By M. J. Akhtar (auth.), J. S. Madden, Robin Walker, W. H. Kenyon (eds.)
It is for me, as President of the Merseyside Lancashire & Cheshire Council on Alcoholism, a sign privilege to put in writing a short foreword to those lawsuits of the 3rd overseas convention on Alcoholism and Drug Dependence. through the week specialists, from across the world, in all these disciplines that have a contribution to make to the answer of the issues of alcoholism and drug dependence, surveyed contemporary advances in our wisdom of the aetiology, epidemiology, early reputation, administration, and the social and commercial implications of those dual scourges of the modern scene. The discussions have been such a lot precious and enlightening even if a large spectrum of conflicting perspectives and reports have been published. The justification for including one more quantity to the becoming literature during this box is two-fold; first, that these playing the convention can learn at relaxation and intensive the transactions of the convention; and secondly, that those that have been not able to wait could gain advantage from the latest perspectives of foreign specialists within the various aspects of 1 of the key present difficulties in global health and wellbeing. LORD COHEN OF BIRKENBEAD CH, PRSH, MD, DSc, ScD, LLD, DCL, FRCP, DL, JPo CONTENTS advent . . • . . . . . . . . . . . .
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Additional info for Alcoholism and Drug Dependence: A Multidisciplinary Approach
The liver disease frequently associated with alcoholism confuses the picture with respect to the vitamin B12 nutritional state: with chronic liver disease although serum v~tamin B12 levels tend to be normal,liver stores of vitamin B12 tend to be sharply reduced. Herbert (1962) performed the first study of the daily requirements for folic acid in normal man and the rate of induction of megaloblastic erytheropoiesis with dietary deprivation. This demonstrated the importance of normal stores as a buffer against inadequate dietary intake.
Alcoholic pancreatitis usually occurs after many years of alcoholism. The patients usually present with recurrent attacks of upper abdominal pain of increasing severity which may be associated with weight loss, steatorrhoea and carbohydrate intolerance. Radiological investigation of these patients may show pancreatic calcification and pancreatic secretion tests using secretin and pancreozymin usually reveal that the volume of juice secreted is reduced and that its bicarbonate concentration is low (Wormsley 1969).
In this situation patients respond poorly to digitalis and diuretics and PHYSICAL COMPLICATIONS OF ALCOHOL EXCESS 31 gradually deteriorate, although the rate of pro~ession of the disease may be retarded by prolonged bed rest, (Burch and DePasquale 1969). Finally, the fourth type of alcoholic heart disease which has been described in alcoholics is that caused by cobalt toxicity. Most reports of this condition have come from Canada Where cobalt was added to beer to improve the quality of its foam, ( Sullivan, Egan and George 1969).