Wednesday, January 30, 2013

Pick Your Poison: Alcohol


http://www.hypnoticliquors.com/alcoholic-drinks-recipes
What is Alcohol?

     -Alcohol is drug, made from fermented fruits and grains, more specifically classified as a depressant. This means it slows down normal function which results in slurred speech, unsteady movements, disturbed perceptions and an inability to react quickly ("Alcohol, A Short History," 2013). It is also the most commonly used and abused drug among adolescents in America (“Alcohol and Public Health: Fact Sheets,” 2012). Below you can see the different alcoholic beverages and the corresponding percentages of alcohol.
                   Photo credits: Stockxpert
http://www.drugfreeworld.org/drugfacts/alcohol.html

http://activistsjourneytolife.blogspot.com/2012/06/day-62-marijuana-is-illegal-but-not.html

Beer 2–6% alcohol
Cider 4–8% alcohol
Wine 8–20% alcohol
Tequila 40% alcohol
Rum 40% or more alcohol
Brandy 40% or more alcohol
Gin 40–47% alcohol
Whiskey 40–50% alcohol
Vodka 40–50% alcohol
Liqueurs 15–60% alcohol




                 More Specific Side Effects:
                 -Brain: interferes with the brain’s communication system; 
                 inability to think clearly, changes in mood and behavior
                 -Heart: cardiomyopathy (stretching or drooping of the heart), 
                 arrhythmias (irregular heart beat), stroke, high blood   
                 pressure
                 -Liver: Liver inflammations including: steatosis, alcoholic
                 hepatitis, fibrosis, cirrhosis
                 -Pancreas: pancreatitis
                 -Cancer: mouth, esophagus, throat, liver, and breast 
                 -Immune system: weakened; heavy drinkers are more
                 liable to pneumonia and tuberculosis
                 (“Alcohol’s Effect on the Body,” 2012).
   -             
                 Alcohol should not be taken with medications as it is very 
                 dangerous to mix to the two changing the medication to be  
                 less effective or toxic to the body. It can cause nausea, 
                 vomiting, headaches, drowsiness, fainting, and loss of 
                 coordination. It can also put individuals at risk for heart  
                 problems, internal bleeding, and breathing problems.  
                (“Harmful Interactions: Mixing alcohol with medicines,” 2007)

Below is a video showing the many negative long term side effects.



Prevalence:  

     -51.5% of adults 18 years of age and over were current regular drinkers (at least 12 drinks   
     in the past year) ("Alcohol Use," 2013).
     -13.6% of adults 18 years of age and over were current infrequent drinkers (1-11 drinks in 
     the past year) (2013).
     -The U.S. government funded a study on alcohol conditions and found:
          -42% of men and 19% of women reported a history of abuse or alcoholism at some 
          point in their lives (Acquilano, 2009).
          -Whites and Native Americans were more likely than other ethnic groups (2009).
          -The study also estimates that about 30% of Americans report having an alcohol 
          disorder at some point in their lives and over half had alcohol abuse, the others 
          dependency (2009).
     -According to the 2011 Youth Risk Behavior Survey:
          -39% drank some amount of alcohol
          -22% binge drank
          -32% drove after drinking or drove with a drunk driver 
          (“Alcohol and Public Health: Fact Sheets,” 2012)

Mortality:

     -Approximately 80,000 deaths each year in the U.S. are due to excessive alcohol use 
     (“Alcohol and Public Health: Fact Sheets,” 2012).

http://pubs.niaaa.nih.gov/publications/Social/
Module1Epidemiology/Module1.html
 
Alcohol Consumption Rates:         
     -According to the National Household Survey, Substance Abuse and Mental Health Services Administration, among men, 70% to 83% reported consuming alcohol at least once during their lifetime. This is compared to women, who reported only 39% to 66%. As you can see from the chart to the right, Men have a higher percent than women across all ages of alcohol use, and the prevalence rate of lifetime alcohol use among men is at the highest ages 25 to 55 ("Module 1: Epidemiology of Alcohol Problems in the U.S.," 2005).
     -Similar trends were found for women, except it shows more of a decrease across the ages after the 25-35 age group. The largest gender difference was noted among the 55 years or older age group, with males drinking more, and the smallest difference in the rate of alcohol use was found among young adults 18 to 24 years old ("Module 1: Epidemiology of Alcohol Problems in the U.S.," 2005).
     -The chart below shows life-time dependency, and how it is more common among younger individuals (18-24) for men and 25-34 years old for females ("Module 1: Epidemiology of Alcohol Problems in the U.S.," 2005).
http://pubs.niaaa.nih.gov/publications/Social/Module1Epidemiology/Module1.html 
The History of Alcohol:

8000 B.C.: A fermented drink was produced by early farmers from honey and wild yeasts
3000 B.C.: Beer and wine are produced in Egypt; production and trade began
800 B.C.: Barley and rice beer produced in India
625: Islamic Prophet Muhammad orders his followers to abstain from alcohol
1100: Alcohol distillation is documented in Italy; Alcohol is called “spirits”
1789: The American temperance society is formed, reducing alcohol consumption; other U.S. states follow
1791: “Whiskey Tax” in the U.S.
1802: “Whiskey Tax” repealed
1884: Laws enacted to make anti-alcohol teaching necessary in public schools in NY; other states followed.
1920: Passing of the 18th Amendment (Prohibition)
1920-1933: Illicit alcohol trade booms in the U.S.
1933: Prohibition is repealed; must be 18 to consume alcohol
1935: Alcoholics Anonymous is established
1984: Minimum drinking age is 21 years old
2000: Illegal to drive with a blood alcohol concentration of .08 percent
("Alcohol, A Short History," 2013)


Medicinal use:

     -Research has shown that drinking moderate* amounts of alcohol may protect healthy adults from getting coronary heart disease,” (“Alcohol’s Effect on the Body,” 2012).
 (*Moderate entails: Men: no more than 4 drinks on any singly day and no more that 14 drinks per week; Women: no more than 3 drinks on any day and no more than 7 drinks per week) (2012).
     -Although this is not straight alcohol consumption, some medicines do contain 10% alcohol, such as laxatives and cough syrup (“Harmful Interactions: Mixing alcohol with medicines,” 2007).


Sanctions for use/misuse/abuse:

     -Drinking Under the Influence (DUI) is illegal and can change many peoples lives in an instant. According to a news article titled, "Penalties for Drunk Driving," all states have adopted the legal drinking age to be 21 years old, and two-thirds of the states have passed the Administrative License Revocation laws, which allows the arresting officer to take the license of drivers who fail or refuse a breathalyzer (2012). 
     -Also, any alcohol in the system of an individual who is underage is prohibited. In addition, penalties have increase for drinking and driving, especially for repeat offenders. Many states have passed laws requiring mandatory jail time for repeat DUI convictions, and fines have gotten larger, along with the length of license suspension increasing, and getting it back getting more difficult (2012).


Treatment:

     -Detoxification: This phase includes discontinuing alcohol use, which can result in withdrawal seizures, hallucinations, and confusion. Benzodiazepines, anti-anxiety medications are the most common drugs used to help cope with withdrawal symptoms during this detox phase ("Understanding alcohol Abuse," 2013).
     -Rehabilitation: This phase involves counseling and other medications that can be done or administered in an inpatient or outpatient facility. Disulfiram, a drug used once the detox phase is completed, interferes with alcohol metabolism so that drinking a small amount will cause nausea, vomiting, and confusion. As you could imagine, this is used as a deterrent. Another medicine used is naltrexone which reduces the cravings for alcohol (2013).
     -Maintenance of Sobriety: This phase frequently includes Alcoholics Anonymous (AA) meetings (2013).
http://stop13stepinaa.wordpress.com/2012/03/18/financial-predators-in-alcoholics-anonymous-meetings-be-aware-who-you-trust-insider-trading-charges-center-on-aa-meetings/
Impact of Family, Communities, and Society:

     -Directly or indirectly, alcoholism affects everyone in the family, community, and society. It is the members of the family that are key in the recovery process, as they serve as motivators. In the video below, it is evidence how the family's interaction is so important from the eyes of the patient. When a family member is suffering from an addiction, the whole family feels bad and even embarrassed. As for the community and society, if an individual's primary occupation is drinking and getting intoxicated, they probably are not working, or at the least, contributing very little to the positive aspects of society. Lastly, it is not a beneficial image for society and the community and the people would not want others to misinterpret it as a good thing.



Sources:

Acquilano, Nelson. (2009). "Drinking Problems and Americans." Support 101. Retrieved 
     January 31, 2013 from "http://suite101.com/article/drinking-problems-and-americans-
     a91617

"Alcohol, a Short History." (2013). Foundation for a Drug-Free World. Retrieved January 29, 
     2013 from http://www.drugfreeworld.org/drugfacts/alcohol/a-short-history.html

“Alcohol and Public Health: Fact Sheets.” (2012). Centers for Disease Control and 
     Prevention. Retrieved January 29, 2013 from http://www.cdc.gov/alcohol/fact-

“Alcohol Use.” (2013). Centers for Disease Control and Prevention. Retrieved January 29, 

“Alcohol’s Effect on the Body.” (2012). National Institute on Alcohol Abuse and       
      Alcoholism. Retrieved January 29, 2013 from http://www.niaaa.nih.gov/alcohol- 
     health/alcohols-effects-body
   
Buddy, T. "Penalties for Driving Drunk." (2012) About.com Health and Disease Condition. 
     Retrieved January 29, 2013 from http://alcoholism.about.com/cs/drive/a/aa082797.htm

Harmful Interactions: Mixing alcohol with medicines. (2007). National Institute on Alcohol  
     Abuse and Alcoholism. Retrieved January 29, 2013 from 
   
"Module 1: Epidemiology of Alcohol Problems in the U.S." (2005). National Institute on  
     Alcohol Abuse and Alcoholism. Retrieved January 29, 2013 from
     http://pubs.niaaa.nih.gov/publications/Social/Module1Epidemiology/Module1.html

"Understanding alcohol Abuse" (2013) WebMD. Retrieved January 29, 2013 from 
     http://www.webmd.com/mental-health/alcohol-abuse/understanding-alcohol-abuse-
     treatment

Tuesday, January 29, 2013

Habits


Nail Biting

http://www.deltadentalidblog.com/nail-biting/

            With the cold air and many germs surrounding us, the easiest way to get sick is by 
putting your hands in your mouth. Your hands are exposed to millions of germs, and it is not possible to wash them enough, and although hand sanitizer is beneficial, it does not kill all germs. This is why I am put at high risk for getting sick, because of my addiction to biting my nails. It is a nervous habit, and I do it without thinking about it. Whenever I feel stressed about a situation or even just have a lot on my mind, my hands end up in my mouth, and that needs to change.

            The purpose for this experiment is to quit a habit that affects my health and also to understand how difficult it is to quit an addiction. Originally, I was unsure as to which habit I should try to quit or reduce, but I chose this one because it will really be more beneficial than staying off of facebook or limiting junk food. I know nail biting impacts not just myself, because my friends and family have said that it annoys them- something about the action and the sound. I am a 10 out of 10 being committed to making this change because of the negative results that can occur, such as damaging teeth enamel, teeth movement, increased exposure to germs, cuts, sores, and infections. Also, since it is lacrosse season, when my nails are too short, it makes holding my stick painful and uncomfortable.

            Specifically, I plan on going cold turkey by completely cutting it out of my life. I’m going to paint my nails to try and deter me from biting. I’m also going to tell my friends that I'm stopping so that whenever they see me with my hands in my mouth, they remind me to stop. I will also bring gum with me to try and subside my nervous energy. We will have to see how it goes and what changes I’ll have to make along the way.


Here is a short video showing the negative side-effects of nail biting by Dr. Schultz:
http://www.youtube.com/watch?v=cTj5iNd-yRI


HOW'S IT GOING?!
UPDATE: 2/6

Progress?
-I made progress this week! I only bit my nails 3 times. A major contributing factor was having my nails painted. I found out that I did not want to mess them up, so I didn't bite as much.

Triggers?
-Stress is my trigger. When I'm at lacrosse or trying to do more than one thing at once, that is when I find myself biting my nails the most. I was able to overcome most of them; however I still bit 3 times.

Changes?
-I think I want to change my plan a little bit to be not only biting my nails but to eliminate my hands from my mouth completely. I found myself resorting to picking and biting around my nail which is just as bad. My support network was beneficial; my roommates constantly reminded me to not bite or even look at my nails.

Thoughts/Observations?
-I noticed that when I saw someone else biting their nails, it made me fight harder to keep my hands out of my mouth. I could have been completely fine, but once I saw someone else doing it, I felt an urge to do it as well. 


HOW'S IT GOING!?
UPDATE: 2/10

Progress? Contributed success?
-I made more progress this week. I only bit my nails once and did not pick at all. I repainted my nails so that prevented me from biting. Maybe that is what I will have to do from now on, repaint them every week.

Triggers Overcome?
-Triggers were still stress but I also noticed that boredom also contributed. When I was watching television is when I slipped up this week. There is a fine line between too much work and being stressed and being bored. I overcame that this week by just thinking "I don't want to get sick; everyone is sick; If I put my hands in my mouth, I will get sick!"

Changes for Next Week?
-For next week, I will repaint my nails so that they are clean and shiny so I do not want to mess them up. I found that as soon as the nail polish starts chipping, I'm more likely to put them in my mouth, and as soon as the nail polish is off one nail, I have to get it off the rest. Also, before I paint my nails, I will trim them so I'm not temped at all to bite.

Observations?
-At fieldwork, I'm located at Lancaster General Hospital and there are no occupational therapists, nurses, or doctors that bite their nails. Their nails and hands are all clean and neat, and I feel that this is now even more important for me to quit because as a professional in the medical world, it is extremely important.



HOW'S IT GOING!?
UPDATE: 2/17

Progress? Contributed success?
-I made no progress this week. I was so busy, stressed, and anxious. I was unable to repaint my nails so I do not know if my technique will work or not. I'll focus on completing my plans for this week. Hopefully it will work!

Triggers Overcome?
-No triggers were overcome, and I lost it this week. I bit my nails probably 8 times this week and made my fingers bleed. I was just too anxious about upcoming events.

Changes for Next Week?
-For next week I am actually going to follow through with my nail painting plan. I hope it works! Nails get painted every Sunday from now on!

Observations?
-I bit my nails while I was watching television, sitting on the bus, at practice, and while I was doing homework at my computer. I need to control my self better, but I just couldn't stop this week. Next week is a new week and I have high hopes that I will control my nail biting.



HOW'S IT GOING!?
UPDATE: 2/24

Progress? Contributed success?
-I made good progress this week! I kept up with painting my nails once a week and did not bite them. I was also so busy that I did not have time to think about biting. I'm feeling pretty good about it!

Triggers Overcome?
-I nibbled a few times, but stopped myself because I thought how bad it will hurt if I make my fingers bleed. Also, with lacrosse games, my nails need to be longer, otherwise it makes it hard to hold my stick.

Changes for Next Week?
-For next week, I am going to follow through with my nail painting plan again and see if it remains successful.

Observations?
-I used my will power and nail painting and don't bite my nails! I'll try my best to keep it up.


HOW'S IT GOING!?
UPDATE: OVER SPRING BREAK

Keeping my nails painted helps me not bite my nails for the most part; however, something I've realized is that the temptation is too much when I'm watching television or bored. For example, this past week I spent 20 hours on a bus to Myrtle Beach. I had to occupy myself with something other than movies and homework, otherwise I would have bitten my nails, so I started making a friendship bracelet. This kept my hands occupied and I was able to do it and kept my hands out of my mouth the whole ride. Finally, it is working for me!

HOW'S IT GOING!?
UPDATE: MID MARCH CHECK IN

This was a set back week. I was so busy that I did not have time to paint my nails at all so I resulted in biting them. I made three fingers hurt and bleed and I haven't done that in a long time, and I feel really bad about myself. I'm going to use this week coming up as a fresh start. My nails are already painted; I just need to remember how mad I am at my self now to motivate me. Here is to a fresh week with some freshly painted nails!

HOW'S IT GOING?
UPDATE: OVER EASTER BREAK 

This was definitely a positive week. I did not bite my nails because I got a new nail polish that does not chip as easily so I do not pick or bite at my nails. I'm going to keep going and hopefully this new nail polish will do the trick.

HOW'S IT GOING?!
UPDATE: 4/2

My nails are comfortably long and painted. I've been so busy that I have not bit them. Having to go to fieldwork appeared to be another motivator for me this week because all of the employees in the hospital have longer nails and not one person bites them. Avoiding the germs seems to be key for me!

HOW'S IT GOING?!
UPDATE: 4/9

So far so good. Nothing has changed and I'm really happy with myself because my fingers don't hurt.

HOW'S IT GOING?!
UPDATE: 4/17

I have kept my nails painted every week and it has shown improvement. Also, this week was stress-free so I was able to just enjoy the days. Something else I have noticed is that keeping a positive attitude really does help keep my hands out of my mouth!

Thursday, January 24, 2013

Marijuana


"Don't Worry, Be Happy!" 
-Bob Marley

Definition/Overview:
            The word marijuana comes from the Spanish word meaning “a substance causing intoxication” (Van Wormer & Davis, 2008). Consisting of a green or gray mixture of dried, shredded leaves and flowers, marijuana comes from the hemp plant called Cannabis sativa. 

http://www.npr.org/blogs/money/2012/11/16/165245222/its-legal-to-
sell-marijuana-in-washington-but-try-telling-that-to-a-bank
            There are many slang terms including: pot, herb, weed, and Mary Jane. Usually, marijuana is smoked as a cigarette, also known as a joint, or smoked in a pipe or bong (Marijuana Abuse, 2010).  It is inside the plant that the main active chemical, THC (delta-9-tetrahydrocannabinol), binds to that of nerve cells’ membranes. This starts cellular reactions that then lead to a “high” (Marijuana Information, 2012)

To see an interesting clip of how marijuana chemically alters the brain watch this short clip:
http://www.youtube.com/watch?v=oeF6rFN9org


History:
            The first found reference to marijuana as a psychoactive agent was found in 2737 B.B. China; it was seen through the writings of Shen Nug, the Chinese emperor at the time. Marijuana’s primary focus was medicinal and used to treat certain conditions such as gout, malaria, and rheumatism. It then spread from China to India, and used recreationally (Marijuana Information, 2012).
            The Spanish then brought marijuana to the New World in 1545. The English were responsible for introducing it to Jamestown (in 1611) where it became a major commercial crop along with tobacco and grown as a source of fiber (Marijuana Information, 2012).

http://www.ballpublishing.com/growertalks/CoverStory.aspx?articleid=18542
            Having replaced cotton as a major cash crop in the southern states by 1890, it was making a statement. In fact, medicines during this time contained marijuana in a small percentage; however, it was not until the 1920’s that marijuana really became popular and widespread. Some individuals believe it was brought about due to Prohibition. Even then, it was primarily jazz musicians and people in show business that were using the drug. This was seen through “reefer songs” and became a huge hit in to the jazz world; marijuana clubs, called tea pads, were being formed in almost all large cities. During this time, marijuana was legal and since there was no evidence of anyone disturbing the community, it was not considered a social threat (Marijuana Information, 2012).
            From 1850 until 1942, marijuana was listed in the Pharmacopeia and prescribed for many conditions such as labor pains, nausea, and rheumatism. Although a campaign in the 1930s by the U.S. Federal Bureau of Narcotics (now the Bureau of Narcotics and Dangerous Drugs) portrayed marijuana as a powerful, addicting substance that is a “gateway” drug, it still remained an accessory. (The picture below is of a real sign clearly expressing detrimental aspects about marijuana.) Following that, marijuana was seen as a symbol of rebellion to the hippies and continued to flourish (Marijuana Information, 2012).

http://studentsforliberty.org/blog/marijuana-as-a-gatewayfor-liberty/
            It was not until The Controlled Substances Act of 1970 that marijuana was classified as a Schedule I drug. (This entails having the relatively highest abuse potential and no accepted medical use.) During this time most marijuana came from Mexico, but shortly after the Mexican government agreed to eradicate the crop. This role then switched to Colombia as the main supplier. Strict laws were to follow during the Reagan/Bush administrations, which was called the “zero tolerance” climate. Therefore, the “war on drugs” brought about a shift to domestic cultivation (specifically Hawaii and California). In 1982, the Drug Enforcement Administration increased attention to these farms in the U.S. and there was a shift to indoor growing (Marijuana Information, 2012).

                                 http://www.justice.gov/dea/pr/multimedia-library/image-gallery/images_marijuana.shtml

My Thoughts:

            After reviewing many resources about marijuana, a huge topic was brought up in almost every source I saw which was the legalization of marijuana with medical purposes being the main driving force. Personally, I think that if someone has a chronic condition, in constant pain, and the only drug that will enable him or her to get out of bed for the day is marijuana, how could it not be allowed? In fact, more states are legalizing medical marijuana such as Colorado and Washington that can be seen in the link below. Marijuana can help calm severe nausea, stimulate appetites (which is important to individuals with AIDS and undergoing chemotherapy treatments), and help relieve the feelings of pins and needles from neuropathic pain. 
http://potfessor.com/ask/medical-marijuana-good-for-bipolar/

Below is a link explaining the war on marijuana diminishing:

            Another topic I encountered was its popularity. According to the 2010 NSDUH, marijuana was accountable for, “4.5 million of the estimated 7.1 million Americans dependent on or abusing illicit drugs” (Marijuana Abuse, 2010). That is more than half of the total and significant, showing its commonality.


Government Influences:

            The reaction of the government does influence the use of substances. While there are people who will not use it just based on the fact that it is illegal, there are also individuals who are addicted and continue to use. There are also those individuals that rebel and use it just because it is illegal. Regardless, there appears to be a trend with stricter laws and a higher demand by the people. An example, related to alcohol, would be prohibition. During that time people acted out when alcohol was banned, and as an overall view, I feel that people always want what they cannot have. Also, considering there showed to be a correlation with prohibition and increased marijuana usage, it can be seen how people feel about stricter government laws. Therefore, the government does influence the use of substances whether it is in a positive or negative way.

http://michaelscomments.wordpress.com/2010/11/page/3/

Sources:

Drug prevention 4 teens. (2008). Drug Enrollment Administration. Retrieved from             
           http://www.justice.gov/dea/pr/multimedia-library/publications/prevention4teens.pdfVan 

Marijuana abuse. (2010). National Institute on Drug Abuse. Retrieved from

Marijuana information (2012). Narconon International. Retrieved from 

Wormer, Katherine & Davis, Diane Rae (2008). Addiction treatment: A strengths 
            perspective. California: Brooks/Cole.



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