Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Alcoholic Intoxication”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,153 records · Page 64Linked to original sources
PubMed1976

Tracking difficulties and paranoid ideation during hashish and alcohol intoxication.

In a double-blind study using each subject as his own control, 6 normal subjects smoked 20 mg of THC within 10- and 45-minute periods ("fast" and "slow" conditions, respectively). Each subject also received placebo and doses of alcohol calculated to be as intoxicating as the THC doses. In fast conditions, THC induced greater difficulties with tracking information over time, greater disruptions of self-other interpersonal perceptions, and more persecutory ideation that did alcohol or placebo. Similar but less marked differences were found in the slow conditions. As hypothesized, changes in tracking difficulties, self-other metaperspectives, and persecutory ideation were substantially and significantly correlated.

Adult↗
PubMed2001

[Acute alcoholic intoxication in hospital and drunk cell].

BACKGROUND: There are few epidemiological studies of the care for persons with acute ethanol intoxication. Most of them probable do not get into contact with neither the police nor the health care system. MATERIAL AND METHODS: We have studied the files from Romerike Police District and from the Central Hospital of Akershus for the years 1988, 1993, 1998 and 2000, i.e. over a 12-year period. RESULTS: Over these 12 years, the police took care of the vast majority of cases, 2,259 persons compared to the 293 that were admitted to hospital. From 1988 to 2000, there was a 40% reduction in the use of police custody and a 600% increase in the numbers admitted to hospital. Almost all hospital patients were aged 15 to 60 years. Those taken into custody were a slightly younger group; 45% were below 29. The age distribution remained constant throughout the period. Among those taken into custody, only 8% were women, compared to 37% among those hospitalized. There was a steady increase in hospitalized women from 1988 to 2000, especially in the below-20 age group. INTERPRETATION: A marked reduction in the use of police custody took place over this 12-year period. Hospitalization for ethanol intoxication remained constant in men, while there was a dramatic increase in the numbers of women admitted, especially of young women.

Adolescent↗
PubMed1990

Alcohol intoxication, injuries, and dangerous behaviors--and the revolving emergency department door.

Suicides, homicides, motor vehicle crashes, and other violent deaths and injuries are linked inextricably to alcoholism. The association of injury and alcoholism should be particularly obvious to Emergency Department (ED) physicians. We sought to determine the extent to which intoxicated patients in an ED were properly diagnosed, counselled, and referred for substance abuse care. We reviewed the charts of 153 consecutive patients seen in a teaching hospital ED who had blood alcohol levels above 100 mg%. Most were male (70%), white (62%), young (mean age, 34 years) and severely intoxicated (mean BAL, 245; range, 109-558 mg%). Forty-six per cent of visits were for trauma; half of the patients were victims of violent assaults. The intoxicated patients received extensive medical and surgical management: an average of five tests or X-rays were performed per patient; 75% received at least one medication; at discharge 48% were referred for followup to medical or surgical clinics. In contrast, few patients were evaluated for dangerous behaviors or referred for treatment of alcoholism: only 19 patients (12.5%) were asked about depression, suicide, or homicide; 15% were advised to stop drinking; 13% received a referral to a psychiatrist, mental health worker, or alcohol rehabilitation facility. Forty-seven per cent of patients received "stat" intravenous thiamine (although the Wernicke-Korsakoff syndrome is rare). In contrast, only 16% received a stat on-site psychiatric consultation (although dangerous behaviors are common in alcoholics). There was a strong, statistically significant negative association between the occurrence of an injury and the decision to initiate treatment and referrals for alcoholism.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed2001

Does alcohol intoxication alter the assessment and outcome of "observation-status" trauma patients?

We assessed the effect of blood alcohol concentration (BAC) on the evaluation, outcome, and hospital charges of our observation-status trauma patient population. We conducted a retrospective study over 18 months; any patient initially admitted with <24-hour observation status, Glasgow Coma Score of 15, and negative drug screen was eligible. Patients were divided on the basis of BAC (BAC+ = >80 mg/dL; BAC- = <80 mg/dL). Two hundred twenty-six patients were observed during the study (2765 admissions). For the 66 BAC+ patients (range 90-392 mg/dL) there was a strong male predominance. There was no difference in diagnostic evaluation schema, delayed diagnosis, complications, cost, or conversions to full admission between the groups. We conclude that evaluation, outcome, and charges of observation trauma patients are the same regardless of BAC. Intoxication did not mask injury; therefore BAC+ patients do not require observation on the sole basis of intoxication if their evaluation is otherwise negative.

Adult↗
PubMed1981

Central norepinephrine metabolism during alcohol intoxication in addicts and healthy volunteers.

The concentrations of the major norepinephrine metabolite, 3-methoxy-4-hydroxyphenylethylene glycol (MOPEG), in lumbar cerebrospinal fluid of alcoholic patients were markedly elevated during intoxication and successively declined during 1 and 3 weeks of abstinence. During intoxication the MOPEG concentration in cerebrospinal fluid showed a statistically significant correlation with the blood alcohol concentration. In healthy volunteers who received 80 grams of ethanol, the MOPEG concentration in cerebrospinal fluid increased significantly. Healthy subjects sampled during intoxication had significantly higher concentrations of MOPEG in the cerebrospinal fluid than did subjects sampled after the end of intoxication. The results indicate that alcohol administration markedly stimulates norepinephrine metabolism in the central nervous system in human subjects possibly by increasing unit impulse activity of central noradrenergic neurons.

Adrenergic Fibers↗
PubMed1982

Changes in the frequency of alcohol intoxication associated with mortality.

The associations between mortality and changes in the frequency of intoxicating drinking were studied among 2050 males interviewed in 1953 about their drinking in 1949 and 1952. When age, marital status, social class and the frequency of intoxication in 1949 were controlled for, Weibull survival models indicated that, over a 12-year follow-up period, change in the frequency of intoxication from 1949 to 1952 was associated with mortality from diseases of the digestive system (p = 0.05), and over a 23-year follow-up period with mortality from injuries (p = 0.06).

Alcoholic Intoxication↗
PubMedDate not supplied

Infant rats respond differently to alcohol after nursing from an alcohol-intoxicated dam.

Our previous studies indicate that rat pups are able to detect the low levels of ethanol (175 mg %) found in the milk of a moderately intoxicated dam. The present study tested the effect of infantile interactions (including suckling) with ethanol-treated mothers on later behavioral responsiveness to ethanol's sensory properties. In Experiment 1, pups suckled from dams subjected to a 2.5 g/kg ethanol dose (i.g.) or water-treated females during postnatal days (PDs) 3, 5, 7, 9, 11, and 13. During PD 15, these pups were exposed to procedures to induce a conditioned aversion to the low level of ethanol (175 mg % in water), with lithium chloride as the unconditioned stimulus. Conditioning was more effective for pups with the prior ethanol experience within the nursing context. Greater responsiveness to ethanol in milk also was found for conditioning control pups that had interacted with intoxicated dams than for those that had interacted with water-treated dams. Experiment 2 determined that interaction with an intoxicated dam was sufficient for altered responsiveness to ethanol, in that the additional conditioning procedures of Experiment 1 were not needed for the effect. Generally, a relatively brief history of infantile interaction with ethanol-intoxicated dams increased later responsiveness to ethanol's orosensory properties. The results suggest that moderately intoxicated dams within the nursing context provide information to the progeny that may lead to the establishment of ethanol-related memories.

Alcoholic Intoxication↗
PubMed1990

[Acute alcohol intoxication in children. Diagnosis, treatment and complications].

The purpose of this review is to describe the diagnosis, emergency treatment and further observation and complications. Alcohol poisoning and complications are underdiagnosed problems. Intoxication in young children is accidental and due to lack of experience in older children. Strong spirits are usually involved. The speed of elimination is greater than in adults and presumably 3-8 mmol/l/h. Fatal cases with alcohol concentrations less than 3.0% have been reported. The lethal dose is presumably 3 g/kg. Symptoms are as in adults but appear at lower concentrations. Infants do not reach a stage of exitation. Children are more prone to develop complications such as hypothermia, acidosis, electrolyte disturbance and trauma. Hypoglycaemia develops in 24-50% of cases, more frequently in infants and after starvation. The treatment is aspiration, admission to hospital, close observation, determination of core temperature, alcohol concentration, blood glucose-concentration and determination of serum-electrolytes. Blood glucose should be monitored. Treatment is conservative but severely intoxicated children may require dialysis.

Acidosis, Lactic↗
PubMedDate not supplied

[Glucose-6-phosphate dehydrogenase and lactate dehydrogenase activities and lactate dehydrogenase isoenzyme spectrum in human myocardium after sudden death caused by acute alcohol intoxication and ischemic heart disease].

Alterations in activities of lactate- and glucose-6-phosphate dehydrogenases and in the LDHisozyme spectra in human heart muscle after sudden death, caused either by acute ethanol intoxication or by ischemic heart disease, were characterized by inhibition of aerobic oxidation and activation of the glycolytic pathway of energy formation.

Adult↗
PubMed1988

Interference of expectancy and attention demanding tasks on alcohol intoxication.

Seventy-nine undergraduate social drinkers were the subjects in two studies. Both studies had two experimental sessions and followed a blind design. The subjects in experiment I (expectancy manipulation) were informed they would certainly receive an alcoholic beverage in one session, while in the other one they were told the beverage possibly contained alcohol. Thus, the different expectancy on the beverage content was evaluated. The volunteers in experiment II (attention demanding tasks) were submitted to attention tests in one session and in another one they were not. Thus, the assumption that tasks would motivate the subjects to stay more sober and rate themselves as less intoxicated was studied. Each subject received one of three alcohol doses (0.0; 0.4 or 0.6 g/kg): the same dose in both sessions of each experiment. Blood alcohol level (BAL), reaction time, and self-rating intoxication scores were recorded. The variables studied did not alter either BAL or reaction time values. The expectancy manipulation changed the self-rated intoxication with the lower alcohol dose (0.4 g/kg). So when doubt had been raised the subjects rated themselves as less intoxicated. However, this change was only found with a verbal scale. The attention demanding tasks manipulation did not change the self-rating evaluations. It is suggested that the tasks performed were not appropriate to motivate the subjects to stay sober. The differential sensitivity of the self-rating intoxication scales utilized, and the role of alcohol dose in the study of nonpharmacological variables are discussed.

Adolescent↗
PubMedDate not supplied

[Biochemical characteristics of various adaptation mechanisms in acute alcoholic intoxication].

Phase character of metabolic shifts (ethanol, acetaldehyde, catecholamines content, alcohol dehydrogenase and aldehyde dehydrogenase activity) has been revealed in the experiments on white non-inbred rats after a single administration of a sub-narcotic dose of ethanol. Some adaptation-adjustment mechanisms have been established which promote the decrease of the toxic effect of alcohol (induction of activity of alcohol-metabolising enzymes and condensation of acetaldehyde with catecholamines).

Acetaldehyde↗
PubMed1987

Acute alcohol intoxication in a two-month-old baby.

A 2-month-old, well developed, healthy boy, weighing 5.55 kg, was fed 200 ml of bottle-milk containing 65 ml of sake. So-called kanzamashi (sake boiled in the evening and remaining in a bottle overnight,) was mistaken for yuzamashi (water boiled and left to cool), and used to prepare a 15% formula milk. About 10 minutes later, the baby became flushed, began to breath hard, and lose consciousness, and an alcoholic odor was noticed. He was brought to our clinic, where gastric lavage and parenteral fluid therapy were started. On admission, his main physical signs were, whole body had become red, unconsciousness, alcoholic odor, tachycardia and tachypnea, without low body temperature, while his remarked laboratory findings were metabolic acidosis, hyperglycemia, and high A/G ratio. Moreover, a transient proteinuria, alternately followed by a transient glycosuria, appeared within the course. About 10 hours later, he showed an obvious improvement in both physical and laboratory findings. As an explanation of these changes in his condition due to alcohol ingestion, we speculated that a metabolic acidosis with hyperglycemia caused the disturbed reabsorption in his renal tubulus, which revealed alternating proteinuria and glycosuria.

Acidosis, Renal Tubular↗
PubMed1984

Antagonism of acute alcohol intoxication by naloxone.

We have previously shown that proprietary naloxone hydrochloride (Narcan) reverses the disturbance of the redox states of the hepatic NAD(P) couples and causes a simultaneous lowering of blood-ethanol concentration in acutely-ethanol-intoxicated rats. We now confirm these findings by using pure naloxone hydrochloride and demonstrate the inability of the methyl-4-hydroxybenzoate preservative present in the Narcan ampoules to influence the above effects of ethanol.

Alcoholic Intoxication↗
PubMed1992

Effects of acute alcohol intoxication on gluconeogenesis and its hormonal responsiveness in isolated, perfused rat liver.

Rats were acutely administered ethanol as a primed constant infusion in order to produce sustained blood ethanol levels of 8-12 or 55-65 mM. At the end of ethanol infusion the livers were either freeze-clamped in vivo or isolated and perfused for metabolic studies. The rate of gluconeogenesis and its responsiveness to phenylephrine (10 microM), prostaglandin F2 alpha (5 microM) and glucagon (10 nM), as well as the redox state of the cytosolic NAD(+)-NADH system were assessed in livers isolated from acutely ethanol-treated rats, and subsequently perfused without ethanol. For liver clamped in vivo, high- but not low-ethanol treatment decreased the ATP content by 31% and slightly increased ADP and AMP content, resulting in a decreased energy charge (11%). Glutamate and aspartate content was also increased in high-dose ethanol-infused rats with no changes in malate and 2-oxoglutarate content. Gluconeogenesis with saturating concentrations of lactate (4 mM)+pyruvate (0.4 mM) was delayed in reaching a plateau in the livers of high-dose ethanol-treated rats and its response to all three stimulators was impaired. Low-dose ethanol treatment only decreased the liver response to phenylephrine. While the perfused livers of low-dose ethanol-treated rats displayed no changes in adenine nucleotide content, the livers of high-dose ethanol-treated rats had a decreased ATP (35%) and an increased AMP (77%) content, paralleled by a fall in the total adenine nucleotides (14%) and energy charge (14%). No differences were observed between the saline- and ethanol-treated rats with respect to malate-aspartate shuttle intermediate concentration in perfused livers. Also, the livers of high-, but not low-dose ethanol-treated rats had a more negative value of NAD(+)-NADH redox state as compared to the livers of control rats. The data suggest that acute ethanol intoxication produces changes in liver metabolism and its responsiveness to hormones/agonists that are demonstrable for at least 2 hr after isolation and perfusion of the liver.

Adenine Nucleotides↗
PubMedDate not supplied

[Homicide with special reference to alcoholic intoxication and relation to time of day].

112 cases of homicide (around 4%) are presented from material of approximately 3000 psychiatric expert-opinions for criminal proceedings. The data of 107 committers were usable and could be evaluated statistically. 63% of the homicides were executed, 37% were attempted. 14% of the committers were considered to be psychopaths. The circumstances surrounding the crimes were further subdivided in imitation of Rasch and especially tested for daytime linkage. 53% of the males but only a very small percentage of the female committers were alcoholized. Neither alcoholization nor personality had influence upon the success of the crime. For most of the psychotic committers the attempt failed to succeed. There was a tendency that some of the assaults were performed during night-time. This was more pronounced in alcoholized than in sober committers. No linkage to the night hours could be found neither for criminal actions of psychotics or child murder, nor for murder or robbery. In conclusion we assume that certain forms of human aggression underlie a diurnal rhythm.

Adult↗
PubMed1983

Naloxone and alcohol intoxication in the dog.

1 The effects of naloxone upon ethanol-induced coma have been investigated in dogs. In a double blind study, 15 mongrel dogs received ethanol i.v. (4 g/kg) followed by a single dose of naloxone (12 micrograms/kg). 2 Naloxone failed to affect either the duration of respiratory arrest or the time to recovery of motor coordination. In similar animals treated with the narcotic analgesic, fentanyl, naloxone induced a dramatic and complete reversal of the narcotic effects within 30 seconds. 3 It is concluded that, if naloxone has any effect in alcoholic coma, it is not comparable with its dramatic action in narcotic coma.

Alcoholic Intoxication↗