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ethyl alcohol
alcohol that functions as a central nervous system depressant
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percentage alcohol
number of grams of alcohol found in 100 millilitres of solution
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proof of alcohol
numerical value that is double the percentage of alcohol
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fermentation
alcohol production using yeast cells and some type of starch such as grains or fruit
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distilled alcoholic beverages (spirits)
alcoholic beverages produced through distillations
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distillations
have a higher alcohol content than beer and wine
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standard drink
drink that contained 14 grams of 100 percent alcohol; equivalent to about 2/3 fluid ounce
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18th Amendment
amendment to U.S. Constitution that banned the sale and distribution of alcohol
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blood alcohol concentration (BAC)
number of grams of alcohol in a 100 ml volume of blood
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alcohol dehydrogenase
enzyme that metabolizes 95% of alcohol
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acetaldehyde
metabolite produced from enzymatic conversion of alcohol with alcohol dehydrogenase; produces noxious effects
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zero-order kinetics
drug elimination rates that do not occur in half-lives
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what neurotransmitters are involved (alcohol and central nervous system functioning)
- GABA
- glutamate
- endogenous opioid
- dopamine
- serotonin
- endocannabinoid systems
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light drinking
less than 2 drinks per day for men; less than 1 for women
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moderate drinking
2 drinks per day for men; 1 drink per day for women
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heavy drinking
at least 4 drinks per day for men; at least 3 drinks per day for women
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binge drinking
drinking occurs in a short period of time consisting of at least 5 drinks per day for men; at least 4 drinks per day for women: "5/4 rule"
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extreme drinking
2-3 times the number of drinks considered as binge drinking
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health benefits of low alcohol use result from 4 primary effects
- chronic light alcohol use increases high-density lipoprotein (HDL) levels referred to as 'good cholesterol'
- chronic light alcohol use reduces pro-inflammatory cellular signaling that contributes to the thickening of artery walls
- acute alcohol administration disrupts blood platelets from bonding together to form clots (the immediate cause of heart attack and stroke)
- acute alcohol administration causes blood clots to separate by causing the activation of plasmin (enzyme responsible for degrading the bonding components between platelets in blood clots)
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disinhibition
- weakening of behavioural control; poor risk assessment; engaging in dangerous behaviour; socially unconventional behaviour
- ex:// loud outburts or aggressive behaviour
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alcohol priming
tendency of users to develop an urge to consume more alcohol after having one or two drinks of alcohol; may be partly the result of alcohol's ability to disinhibit behaviour and to increase impulsive decision making
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impulsivity
decision making without reflecting adequately on the consequences of those decisions
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divided attention
sustained attention on a stimulus despite the presence of distractors
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tension-reduction hypothesis
important part of this hypothesis is that anxiety suggest have a greater likelihood to drink
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alcohol stupor/drunken stupor
dulled sense and poor cognitive funciton caused by overconsumption of alcohol
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blakcout
reversible drug-induced dementia characterized by stupor and anterograde amnesia; 0.25 BAC and higher
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alcohol poisoning
alcohol-induced inhibition of autonomic system functions, including breathing, heart functioning, and the gag reflex
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alcoholic cardiomyopathy
low cardiac output from enlargement of the heart and dialtion of heart chambers cause dby heavy and chronic alcohol use
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cardiac arrhythmias
occurs after an acute heavy drinking episode constitude what is referred to as "holiday heart syndrome"
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cirrhosis
chronic liver disease characterized by tissue scarring and poor liver function
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fetal alcohol syndrome
disorder characterized by physical and neurological abnormal development; widended distance between eyes; congenital heart defects, abnormal development of eyes and ears
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korsakoff's syndrome
condition caused by heavy, long-term alcohol use resulting in memory loss, false memories, poor insight, apathy and tremor
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acute tolerance to alcohol
tolerance that occurs when alcohol's behavioural effects are weaker for declining blood alcohol concentrations (BACs) than for inclining BACs
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metabolic tolerance to alcohol
increase in liver alcohol dehydrogenase enzymes resulting in an increased rate of alcohol metabolism; the increased heart rate of alcohol metabolism diminishes BAC levels
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pharmacodynamics tolerance to alcohol
- reduced physiological responsiveness to alcohol's pharmacological actions
- occurs with glutamate NMDA receptors
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behavioural tolerance to alcohol
reduced behavioural impairment to alcohol
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sensitization to alcohol
increase in alcohol's efficacy, especially its reinforcing effects
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Type I alcohol addiction
alcohol addiction that occurs at age 25 or older; low genetic risk; exhibits high psychosocial risk
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Type II alcohol addiction
alcohol addiction that occurs before age 25; exhibits high genetic risk; has traits associated with poor impulse control
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Alcohol withdrawal syndrome (delirium tremens)
alcohol withdrawal syndrome characterized by hallucinations, trembling, confusion, disorientation, and agitation
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alcoholics anonymous (AA)
12 step therapeutic program for alcohol addiction that encourages drinking abstinence for its anonymous members
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pharmacological treatments for addiction attempt to reduce alcohol intake in 3 ways
- producing aversive effects
- weakening effects
- reducing craving
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disulfiram
treatment for alcohol addiction that inhibits acetaldehyde dehydrogenase enzume activity, the enzyme that breaks acetaldehyde down into inactive metabolites
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naltrexone
opioid receptor antagonist approved for treating alcohol addiction
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acamprosate (campral)
acts on GABA and NMDA receptors
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5 possible contributors to a hangover
- acute alcohol withdrawal
- buildup of acetaldehyde after alcohol consumption
- acetate accumulation
- direction action by alcohol
- overconsumption of other chemicals in alcoholic drinks
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