. iii Chapter One: Positive and Negative Outcomes of Alcohol Consumption among College Students on Celebration Days Compared to Typical Days High-risk drinking on college campuses is one of the most serious national health concerns currently facing young adults (Wechsler, Lee, Kuo, Seibring, Nelson, & Lee, 2002). High-risk drinking is also referred to as binge drinking and is defined as the consumption of five or four drinks for men or women, respectively, on one drinking occasion (Wechsler & Nelson, 2001). This risky behavior leads to several negative consequences. For example, students frequently report having hangovers after drinking (Mallett, Bachrach, & Turrisi, 2008), and those who drink excessively are more likely to have lower GPAs (Singleton & Wolfson, 2009) and be involved in fights (Hingson, Heeren, Winter, & Wechsler, 2005). More seriously but less often reported, students are at risk for hospitalization and even death when they consume high amounts of alcohol (Knight, Wechsler, Kuo, Seibring, Weitzman, & Schuckit, 2002). In national samples, approximately 80% of college students have reported drinking alcohol within the past year, with more than one in five consuming alcohol to binge levels two or more times in a two-week period (Wechsler et al., 2002). Over the last few decades, the rate of alcohol consumption among college students has remained relatively stable (Wechsler et al., 2002). Students typically drink the most on Thursdays, Fridays, and Saturdays (Del Boca, Darkes, Greenbaum, & Goldman, 2004; Neal & Fromme, 2007; Ward, Bonar, Taylor, Witmer, Brinkman, Cleveland, & Messman-Moore, 2013). Although, research has shown that alcohol consumption is the highest on holidays and special occasions; more students drink and get drunk on these celebratory occasions, consuming greater quantities, drinking over longer periods of time, and experiencing negative consequences as a result (Lewis, Neighbors, Lee, & Oster-Aaland, 2008). Despite these experiences with alcohol- related negative consequences, college student drinking persists. Researchers attribute these actions to the positive experiences students endure while they are under the influence, such as enhanced sociability due to lowered inhibitions (Park, 2004). Little research has explored the combination of students’ positive and negative experiences on holidays and other high-risk celebratory occasions. Therefore, the current proposal is to examine college student drinking and experiences with negative and positive consequences on celebration days and normal drinking days. 1 The purpose of the current proposal is to examine the multiple factors that influence high- risk drinking among college students, including (a) positive and negative outcomes of alcohol consumption; and (b) student drinking on celebration days (i.e., holidays, special occasions, and school breaks). Examination of the interplay and underlying themes between these factors will generate a greater understanding of high-risk drinking in terms of who is most at risk, and the social and physical environments that contribute to the dangerous consequences associated with this behavior. Such knowledge can then inform intervention and prevention efforts to minimize student drinking and limit the amount of negative consequences they experience. Outcomes of High-Risk Drinking Negative Outcomes and Consequences. Compared to their counterparts, students who engage in frequent binge drinking (i.e., binge drinking 3+ times in a 2-week period) experience a greater amount of alcohol-related consequences (Del Boca et al., 2004; Presley & Pimentel, 2006). The most frequently reported consequence of drinking is a hangover. Other negative alcohol-related consequences reported are nausea and vomiting, blackouts, arguing, memory loss, and doing something that was later regretted (Park & Grant, 2005; Perkins, 2002; Presley & Pimentel, 2006; Wechsler, Davenport, Dowdall, Moeykens, & Castillo, 1994). Another commonly reported consequence is decreased academic performance, resulting from missed classes and poor grades on projects and exams due to drinking; therefore, students who drink more tend to have lower GPAs (Perkins, 2002; Presley & Pimentel, 2006; Singleton, 2007; Singleton & Wolfson, 2009). Binge drinkers and frequent binge drinkers are more likely (3 times and 8 times, respectively) than students who drink moderately (i.e., non-binge drinkers) to fall behind in schoolwork (Perkins, 2002); nearly 70% of binge drinkers have missed a class due to alcohol use, and more than half have fallen behind on schoolwork as a result of drinking (NCASA, 2007). Furthermore, frequent binge drinkers are at the greatest risk for alcohol dependency and other long-term health consequences, including death (Hingson et al., 2005; Knight et al., 2002; Presley & Pimentel, 2006). In conjunction with these individual consequences, college student binge drinking is also influenced on the social level. Binge-drinking students are more likely to be involved with sexual violence and engage in risky sexual behaviors (Abbey, 2002); both men and women are less inclined to use protection while under the influence (Neal & Fromme, 2007; Perkins, 2002). 2 More than 20% of students who drink have engaged in unplanned sexual activity due to intoxication (NCASA, 2007). Further, the likelihood of males sexually coercing females increases as levels of intoxication rise (Abbey, 2002; Neal & Fromme, 2007), which has serious implications in terms of sexual assault in that the majority of sexual assaults on college campuses involve alcohol (NCASA, 2007). Females particularly are at an increased risk of being victims of sexual violence due to the inhibiting effects of alcohol. That is, an individual’s ability to make decisions, interpret messages, and decline unwanted sexual advances is lessened as intoxication increases (Perkins, 2002). Moreover, a majority of college students (approximately 77%) have experienced negative consequences as a result of someone else’s drinking. Such consequences are known as the secondhand effects of alcohol consumption (Wechsler et al., 2002). The most common secondhand effects are being awakened during sleep, disrupted during study, having to take care of a drunk-sick friend, and being humiliated or insulted by someone who had been drinking (Wechsler, Lee, Kuo, & Lee, 2000). Additional secondhand effects experienced by students include fights, sexual assaults, property damage, and noise disruptions (Wechsler, 2002; Wechsler & Nelson, 2008). In addition to individual
Load more

Recommended publications
  • The Politics of Beer: Analysis of the Congressional Votes on the Beer Bill of 1933
    Public Choice https://doi.org/10.1007/s11127-017-0493-1 The politics of beer: analysis of the congressional votes on the beer bill of 1933 1 2 3 Eline Poelmans • John A. Dove • Jason E. Taylor Received: 26 June 2017 / Accepted: 4 December 2017 Ó Springer Science+Business Media, LLC, part of Springer Nature 2017 Abstract Nine days after he took office in March 1933, Franklin Roosevelt asked Con- gress to amend existing federal Prohibition policy so as to allow for the sale and con- sumption of 3.2% alcohol beer. Over the following 8 days, the so-called ‘‘beer bill’’ was proposed, debated, passed and signed into law. This study analyzes the political decision making behind one of FDR’s earliest New Deal policies. Specifically, we consider how voter preferences, representatives’ ideologies, national party affiliations, and the influence of special interests affected legislative decision making. We find that special interests and party affiliations were particularly important drivers of congressional voting behavior. Keywords Beer legalization Á Prohibition Á Special interests Á Median voter Á Representative ideology Á New Deal Á Franklin Roosevelt Electronic supplementary material The online version of this article (https://doi.org/10.1007/s11127-017- 0493-1) contains supplementary material, which is available to authorized users. & Jason E. Taylor [email protected] Eline Poelmans [email protected] John A. Dove [email protected] 1 LICOS Centre for Institutions and Economic Performance, Faculty of Economics and Business, Campus Brussels,
    [Show full text]
  • Maria ABRAHAMSON Centre for Social Research on Alcohol and Drugs (Sorad), Stockholm University, Sweden
    Maria ABRAHAMSON Centre for Social Research on Alcohol and Drugs (SoRAD), Stockholm University, Sweden PERCEPTIONS OF HEAVY DRINKING AND ALCOHOL PROBLEMS AMONG YOUNG ADULTS Data from focus groups is presented. Interviews have been conducted in different regions of Sweden with young men and women from different social groups. The groups are composed of naturally existing networks of friends. Excerpts from feature films showing young people in various typical drinking situations have directed the group discussions. In the paper an analysis of the group’s perception of heavy drinking and alcohol problems is presented. The results indicate that how they speak of their own drinking is of importance for how they perceive the transition in others from being heavy drinkers to having alcohol problems. Keywords: young adults, alcohol, focus groups SESSION: 12.2 Salme AHLSTRÖM, Leena Metso, Eeva Liisa Tuovinen Alcohol and Drug Research, National Research and Development Centre for Welfare and Health, Helsinki, Finland FAMILY VALUES AND US E OF LEGAL AND ILLEGAL DRUGS AMONG YOUTH Aims. This paper examines the role of family values in use of legal and illegal drugs among youth. Adolescents’ use of tobacco, alcohol and drugs is related to many factors, from genetic and psychological to social and environmental factors. Family is one of the most important domains, which is influencing adolescent's behavior. To examine family values is therefore of great importance when we want to understand to which factors the use of legal and illegal drugs are related in adolescents. The relationship between integration of family life, values and use of alcohol and other drugs among Finnish students are examined.
    [Show full text]
  • SSAGA-I Specifications
    Semi-Structured Assessment for the Genetics of Alcoholism Specifications Louise J. Laster Ines G. Janca Kathleen K. Bucholz, Ph. D. and Interviewers from all C.O.G.A. sites: S.U.N.Y Brooklyn: Cynthia Purcell U. Connecticut: Linda Mahoney Michelle Slivinsky U.C. San Diego: Nancy Bacon Estee Shapiro U. Indiana: Carolyn York Donna Clair U. Iowa: Angie Cookman Ellen Kapp Washington University: Laura Kaplan Revised 1/20/93 SSAGA: GENERAL SPECIFICATIONS The Semi-Structured Assessment for the Genetics of Alcoholism (SSAGA) is an instrument designed to assess physical, psychological and social manifestations of alcohol abuse or dependence and other psychiatric disorders. It is a semi- structured interview which capitalizes on prior research in psychiatric epidemiology. As such, it relies heavily on items previously validated by other research interviews, including DIS, CIDI, HELPER, SAM, SADS, and SCID. FORMAT: The interview is formatted with an index in the left margin, questions in the center, and coding space in the right margin. The index is there to refer questions to the respective criteria in the respective diagnostic systems. Since the SSAGA is polydiagnostic, the left margin codes will reveal which diagnostic system, and which particular criterion each question covers. The following key applies: DIAGNOSTIC SYSTEMS: 3R = DSM-III-R DSM = DSM-III FGN = Feighner RDC = Research Diagnostic Criteria ICD = ICD-10 SYMPTOM CRITERIA: These appear at the end of the index code: e.g. AD3RA4 = Alcohol Dependence, DSM-III-R system, criterion A, item 4. RDCALC = Research Diagnostic Criteria system, Alcohol DSMALC = DSM-III, Alcohol FGNALCC2= Feighner system, Alcohol, criterion C, item 2.
    [Show full text]
  • PHN Webinar 3 D&A
    Assist D&A (& comorbid MH) primary care treatment AMANDA Assist - D&A (& comorbid MH) Professor Amanda Baker Conjoint Professor Adrian Dunlop Andrew Taylor Clinical Psychologist & Area Director, Drug & Alcohol Clinical Nurse Consultant, Academic, UoN) Clinical Services, HNE Health Drug & Alcohol Clinical Services, HNE Health Amanda Amanda AMANDA Re-cap: ASK - 6th Feb 2018 Ask • Substance use is common in GP setting • How to approach patients: SNAP, other Drugs • What, how oFten, how much, how? • Substance use DisorDer: harmFul use or DepenDence? • Co-morbidities • (screening tools e.g. AUDIT – alcohol) AMANDA Re-cap: ADVISE - 13th March 2018 Advise • Brief interventions: effective • Motivational Interviewing • Ambivalence • Nursing role in drug and alcohol, SNAP • Patient’s motivation to change • Goals setting AMANDA Assist • Treatment is effective • Combination of pharmacotherapy and counselling effective • Treatment may need to be longer and repeated as the person may not have made as many change attempts • Context of stress management is important (overlap of symptoms of mental illness and withdrawal) AMANDA Assist • Monitor mental health symptoms and smoking, alcohol and other drug use; adverse side effects of psychotropic medication • Refer to Quitline; D&A Services etc and maintain ongoing relationship • At the beginning of treatment sometimes mental health symptoms can seem a bit worse – talk about this, normalize it, monitor • People begin to feel mentally and physically better AMANDA Assist • Sustaining change – grief (show understanding,
    [Show full text]
  • The Effects of Stress and Placebo Alcohol on Cognitive Activation and Inhibitory Control in Male Problem Gamblers and Problem Gamblers with Alcohol Use Disorder
    The Effects of Stress and Placebo Alcohol on Cognitive Activation and Inhibitory Control in Male Problem Gamblers and Problem Gamblers with Alcohol Use Disorder by Lindsay Steinberg A thesis submitted in conformity with the requirements For the degree of Master of Science Graduate Department of Pharmaceutical Sciences University of Toronto © copyright by Lindsay Steinberg (2009) Library and Archives Bibliothèque et Canada Archives Canada Published Heritage Direction du Branch Patrimoine de l’édition 395 Wellington Street 395, rue Wellington Ottawa ON K1A 0N4 Ottawa ON K1A 0N4 Canada Canada Your file Votre référence ISBN: 978-0-494-59601-2 Our file Notre référence ISBN: 978-0-494-59601-2 NOTICE: AVIS: The author has granted a non- L’auteur a accordé une licence non exclusive exclusive license allowing Library and permettant à la Bibliothèque et Archives Archives Canada to reproduce, Canada de reproduire, publier, archiver, publish, archive, preserve, conserve, sauvegarder, conserver, transmettre au public communicate to the public by par télécommunication ou par l’Internet, prêter, telecommunication or on the Internet, distribuer et vendre des thèses partout dans le loan, distribute and sell theses monde, à des fins commerciales ou autres, sur worldwide, for commercial or non- support microforme, papier, électronique et/ou commercial purposes, in microform, autres formats. paper, electronic and/or any other formats. The author retains copyright L’auteur conserve la propriété du droit d’auteur ownership and moral rights in this et des droits moraux qui protège cette thèse. Ni thesis. Neither the thesis nor la thèse ni des extraits substantiels de celle-ci substantial extracts from it may be ne doivent être imprimés ou autrement printed or otherwise reproduced reproduits sans son autorisation.
    [Show full text]
  • EXAMINING PROHIBITION in 1920S USA Michael Sweet School of Law
    A MEASURE OF SUCCESS: EXAMINING PROHIBITION IN 1920s USA Michael Sweet School of Law Murdoch University This thesis is presented for the degree of Master of Laws by Research Murdoch University, 2017 ii Declaration I declare that this thesis is my own account of my research and contains as its main content work which has not previously been submitted for a degree at any tertiary educational institution. Michael Sweet 2017 iii Abstract In 1919, a policy to ban alcoholic beverages was entrenched by Congress into the Constitution - the 18th Amendment. Congressmen Andrew Volstead proceeded to promote the enacting legislation in the United States House of Representatives, and the National Prohibition Act became law. Does Prohibition deserve its overwhelming condemnation as a failure? How successful was the Act’s implementation? After the introduction, part two discusses the theories and perceptions that serve to shape the debate over alcohol prohibition. To measure its success, the Act is then examined according to its outcomes - part three of the thesis assesses the anticipated increase in economic prosperity through the metrics of government revenue, business activity, workplace attendance, wages and sales figures. Part four scrutinises the production and supply of alcohol, prison populations, drunkenness, crime rates and corruption. The success of a reform is also found in how it shapes the nation. Prohibition’s economic and political effects are briefly noted, as is its influence upon policing and the judiciary. The 21st Amendment repealing alcohol prohibition functioned to skew reporting of the Prohibition era, serving the purposes of ideologues and business opportunists. The thesis concludes that the reform was not defeated by any inherent impossibility, but rather by a lack of skilfully wielded political will.
    [Show full text]
  • This Bud's for Who? Craft Brewing and the Transformation of the American Beer Industry
    Johnson & Wales University ScholarsArchive@JWU Honors Theses - Providence Campus College of Arts & Sciences 2018 This Bud's For Who? Craft rB ewing and the Transformation of the American Beer Industry Joshua E. Orel Johnson & Wales University - Providence, [email protected] Follow this and additional works at: https://scholarsarchive.jwu.edu/student_scholarship Part of the Arts and Humanities Commons Repository Citation Orel, Joshua E., "This Bud's For Who? Craft rB ewing and the Transformation of the American Beer Industry" (2018). Honors Theses - Providence Campus. 32. https://scholarsarchive.jwu.edu/student_scholarship/32 This Honors Thesis is brought to you for free and open access by the College of Arts & Sciences at ScholarsArchive@JWU. It has been accepted for inclusion in Honors Theses - Providence Campus by an authorized administrator of ScholarsArchive@JWU. For more information, please contact [email protected]. This Bud's For Who? Craft Brewing and the Transformation of the American Beer Industry By Joshua E Orel Advisor: Dr. Ann Kordas Submitted in partial fulfillment of the requirement for the ‘University Honors Scholar’ designation at Johnson & Wales University 2018 Orel 1 Table of contents Acknowledgements 2 Abstract 3 Introduction 4 History 7 Big Beer: How We Got Here 15 Current State 24 Where We’re Going 32 Conclusion 38 Works Cited 39 Orel 2 Acknowledgements This thesis would not have been possible without the support of various Johnson & Wales University professors including, but not limited to, Dr. Ann Kordas, Dr. Wendy Wagner, and Dr. Kristi Girdharry. I would also like to thank my various chefs throughout my young career including Chef Kari Naegler of Wegmans Food Markets and Chef Steven Johansson of Johnson and Wales University for teaching me a love of all things delicious.
    [Show full text]
  • Alcohol Consumption and Lung Cancer: a Review of the Epidemiologic Evidence1
    Vol. 10, 813–821, August 2001 Cancer Epidemiology, Biomarkers & Prevention 813 Review Alcohol Consumption and Lung Cancer: A Review of the Epidemiologic Evidence1 Elisa V. Bandera,2 Jo L. Freudenheim, and John E. Vena panel of experts commissioned by the World Cancer Research Department of Nutritional Sciences, Rutgers University, New Brunswick, New Fund and the American Institute for Cancer Research, after Jersey 08901 [E. V. B.], and Department of Social and Preventive Medicine, reviewing the epidemiological evidence, concluded in 1997 that School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, alcohol intake may “possibly” increase lung cancer risk (3). We New York 14214 [J. L. F., J. E. V.] conducted a comprehensive review to evaluate the current epidemiological evidence regarding alcohol consumption as a risk factor in lung cancer etiology and to identify gaps in that Abstract research. A role for alcohol consumption in lung cancer etiology has been suggested in some studies, but this possible relationship has been often regarded with skepticism, Materials and Methods with any indication of an association being attributed In preparing this review we followed published guidelines for to confounding by cigarette smoking. The purpose of review papers (4–7). Our literature search was limited to En- this work was to review the epidemiological evidence for glish-language, peer-reviewed publications. Studies were iden- an association of alcohol and lung cancer and to tified mainly through electronic searches on Medline (1966– identify gaps in that research. The studies reviewed here 2000) complemented with manual searches of references in provide some indication that alcohol and particularly other published articles.
    [Show full text]
  • 0875865720.Algora.Publishing.Brewing.Battles.A.History.Of
    BREWING BATTLES A HISTORY OF AMERICAN BEER BREWING BATTLES A HISTORY OF AMERICAN BEER AMY MITTELMAN Algora Publishing New York © 2008 by Algora Publishing. All Rights Reserved www.algora.com No portion of this book (beyond what is permitted by Sections 107 or 108 of the United States Copyright Act of 1976) may be reproduced by any process, stored in a retrieval system, or transmitted in any form, or by any means, without the express written permission of the publisher. Library of Congress Cataloging-in-Publication Data — Mittelman, Amy. Brewing battles : a history of American beer / Amy Mittelman. p. cm. Includes bibliographical references and index. ISBN-13: 978-0-87586-572-0 (trade paper: alk. paper) ISBN-13: 978-0-87586-573-7 (hard cover: alk. paper) ISBN-13: 978-0-87586-574-4 (ebook) 1. Beer—United States--History. 2. Beer industry—United States—History. 3. Beer—Taxation—United States—History. I. Title. TP573.U6M58 2007 641.2’309—dc22 2007036283 Front Cover: Top: Bub’s BBQ, Sunderland, MA. by Alan Berman Bottom: Smiling woman with beer glass © Emely/zefa/Corbis Back Cover: Author photo by Andrea Burns. Printed in the United States This book is dedicated to the memory of my parents, Beatrice and Louis Mittelman TA B LE OF CONTENTS INTRODUCTION 1 CH APTER 1. EVERY MAN HIS OWN BREWER : BREWING IN T H E UNITED STATES DURING T H E COLONIAL , EARLY NATIONAL , AND ANTE B ELLUM PERIODS 5 CH APTER 2. MORALITY FOLLOWS IN T H E WAKE OF MALT LIQUOR : TH E BREWING INDUSTRY AND T H E FEDERAL GOVERNMENT 1862–1898 23 CH APTER 3.
    [Show full text]
  • An Internist's Guide to Unhealthy Alcohol
    An Internist’s Guide to Unhealthy Alcohol Use Ryan Graddy, MD JHU SOM Disclosures • None Learning Objectives • Understand the terminology used to describe unhealthy alcohol use • Identify means of screening for alcohol use disorder • Describe the utility of brief primary care-based interventions for unhealthy alcohol use • Achieve familiarity with FDA-approved medications for alcohol use disorder Patient DM • 58 year old man with hypertension, depression, and bilateral hearing loss s/p bilateral cochlear implants • Drinks 24-48oz beer daily, often drinks after walking dogs in the morning • Niece reports he is drinking substantially more • Denies any legal, social, work, or medical consequences of his alcohol use Patient RW • 43 year old man with hypertension, chronic hepatitis C recently treated with cure, anxiety, and opioid use disorder on Suboxone maintenance • History of heavy alcohol (72oz beer/day) use since late teens with up to 90 days of sobriety in the past without specific treatment • Previous legal (DUI) and employment issues related to his alcohol use • Has tried to quit cold turkey but gets tremors Outline • Epidemiology • Language and terminology • Screening • Treatment Epidemiology • 138M (52%) individuals ≥ 12 years old have used alcohol in the past month • > 88K alcohol-related deaths annually • Responsible for 1 in 10 deaths of adults aged 20-64 • 3rd leading cause of preventable death • $249B in costs in 2010 SAMHSA, NSDUH 2015. Centers for Disease Control and Prevention. ARDI, 2013. Stahre M, et al. Prev Chron Dis 2014. Language and Terminology • Unhealthy alcohol use • Risky use • Men < 65 - ≥ 14 standard drinks/week on average or ≥ 4 drinks on any day • Women, and men ≥ 65 - ≥ 7 standard drinks/week on average or ≥ 3 drinks on any day • Alcohol use disorder – a pattern of alcohol use leading to clinically significant impairment or distress, as manifested by multiple psychosocial, behavioral, or psychologic features Saitz R.
    [Show full text]
  • Primary Care After Bariatric Surgery
    American College of Physicians Virginia Chapter 2013 Annual Meeting and Clinical Update March 1–2, 2013 Primary Care Follow-Up After Bariatric Surgery Puneet Puri, M.B.B.S., M.D. Assistant Professor of Medicine Division of Gastroenterology, Hepatology and Nutrition Virginia Commonwealth University, Richmond VA I have no disclosures related to current presentation Objectives • Growing burden • Different weight loss surgeries • Nutritional and metabolic consequences • Long term complications • Special populations Obesity Trends* Among U.S. Adults BRFSS, 1990, 1999, 2008 (*BMI ≥30, or about 30 lbs. overweight for 5’4” person) 1990 1999 2008 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% BRFSS: Behavioral Risk Factor Surveillance System Relation between BMI and Mortality Lew EA. Ann Intern Med 1985;103:1024 Dealing with Obesity Epidemic Samuel I, et al Am J Surg 2006;192:657-62 Types of Bariatric Surgery Restrictive Restrictive Malabsorptive Malabsorptive Restrictive Vert Band Gastroplasty Bilio-pancreatic Diversion Over 90% in US Roux-N-Y Adjustible Gastric Band Gastric Bypass Bilio-pancreatic Diversion with Duodenal Switch Sleeve Gastrectomy Parameter RYGBP BPD-DS VBG LAGB Weight Loss % EBW 65-70 ~70 50-60 50 % BMI 35 ~35 25-30 25 SI except fibrosis, SI NAFLD SI SI may get worse SI or R SI or R I or R Diabetes SI or R 65-95% 65-95% 40-65% Operative Mortality 0.5-1% 1% 0.1% 0.1% Morbidity 5% 5% 5% 5% Complication Stomach dilation, Malabsorption Food/pill Gastric prolapse, ventral hernia Increased AST/ALT, impaction stomal obstruction, resolve after 6 mths Outlet obstruction pouch dilation Type Restrictive/ Malabsorptive / Restrictive Restrictive Malabsorptive Restrictive Use in the United 9% 87% 2% 1.4% States Gastric Bypass Surgery The Concept Gastrojejunostomy Jejuno-jejunal anastomosis Proximal RNYGB Roux-en-Y gastric bypass (RYGB) Ghrelin GLP-1 PYY Insulinn Meirelles K.
    [Show full text]
  • Thats the Spirit : Creative Sauteing with Beer, Wine and Liquor Pdf, Epub, Ebook
    THATS THE SPIRIT : CREATIVE SAUTEING WITH BEER, WINE AND LIQUOR PDF, EPUB, EBOOK Chef Ho | 76 pages | 12 Jul 2012 | Outskirts Press | 9781432784003 | English | Parker CO, United States Thats the Spirit : Creative Sauteing with Beer, Wine and Liquor PDF Book Bekijk de hele lijst. He lives in Berlin. Jason Treat, Ryan T. However, Belgian production of whisky is a much more recent phenomenon. Bourbon , in this case, is a fitting option for both sweet and sour recipes, but there is no denying that it goes best with fruit. Thin-skinned fruits such as berries or peaches will over soften if they sit in alcohol for too long, but hardier fruits such as figs will stand up longer. Tags: radio whiskey, drink, cartoon, beverage, beverage drink, alcoholic drink, radio player, radio transmitter, cartoon object, objects, relaxing, electronics, cold drink. Tags: lithographs, vintage ads, vintage advertising, vintage advertisements, liquor ads, beer ads, brewing, brewery, ale, lager, beer, scotch, vodka, gin, whiskey, grain alcohol, alcoholic beverage, mixed drinks, bar, bars, bar signs, restaurants, business advertisements, jeanpaul ferro, advertising art, vintage, collectible, ad, antique ads, americana, kitchen, advertising, cocktail, asti, cinzano, champagne, spirits, aperitifs, cognac, leonetto, cappiello, vichy, spumante, vermouth, contratto, bianco, red wine, white wine, restaurant, gancia. Tags: wine, glass, watercolor, alcohol, drink, drinking, colorful, wine glass, beverage, champagne, drinks, glass of wine, glasses, glassware, wineglass, alcoholic beverage, alcoholic drink, abstract art, a wine glass, celebration. Muddy sediment at the bottom of the pitcher resembles wet muesli. Tags: alcohol, alcoholic, bar, beverage, collection, cosmopolitan, drink, flat, glass, ice, juice, lemon, lime, margarita, martini, menu, set, summer, symbol, tropical, vector, vodka.
    [Show full text]