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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".Affect may refer to: Affect (education) Affect (linguistics), attitude or emotion that a speaker brings to an utterance Affect (philosophy) Affect (psychology), the experience of feeling or emotion Affect display, signs of emotion, such as facial expression, vocalization, and posture Affect theory Affective science, the scientific study of emotion Affective computing, an area of research in computer science aiming to understand the emotional state of users Reduced affect display, a.k.a. emotional blunting or affective flattening, a reduction in emotional reactivity Pseudobulbar affect, a.k.a. labile affect, the unstable display of emotion Affect (rhetoric), the responsive, emotional feeling that precedes cognition Affected accent; see Accent (sociolinguistics) Affect (company), a defunct Japanese video game developerEurope is a continent located entirely in the Northern Hemisphere and mostly in the Eastern Hemisphere. It comprises the westernmost peninsulas of the continental landmass of Eurasia, and is bordered by the Arctic Ocean to the north, the Atlantic Ocean to the west, the Mediterranean Sea to the south, and Asia to the east. Europe is commonly considered to be separated from Asia by the watershed of the Ural Mountains, the Ural River, the Caspian Sea, the Greater Caucasus, the Black Sea, and the waterways of the Turkish Straits. Although much of this border is over land, Europe is generally accorded the status of a full continent because of its great physical size and the weight of its history and traditions. Europe covers about 10,180,000 km2 (3,930,000 sq mi), or 2% of the Earth's surface (6.8% of land area), making it the second smallest continent (using the seven-continent model). Politically, Europe is divided into about fifty sovereign states, of which Russia is the largest and most populous, spanning 39% of the continent and comprising 15% of its population. Europe had a total population of about 746 million (about 10% of the world population) in 2018. The European climate is largely affected by warm Atlantic currents that temper winters and summers on much of the continent, even at latitudes along which the climate in Asia and North America is severe. Further from the sea, seasonal differences are more noticeable than close to the coast. European culture is the root of Western civilization, which traces its lineage back to ancient Greece and ancient Rome. The fall of the Western Roman Empire in 476 AD and the subsequent Migration Period marked the end of Europe's ancient history and the beginning of the Middle Ages. Renaissance humanism, exploration, art and science led to the modern era. Since the Age of Discovery, started by Portugal and Spain, Europe played a predominant role in global affairs. Between the 16th and 20th centuries, European powers colonized at various times the Americas, almost all of Africa and Oceania, and the majority of Asia. The Age of Enlightenment, the subsequent French Revolution and the Napoleonic Wars shaped the continent culturally, politically and economically from the end of the 17th century until the first half of the 19th century. The Industrial Revolution, which began in Great Britain at the end of the 18th century, gave rise to radical economic, cultural and social change in Western Europe and eventually the wider world. Both world wars took place for the most part in Europe, contributing to a decline in Western European dominance in world affairs by the mid-20th century as the Soviet Union and the United States took prominence. During the Cold War, Europe was divided along the Iron Curtain between NATO in the West and the Warsaw Pact in the East, until the revolutions of 1989 and fall of the Berlin Wall. In 1949, the Council of Europe was founded with the idea of unifying Europe to achieve common goals and prevent future wars. Further European integration by some states led to the formation of the European Union (EU), a separate political entity that lies between a confederation and a federation. The EU originated in Western Europe but has been expanding eastward since the fall of the Soviet Union in 1991. The currency of most countries of the European Union, the euro, is the most commonly used among Europeans; and the EU's Schengen Area abolishes border and immigration controls between most of its member states and some non-members states. There exists a political movement favouring the evolution of the European Union into a single federation encompassing much of the continent.Дата импакта | 29 мар. 2020 |
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