Alcohol, Tobacco, And Caffeine

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    Beer

    10,000 years agoaccident from grain?

    1100 AD guild formed devoted to brewing

    1722a nourishing drink for potters and

    laborers created called Potter

    Wine 8,000 years ago

    5,000 years ago the vineyards

    2,000 BC - Hammurabi ruler of Babylon sets

    rules for the sale and purchase of wine

    1,500 BC Greek god of wineDionysus /

    Bacchus

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    Ancient Awareness "You will conceive and bear a sonnow then

    be careful to take no wine or strong drink and

    to eat nothing unclean".

    Bible - Judges 13:3-4

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    Current Views

    Alcohol is the number one drug of choice

    among our Nations youth. Yet the

    seriousness of this issue does not registerwith the general public or policymakers.

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    Fetal Alcohol Syndrome (FAS) 1 to 3 births per 1,000 world wide??

    Fetal Alcohol Effect (FAE)

    Characteristics Growth deficiency

    Learning dysfunction

    Nervous systems disabilities

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    Consumption

    Have you ever drank alcohol?

    Why?

    Have you ever drank too much alcohol?

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    Health Effects

    What are the pleasant effects of alcohol?

    The adverse effects (toxicity)?

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    Acute Effects

    Depression of inhibitory control

    warm, flushed, reddish skin

    Emotional outbursts

    Decreased memory & concentration

    Poor judgment

    Decreased reflexes

    Decreased sexual response

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    Long Term Adverse Effects Obvious

    Alcoholism, death, cancer (oral cavity,

    esophagus, liver), fetal effects (FAS)

    Alcoholism

    Cirrhosis of liver, appetite loss, poor

    judgment

    Subtle

    Lost productivity, impaired performance,

    motor impairment, cost to society

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    Alcohol & Cancer Ethanol consumption increases risk of cancer

    Oral Cavity

    Pharynx and Larynx Esophagus

    Liver

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    Gender Differences

    Females have higher blood alcohol levels

    than males

    Males have higher stomach metabolism of

    alcohol than females

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    AlcoholismAlcohol Dependence

    Craving: A strong need, or compulsion, to drink.

    Loss of control: The inability to limit onesdrinking on any given occasion.

    Physical dependence: Withdrawal symptoms,such as nausea, sweating, shakiness, andanxiety, occur when alcohol use is stopped aftera period of heavy drinking.

    Tolerance: The need to drink greater amounts ofalcohol in order to get high.

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    Alcohol Withdrawal Effects

    Tremor

    Nausea

    Irritability Agitation

    Hypertension

    Seizers

    Hallucinations

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    Alcohol and college students

    70% of college students consumed alcohol in thelast year

    1/2 are classified as heavy drinkers

    Many students have a misperception about normaldrinking behavior, and believe their peers drinkmore than they actually do.

    1,700 students die annually due to preventablealcohol related injuries

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    Binge Drinking Dangerous to yourself and others

    Consuming a large quantity of alcohol in a shortperiod of time increases the risk ofunconsciousness, alcohol poisoning, and death

    Linked to campus crime, including rape and assault

    Many colleges and universities trying to address theproblem Implementing policies against drinking Offering more programs to help students with alcohol

    problems

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    Alcohol: Absorption and Metabolism

    Absorption in stomach 20%

    Absorption in small intestine 80%

    Factors that influence absorption Concentration of the drink

    Amount consumed

    Food in the stomach Mood

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    Behavioral and Physiological Effects ofAlcohol

    Consuming large amounts of alcohol in short period of

    time can be lethal

    Alcohol alone or mixed with another drug responsiblefor more deaths due to toxic overdose than any othersubstance

    Death caused by either central nervous system andrespiratory depression or by inhalation of vomit or fluid intothe lungs

    Signs include inability to be roused, weak and rapid pulse,

    unusual breathing pattern, and cool, damp, pale or bluishskin

    If wait to call for help until person is unconscious, risk ofdeath increases tenfold

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    A normal liver and a liver withcirrhosis

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    Smoking Smoking facts

    Single most preventable cause of death

    438,000 people die a year

    50 times that of illegal drug deaths

    Teen smokers = 27.5%

    Advertising

    Spends $18 million per day

    Children and teens constitute 90% of new smokers Women, minorities and college students new

    targets

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    Financial costs to society

    $167 billion in annual health related economic losses

    $75.5 billion in medical expenditures

    College students are smoking less

    Estimated 18% reported having smoked in the past 30days (2005)

    Does tobacco appear to be a big p roblem on

    your campus?

    What effor ts are made to decrease smok ing?

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    Tobacco and Its Effects Physiological effects of nicotine

    Nicotine is the main addictive substance in tobacco

    Stimulates CNS

    Stimulates adrenal glands

    Increases production of adrenaline

    Increases heart rate

    Increases respiratory rate

    Constricts vessels

    Increases blood pressure

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    Tobacco and Its Effects All tobacco products are harmful

    Cigarettes

    Clove cigarettes

    Cigars

    Pipes

    Bidis (hand-rolled, flavored cigarettes)

    Spit (smokeless) tobacco Chewing tobacco

    Dipping

    Snuff

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    Health Hazards of Smoking Cancers

    Lung 85-90% associated with smoking

    Pancreatic

    Lip

    Esophagus Tongue

    Cardiovascular disease Smokers have 70% higher death rate

    Stroke Smokers are 2 times more likely to suffer

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    Health Hazards of Smoking Respiratory disorders

    Chronic bronchitis

    Sexual dysfunction

    Males are twice as likely to suffer impotence

    Other problems

    Gum disease More likely to need medications

    Metabolism of drugs is affected

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    Quitting Breaking the nicotine addiction

    70% attempt to quit a year

    Fewer than 5% succeed

    Many programs exist to help with quitting

    Nicotine withdrawal is experienced

    Nicotine replacement products

    Nicotine chewing gum

    Nicotine patch

    Nicotine nasal spray

    Nicotine inhaler

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    When Smokers Quit

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    Caffeine Caffeine facts

    Increases heart rate

    Increases oxygen consumption

    Increases urinary output

    Increases wakefulness

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    Side effects Insomnia

    Irregular heartbeat

    Dizziness

    Nausea

    Indigestion

    Mild delirium

    Involuntary muscle twitches

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    Caffeine Addiction Drink more when coming down Caffeinism

    muscle twitch

    Withdrawing May produce headaches

    No long-term damage is seen with moderate usein non-pregnant women

    Have you no t iced any of the signs of caffeine

    add ic t ion in yo urself or fr iends?

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    Possible Health Concerns of CaffeineUse

    Links to Heart disease

    Cancer

    Mental dysfunction

    Birth defects

    No evidence that caffeine causes long-term

    high blood pressure or strokes