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172 Cards in this Set

  • Front
  • Back
Tar
Thick, sticky residue formed when tobacco leaves burn.

Contain hundreds of chemical compounds and carcinogenic substances
Carbon Monoxide
CO- an odorless gas that interferes with the ability of red blood cells to carry oxygen to vital body organs.
Nicotine
is the primary addictive ingredien in tobacco

a poison and psychoactive drug
Cigars are _____ if not inhaled but there are more ______ cancers related
They are safer to lungs;

however, more mouth cancers
Chewing tobacco
2-3 times greater nicotine absorbed
Types of tobacco
cigarettes
cigars
pipes (hookahs)
smokeless tobacco (snuff; chewing)
Ethnic differences (Alcohol) White vs. Black
Use of alcohol in whites is greater than African americans
Hispanic/Latino Men vs. Women
High among men

Very low among women
Native americans.. Number ___ health concern
Alcohol is the #1 health concern
Asian Americans
lower consumption rates than whites.

Asians have a genetic limitation in ability to process alcohol
Effect of alcohol on brain
alters brain chemistry and neurotransmitter functions (slows nerve conductance.)
Effect of alcohol on central nervous system
is a CNS depressant that impairs balance, motor coordination, and reduces rational thinking and problem solving
As alcohol concentrations increase, more functions are ____
more functions are depressed, and greater impairment occurs
Alcohol absorption rates
20-25% absorbed in stomach
75-80% absorbed in upper small intestine

Trace amounts in lower GI track
Factors affecting alcohol absorption:

Food in the stomach
slows down absorption of alcohol
Gender (absorption factor)
Women absorb alcohol into the blood faster (higher fat %, lower water %)
Age
Older people have less water, so
LESS DILUTED ALCOHOL
Drug interaction
alcohol interacts with many medicines, even OTC meds
Cigarette smoke
nicotine delays absorption
Mood/Physical condition
fear, anger stress

being tired or ill can cause:

the alcohol effect to hit you sooner.
Alcohol concentration...(absorption)
higher the proof, faster it is absorbed
Carbonation..... (absorption)
speeds absorption. (mixed with carbonated drinks= faster absorption)
Tolerance.......(absorption)
over time, body tries to adjust to prevent impairment; will need more alcohol to get drunk
Blood Alcohol Concentration (BAC)
amount of alcohol in grams in 100 ml of blood; expressed as a percentage

100mgs alcohol in 100ml blood= BAC .10
Accuracy of breath test for alcohol
They are accurate due to alcohol being exhaled out of the lungs, not residual alcohol left in mouth
What affects BAC?
amount of body water and body fat influences BAC levels in the body
Alcohol metabolism

small amount is broken down by the stomach however...
90% is metabolized by the liver
Between ____ and _____ percent is not metabolized at all but is excreted unchanged through the
2 & 10 Percent; excreted through the skin, urine, and breath
As liver breaks down alcohol, acetaldehyde (similar to formaldehyde) is exposed..
This, coupled with dehydration and toxicity of alcohol itself is largely responsible for the 'hangover' effect- nausea, headache, muscle aches
Alcohol breakdown in the body
Alcohol, Acetaldehyde, Acetic Acid (vinegar), CO2 and H20
Binge drinking:

consuming __ or more drinks in a row for man/ woman
Consumption of 5 or more drinks in a row for a man or 4 or more drinks in a row for a women
Half of all college students are ____ drinkers
binge drinkers

Only 68% drink at all
Women are more vulnerable to:
liver disease

heart disease

brain damage
binge drinking rate is consistently in the range of
40-50%
college students under the age of 21 consume
48% of all alcohol consumed by college students
Long-term effects of alcohol use
Fetal alcohol syndrome
Stroke
Cancer
Brain Damage
Malnutrition
Heart disease
Cardiomyopathy (disease of heart muscle)

Abnormal heart rhythm
Liver disease
Fatty Liver (liver swells with fat globules)

Alcoholic hepatitis (inflammation of the liver)

Cirrhosis (scarring of the liver)
General concerns with drug use

Side effects:
ALL drugs have side effects
Disruption of internal balance
anytime we add a substance from the outside, our body will try to regain its preset balance
Filter systems
Kidneys or liver
What if it works for my friend?
Different effects on different individuals due to:

age/maturity
gender
genetic make-up
diet
lifestyle
Hidden effects
There can be things going on in my body that I can't see or feel
Latent effects
There may be changes happening in my body that I won't see any effects from for many years (~30)
Drug quality
If purchasing on the street, how do you know it is the real thing?

Estimated 75-80% of black market steroids are counterfeit
Dosage
If YOU select the dose, how much is the RIGHT amount?
Routes of Administration

Inhalation
7-10 seconds
Injection
hypodermic syringe to deliver drug into bloodstream
Intravenous injection
15-30 seconds
Intramuscular injection
3-5 minutes
Subcutaneous injection
5-7 minutes
Snorting (application to mucous membranes)
3-15 minutes
Oral
20-30 minutes
Application to skin (ointment or patch)
1-7 days
Factors influencing the effects of drugs

Characteristics of the drug
chemical properties of the drug and its actions
Characteristics of the person
Age
Gender
Body weight
physical condition/mood
Characteristics of the situation
environmental experience
Drug dependence
Strong craving for a drug and compulsive use of the drug despite serious negative consequences
Dependence implies that... changes
physiological changes have taken place in the brain and body chemistry
Forms of Dependence

Addiction
physiological need for the drug. our body has come to expect the substance in order to function normally
Habituation
psychological need for the drug. Our way of living on a daily basis is wrapped tightly around use of the substance
Tolerance
reduced sensitivity to the effects of the drug.

(have to take more and more to get the same effect)
Withdrawal symptoms
different based on the drug and leads to unpleasant feelings.
Pleasure and Reward circuit
neurons in the brain form a pathway

addictive psychoactive drugs activate and cause a surge in levels of dopamine and associated feelings of pleasure
How many drugs operate via the pleasure and reward circuit?
All or nearly all addictive drugs
Habituation
psychological need for the drug. Our way of living on a daily basis is wrapped tightly around use of the substance
Tolerance
reduced sensitivity to the effects of the drug.

(have to take more and more to get the same effect)
Withdrawal symptoms
different based on the drug and leads to unpleasant feelings.
Pleasure and Reward circuit
neurons in the brain form a pathway

addictive psychoactive drugs activate and cause a surge in levels of dopamine and associated feelings of pleasure
How many drugs operate via the pleasure and reward circuit?
All or nearly all addictive drugs
rebound effect
low after reaching the high then crashing
Stimulant
Speed up activity in the brain and SNS

Simlilar to Fight or flight reaction
Examples of stimulants
Cocaine, amphetamines, ecstacy, caffeine
Depressants
slow down activity in the brain and slow the SNS
Depressants can be deadly when
mixed with alcohol or misused
Examples of depressants
anti-anxiety drugs, GHB
Opiods
Derivatives of opium

Long history of medical use for pain relief
Opiods prescribed as...
pain relievers, anesthetics, anti-diarrheal agents, cough suppressants
Examples of opiods
morphine, heroin, codeine

oxycontin, vicodin, demerol
opiods produce feelings of...
pleasure and block sensation of pain by attaching to the brains natural receptors for endorphins
Hallucinogens (psychedelics)

LSD, PCP
alter perceptions nd thinking in characteristic ways
Hallucinogens are Schedule___ drugs with ____ medical use
Schedule ONE drugs with NO medical use
Marijuana residual effects
Amotivational syndrome:

Increase in apathy, decrease in motivation
Distorted sensory perceptions
make it just as dangerous to drive high as it is to drive drunk
Drug
Substance other than food that affects the structure or function of the body through its chemical action
Most widely used illicit drug in US
marijuana
Benefits of friendship
offer psychological and emotional buffer against stress, anxiety and depression
Attraction (Factors leading to)
proximity/familiarity
physical attraction
similar characteristics (values and attitudes)
socio-economic status
procreation purposes
biological instinct
Sternbergs view of love (3 dimensions)
Intimacy

Passion

Commitment
Intimacy
emotion, affection, warmth, openness
Passion
sexual/physical: attraction, excitement, intensity
Commitment
Decision/pledge: 'through good times and bad'
Communication (sometimes say more with our ____ verbal communication
sometimes say more with our non-verbal communication
Non-Verbal communication
messages we send with our posture, gestures, social distance, expressions and eye contact
Non-Verbal communication often gives off a ____ picture of how we really feel
true picture of feelings portrayed by non-verbal communication
Metamessage (invite to your office vs. go to their office)
Unspoken message that you give and receive that encompasses the conscious and uncscious aspects of a message
Gender differences in communication

Men
more likely to use communication to compete.. establish dominance, competence & knowledge
Women use communication to
connect.. find commonalities, share experiences and give and receive support
Gender roles:

Sex
a persons biological status (Male or Female)
Intersex
Condition in which the genitals are ambiguous at birth
Gender
Masculine or feminine behaviors and characteristics considered appropriate in a particular culture (learned during childhood)
Gender role
Set of behaviors and activities a person engages in to conform to society's expectation of his or her sex
Sexual anatomy influenced by
hormones
Sex organs of males and females are _____
similar; and their functions are complementary
Sex drive
sexual desire or libido, biological urge for sexual activity
Testosterone
the principle hormone responsible for sex drive in both men and women
Testosterone produced by...
Testes in males

Adrenal glands in both sexes
Master & Johnsons arousal pattern

Excitement Stage
arousal stage
Plateau stage
leveling off of arosal immediately before orgasm
orgasm stage
rhythmic contraction in the genital area and sensation of intense pleasure
Resolution stage
return the body back to an unexcited, relaxed stage

Men: Refractory period of minutes to hours

women: no refractory period, can experience multiple times
Sexual orientation
refers to a persons emotional, romantic and sexual attraction to a member of a certain sex
Vasocongestion
the inflow of blood to tissues in the erogenous areas
Myotonia
Voluntary or involuntary muscle tension that occurs in response to sexual stimulation
Abstinence
choice not to have sex
Celibacy
not to have sex or ANY sexual activity
Paraphillas (mental disorders) which are illegal
exhibitionism
voyeurism
pedophillia
Orgasmic dysfunction
Up to 35% of women occasionally experience inability to reach orgasm

10-15% are unable to frequently or always
Male sexual dysfunctions
Disturbance in sexual drive, performance, or satisfaction

Such as ED, Premature E
Contraceptive Methods:

Abstinence:
The only guarenteed form of birth control and STD prevention
Hormonal Contraceptives
Birth control
Vaginal ring
injectable contraceptive
contraceptive implant
Barrier methods
Condoms
Diaphragm
Lea's shield
cervical cap
contraceptive sponge
Fertility Awareness method
doesn't work unless you have a regular cycle
Emergency contraception
Plan b
Sterilization
Vasectomy
Tubal ligation
FUN FACT:

___% of women in couples will be pregnant within 1 year if no contraceptive method is used
85%
Emergency contraception
Morning after pill,

contains hormones that can e taken within 48-72 hours to prevent pregnancy
Emergency contraception will not
cause termination of an existing pregnancy (not abortogenic)
Sterilization

Vasectomy
seperation of the vas deferins
Tubal ligation
seperation of the fallopian tubes
Open adoption
biological parents choose adoptive parents
Closed adoption
biological parents do not choose parents
Causes of Infertility

MEN
Low sperm count
&
Poor sperm motility = 1/3 of cases
Causes of infertility

WOMEN
obstruction of fallopian tubes (1/3 of cases) due to STD or endometriosis

Lack of ovulation
Unknown causes
Abnormalities in cervical mucus
Treating Infertility
Surgery (correct physical barier)

Fertility drugs (stimulate egg release)

Intrauterine insemination (sperm collected and inserted into the uterus with a syringe)

In Vitro Fertilization: Eggs fertilized in the lab and reinsterted into the uterus
Lowest risk ages for pregnancy
18-35
Prenatal care
Monitor fish/shellfish intake
Abortion types

Spontaneous
Involuntary termination (miscarriage)
Elective
Surgical: removal of the contents of the uterus to terminate the pregnancy

Medical: Use of a pharmaceutical agent to terminate the pregnancy
How is infection spread?

Pathogen:
The infectious agent (type of infection: bacteria, virus..)
Chain of infection
The process by which a pathogen passes from one organism to another
Vector
Insect or animal that transfers the infectious agent from reservoir to host
Virulence
speed or intensity of the pathogen
Body's defenses:

Innate immune system
rapid response to catch and remove general targets (white blood cells- phagocytes)
Acquired immune system
recognizes specific targets and activates to rid them (specific white cells- Lymphocytes)
Acute inflammatory Response
The body sends extra blood flow to any area when tissue damage (by injury or infection) occurs
Allergies reaction
Body identifies a harmless foreign substance as an antigen and creates an immune response

Anaphylactic shock- life threatening allergy response
Physical barriers to disease

Skin
body's first line of defense
Mucous membranes
Sticky and trap foreign particles
Nasal passages and ear canals protected by ____
hair
Lungs protected by _____ and _____
cough reflex and cilia
Saliva contains
special proteins that break down bacteria
Phagocytes
white blood cells
Lymphocytes
specific white cells
B cells
monitor blood and fluids for infection (mature to produce antibodies when a foreign object is located)
T Cells
monitor cells for infection- KILLER T CELLS are quickly formed to destroy the infection
Immunity
once a person has survived infection by a pathogen, they acquire immunity to future infections by the same pathogen
Common leading infectious diseases
Pneumonia- LEADING INFECTIOUS DEATH CAUSE
Common leading infectious diseases

Diarrhea
kills 2-3 million kids in the developing world per year
Tuberculosis
most common infection in the world (30% of population infected)
Malaria
Mosquito borne virus
HIV symptoms
Rapid weight loss
cough
night sweats
diarrhea
rashes or skin blemishes
memory loss

Then asymptomatic for years (2-20)
HPV
most common STD and mostly asymptomatic
Genital Herpes
genital/oral viral infection with no cure
Hepatitis (A, B, C)
liver infections
Major bacterial stds

Chlamydia
most commonly reported (75% women & 50% men have no symptoms)

Left untreated can cause PID
Gonorrhea
men have symptoms more frequently than women

(burning and discharge)
Pelvic Inflammatory Disease (PID)
infections of ovaries and fallopian tubes (frequently a spread of lower reproductive tract bacteria) with severe pain and risk of death
Syphillis
rates fell through 1900s but began to rise rapidly in 2001

can lead to dementia & death
Bacterial Vaginosis
alteration of normal vaginal flora
ABCDs of STD prevention
A bstinence

B e Faithful

C ondoms

D etection
HIV transmission
Direct contact involving the exchange of bodily fluids

sharing of hypodermic needles

through infected blood products

perinatal transmission (mother to fetus)