תקציר
Alcoholism is, broadly, any drinking of alcohol that results in significant mental or physical health problems. Alcoholism is not a recognized diagnostic entity. Predominant diagnostic classifications are alcohol use disorder (DSM-5) or alcohol dependence (ICD-11).Excessive alcohol use can damage all organ systems, but it particularly affects the brain, heart, liver, pancreas and immune system. Alcoholism can result in mental illness, delirium tremens, Wernicke–Korsakoff syndrome, irregular heartbeat, an impaired immune response, liver cirrhosis and increased cancer risk. Drinking during pregnancy can result in fetal alcohol spectrum disorders. Women are generally more sensitive than men to the harmful effects of alcohol, primarily due to their smaller body weight, lower capacity to metabolize alcohol, and higher proportion of body fat. In a small number of individuals, prolonged, severe alcohol misuse ultimately leads to cognitive impairment and frank dementia.
Environment and genetics are two factors in the risk of development of alcoholism, with about half the risk attributed to each. Stress and associated disorders, including anxiety, are key factors in the development of alcoholism as alcohol consumption can temporarily reduce dysphoria. Someone with a parent or sibling with an alcohol use disorder is three to four times more likely to develop an alcohol use disorder themselves, but only a minority of them do. Environmental factors include social, cultural and behavioral influences. High stress levels and anxiety, as well as alcohol's inexpensive cost and easy accessibility, increase the risk. People may continue to drink partly to prevent or improve symptoms of withdrawal. After a person stops drinking alcohol, they may experience a low level of withdrawal lasting for months. Medically, alcoholism is considered both a physical and mental illness. Questionnaires are usually used to detect possible alcoholism. Further information is then collected to confirm the diagnosis.Prevention of alcoholism may be attempted by reducing the experience of stress and anxiety in individuals. It can be attempted by regulating and limiting the sale of alcohol (particularly to minors), taxing alcohol to increase its cost, and providing education and treatment. Prohibition was not effective at prevention of alcoholism in the United States.Treatment of alcoholism may take several forms. Due to medical problems that can occur during withdrawal, alcohol cessation should be controlled carefully. One common method involves the use of benzodiazepine medications, such as diazepam. These can be taken while admitted to a health care institution or individually. The medications acamprosate, disulfiram or naltrexone may also be used to help prevent further drinking. Mental illness or other addictions may complicate treatment. Various forms of individual or group therapy or support groups are used to attempt to keep a person from returning to alcoholism. One support group is Alcoholics Anonymous; however, its effectiveness is disputed.The World Health Organization has estimated that as of 2016, there were 380 million people with alcoholism worldwide (5.1% of the population over 15 years of age). As of 2015 in the United States, about 17 million (7%) of adults and 0.7 million (2.8%) of those age 12 to 17 years of age are affected. Alcoholism is most common among males and young adults. Geographically, it is least common in Africa (1.1% of the population) and has the highest rates in Eastern Europe (11%). Alcoholism directly resulted in 139,000 deaths in 2013, up from 112,000 deaths in 1990. A total of 3.3 million deaths (5.9% of all deaths) are believed to be due to alcohol. Alcoholism reduces a person's life expectancy by approximately ten years. Many terms, some slurs and others informal, have been used to refer to people affected by alcoholism; the expressions include tippler, drunkard, dipsomaniac and souse. In 1979, the World Health Organization discouraged the use of "alcoholism" due to its inexact meaning, preferring "alcohol dependence syndrome".Movement may refer to:
Change or Changing may refer to:The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country primarily located in North America. It consists of 50 states, a federal district, five major unincorporated territories, 326 Indian reservations, and some minor possessions. At 3.8 million square miles (9.8 million square kilometers), it is the world's third- or fourth-largest country by total area. The United States shares significant land borders with Canada to the north and Mexico to the south, as well as limited maritime borders with the Bahamas, Cuba, and Russia. With a population of more than 331 million people, it is the third most populous country in the world. The national capital is Washington, D.C., and the most populous city is New York City.
Paleo-Indians migrated from Siberia to the North American mainland at least 12,000 years ago, and European colonization began in the 16th century. The United States emerged from the thirteen British colonies established along the East Coast. Disputes over taxation and political representation with Great Britain led to the American Revolutionary War (1775–1783), which established independence. In the late 18th century, the U.S. began expanding across North America, gradually obtaining new territories, sometimes through war, frequently displacing Native Americans, and admitting new states; by 1848, the United States spanned the continent. Slavery was legal in the southern United States until the second half of the 19th century when the American Civil War led to its abolition. The Spanish–American War and World War I established the U.S. as a world power, a status confirmed by the outcome of World War II.
During the Cold War, the United States fought the Korean War and the Vietnam War but avoided direct military conflict with the Soviet Union. The two superpowers competed in the Space Race, culminating in the 1969 spaceflight that first landed humans on the Moon. The Soviet Union's dissolution in 1991 ended the Cold War, leaving the United States as the world's sole superpower.
The United States is a federal republic and a representative democracy with three separate branches of government, including a bicameral legislature. It is a founding member of the United Nations, World Bank, International Monetary Fund, Organization of American States, NATO, and other international organizations. It is a permanent member of the United Nations Security Council. Considered a melting pot of cultures and ethnicities, its population has been profoundly shaped by centuries of immigration. The U.S. ranks high in international measures of economic freedom, quality of life, education, and human rights, and has low levels of perceived corruption. However, the country has received criticism concerning inequality related to race, wealth and income, the use of capital punishment, high incarceration rates, and lack of universal health care.
The United States is a highly developed country, accounts for approximately a quarter of global GDP, and is the world's largest economy by GDP at market exchange rates. By value, the United States is the world's largest importer and the second-largest exporter of goods. Although its population is only 4.2% of the world's total, it holds 29.4% of the total wealth in the world, the largest share held by any country. Making up more than a third of global military spending, it is the foremost military power in the world; and it is a leading political, cultural, and scientific force internationally.
שפה מקורית | ???core.languages.en_GB??? |
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מזהי עצם דיגיטלי (DOIs) | |
סטטוס פרסום | ???researchoutput.status.published??? - 2020 |
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שם | blog.com |
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