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A person with alcoholism engages in risky or dangerous drinking despite experiencing serious negative physical and social consequences. Such persistence in pursuing damaging behaviors suggests that the short-term “appetitive” results of drinking (such as intoxication and losing one’s inhibitions) have greater control over the alcoholic’s behavior than do the negative consequences. From a...

Advances in human neuroimaging have expanded our ability to understand the functioning of the brain, with particular recent advances fostering our analytic capacity to examine networks between the brain’s nerve cells (i.e., neurons) and neuroconnectivity (i.e., neural networks). Relevant to the field of alcoholism, several researchers recently have applied these strategies to groups at genetic...

The discovery and recording of electrical activity (electroencephalography [EEG]) in the human brain in 1924 by the German physician Hans Berger (Collura 1993; Haas 2003) has led to numerous scientific breakthroughs and clinical applications (Borck 2005; Gloor 1994). Recording brain activity in humans using scalp electrodes provides a noninvasive, sensitive measure of ongoing brain function during...

Alcohol consumption during pregnancy can interfere with both embryonic and fetal development, producing a wide range of outcomes that fall under the rubric of fetal alcohol spectrum disorders (FASD). FASD is the nondiagnostic umbrella term used to refer to the full range of effects that can occur following prenatal alcohol exposure. Such exposure can produce a variety of effects, including...

It has been estimated that approximately 2 billion people worldwide drink alcohol on a daily basis, with more than 70 million people having a diagnosed alcohol use disorder (World Health Organization 2004). Globally, alcohol use is the fifth leading risk factor for premature death and disability among people between the ages of 15 and 49 (Lim et al. 2012). Excessive alcohol consumption in the...

Alcohol use and misuse have been part of human society for centuries. Early physicians recognized since the 1800s that alcohol produced not only impairment of the senses but also higher predisposition for tuberculosis. William Osler, the father of scientific medicine, reported in 1905 that patients who misused alcohol had higher predisposition to pneumonia (Osler 2001).

Between 2006 and 2010 in the...

More than 20 years ago, Daniel Koshland compared basic with applied research, stating: “Basic research is the type that is not always practical but often leads to great discoveries. Applied research refines these discoveries into useful products” (Koshland 1993). This statement implies that basic science does not have a direct impact on human health and disease or patient outcome but offers the...

Most Americans are aware that drinking alcohol during pregnancy can injure the developing fetus. Fetal alcohol syndrome (FAS) and fetal alcohol spectrum disorders (FASD), with their developmental, cognitive, and behavioral consequences, probably are the best known dangers (Bakoyiannis et al. 2014; Centers for Disease Control and Prevention [CDC] 2009). However, drinking during pregnancy also can...

In the United States, alcohol use disorder (AUD) is the third-leading cause of preventable death. It is associated with increased susceptibility to bacterial pneumonia; viral infections, such as HIV and hepatitis C virus (HCV); and increased postoperative morbidity and mortality. This increased susceptibility is mediated in part by functional alterations in various cells of the immune system. The...