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Beginning of the American Association for the Study and Cure of Inebriety (November 1870) and throughout its history, the leadership perceived that it was at the forefront of a therapeutic social movement—the pioneer of a new medical viewpoint as well as a new medical specialty.
This article presents findings on an analytic comparison of two groups of persons for whom alcohol is an identified clinical or social problem—247 patients currently under treatment in a detoxification unit in a general hospital and 118 individuals who had been arrested for driving while...
The results of the current studies further document that acute alcohol administration markedly disrupts the function of the HPG in the male. Our results indicate that alcohol depresses serum testosterone levels and, thereby, produces clinical symptoms associated with hypoandrogenization....
The findings obtained in this study indicate that the major effect of ethanol on plasma testosterone levels is occurring at a peripheral (testicular) rather than central (hypothalamic‐pituitary) site.
This study showed that alcohol significantly decreases plasma testosterone levels, with changes noted as early as the first day of alcohol use (loss of pulsatile secretion). This effect is due. in part, to a direct testicular action since it occurred without LH suppression and in the presence of...
Reduced plasma levels of testosterone and a high frequency of azoospermia have frequently been reported in alcoholic men. Despite the high grade of gonadal failure present, plasma gonadotropins have ranged from normal to only moderately increased. This has been interpreted as suggesting that a...
Ethanol has a positive chronotropic and negative inotropic effect on isolated spontaneously beating rabbit atria. Both effects increased with increasing ethanol concentrations in the bathing medium. This response is apparently a direct action of ethanol on the myocardium and is not due to the...
Mechanisms that seek assurance of quality care at reasonable cost include utilization review, accreditation, certification, licensure, and patient care audit. Within the social rehabilitative field, it is probably safe to say that only alcoholism has developed and implemented what might be...
Frequently, we in the health professions are reactive (or even reactionary) in response to the evolutions and revolutions in our system of health care. In fact, at times the best that can be said for us is that we are responsive (and we hope, responsible) to the need for change. I would suggest...
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