so you know, it, it, it, it, that's one of the dangers. i mean you can then go down the list. i mean, you know, there can be ataxia, inability to operate, you know, heavy machinery like an automobile. more likely to have accidents falling off or off a fence or a wall or you know, many different things in that, in that room that that, that drinking in individual it on above. not to mention blackouts, which is where you don't remember what transpired when you're drinking. and so i think anyone can imagine what problems that could lead to it in a part of the situation. now you said before, people were drinking at less during the pandemic. and are we seeing that people drink more? now during the pendant restaurants, we're close to people, actually we're not going out to bottomless branches are going out to campus parties . people were drinking less. are we seeing an increase in drinking now that we are

returning to normal? say, you know, you asked earlier about a phenomenon as well as stablish and now coffee of what we call the alcohol deprivation effect. so people who have not been drinking for awhile for whatever reason, and then resumed drinking often overshoot it. i hate to say it, but not only do people do it, but primary monkeys do it. let's do it. and my steward. ok, so this needs to be a universal phenomenon of over drinking when having been deprived. so that's, that's one thing that people should watch out for as, as the pandemic of, um, you know, most us back after, as a decline in pandemic on issues moves us back to on our, our regular social interactions. so, you know, i think i think alcohol is that when you go past moderate drinking level becomes a passage and i think we really need to understand that and understand that it just

it, you know, it accounts for 5 percent of, of cancer in the united states. and that's according to the national cancer institute with whom we work. and then i, each of course, we have heard of an increase in binge drinking. this is specifically amongst women . what are some of the concerns you have and i age with this increase and binge drinking? anything past the dietary guidelines, which are 2 drinks a day for males wondering today for females, you basically increase the likelihood of problems associated with alcohol and, and they, you know, alcohol sex 200 different organs in the body. and exacerbates many different disease conditions. everything from diabetes to, to heart disease, 2, problems with liver function. in particular, i'm half of liver disease desks now in the united states are attributable to alcohol. so you're basically, you're seeing a, a major concern about health in general with increased alcohol use.

and, and, you know, i guess if there's anything i'd like to get across is that people understand what a standard drink is when we say to drink today. we're not talking about the new yorker cartoon. i think it was a new yorker putting where, you know, i only have one glass of wine and a but you know, the classes, the size of liter. so, you know, i think, i think that's an important issue that i think the public should understand what is a standard drinking and what is considered by the cdc. moderate drinking again, it's 2 drinks a day for meals wondering today for females. like i said, people were drinking last during the pandemic, but there are more deadly cases of drinking during that time. what led to this kind of a deadly drinking during the pandemic lock down? um, it's possible we, we really don't have data, is that that fine grained of analysis? what we do know is that there was a 25 percent increase in test associated with alcohol on death certificates. in the

1st year of the pandemic that increased was sustained and increased even more. in the 2nd year, the pandemic, there's the increased cirrhosis of the liver, and a number of liver transplants during the period. as a pandemic car crash fatalities increase for, for, for the 1st time in the long time in 2020. and the percentage of emergency room visits involving alcohol consumption also increased. and what we're picking up is that about 25 percent of individuals increase their consumption. but that group tends to be individuals who are drinking to cope with the stress distress that was associated with the panoramic. so it can include, you know, everything from job concerns to a lack of social interaction because we're, we were locked down for a long periods of time and, and also concerns about even getting sick from, from the virus. and you were very specific about men. a normal amount is about 2

drinks women and normal amount. just wondering in america, we recently have dealt with these mass shootings where people are very confused about the identity of the shooter who came out to be transferred or not trans shit . our transitions are kind of coming about more, more and more often it can cause sometimes confuse things when you are talking about these limits for drinking do hormones or these transgender surgery change that, or even if somebody is transitioning, should that be sticking to the biological amounts when you say these limitations for male or female, you know, that's, that's, we just don't have any data on that. i mean, it's a good question. it's great science, different questions. but i really, you know, i think it mostly has to do the difference between males and females, and it's a small difference. and in some level, if you do, if you look at the alcohol chart up, it is largely due to body water distribution. and so, you know, females in general have more body water,

less body water, excuse me, and more fat per kilogram than men. and because of that, alcohol tends to hang out in the water component. the men have more body water per kilogram then females. so that accounts for a slight change in blood alcohol level, but the other major changes that men are just larger than females. so i would think the body weight would trump everything else, to be honest with you and, but i don't have any data. it's a very good scientific question whether, you know, for model changes would, would affect the, the blood alcohol metabolism in an absorption. but for now i don't, i don't, we don't have any data that i'm aware of on that. thank you. a doctor and george cube, the director of the national institute on alcohol abuse and alcoholism at the national

institute of health. now after the break, we're going to continue our conversation with dr. tube and asked, what can we, as individuals do to help identify or prevent this crisis from getting on the high acceptance. and i'm here to plan with you whatever you do. do not watch my new show seriously. why watch something that's so different whitelisted opinions that he won't get anywhere else. welcome to please do the have the state department, the c i a weapons, bankers, multi 1000000000 dollar corporations. choose your fax for you. go ahead, change and whatever you do. don't my show stay main street because i'm probably

going to make you. i'm comfortable. my show is called stretching time. but again, it's not. we don't want to watch it because it might just change the way inside the logger back on the sky. now hughes and you are watching the $360.00 view we're talking about the dangers of binge drinking alcohol ism. we are rejoined by doctor

george cube. the director of the national institute on alcohol abuse and alcohol isn't at the national institute of health x or during the doctor. and we are seeing that people drinking more. those who binge drink don't necessarily suffer from alcoholism, just maybe lack of education on safe alcohol consumption. but what are some of the sides to look for? if you believe a loved one is suffering from alcohol addiction, we use the term alcohol use disorder. now just for the record, so that means it's a spectrum disorder, you know, and, and it's mild, moderate, and severe and, and what we used to call alcoholism or alcohol addiction or alcohol dependence is probably moderates fear alcohol used as or, but we also have introduced the construct recently myself and nor of all costs the director of the national institute on drug abuse and a colleague tom mcclellan worked for many, many years in the addiction l services research area,

the concept of prediction. so we actually think that the mild alcohol used disorder is, is, is a signal that something that you're more likely to have a problem later on. so what are the signs? well, the 1st sign i always look for is a deterioration in social interaction or work performance. i mean, you know, for students, it might be young's being so hung over after a weekend that they don't, they aren't able to turn in the term paper on time or, or they're late for the exam. or they haven't studied for the exam for, for individuals or maybe it's assignments or work or getting to work on time. these are early signs, but perhaps even earlier sign or deterioration relationships within family, within friends. you know, of the drunken discussions over the phone at night where he clearly the person seems to be, you know,

emotionally lay bile. that means you know, ranging from one emotion to the other. they're down there up and, and they soon found intoxicated. so those are some of the early signs and, and i think you know, it, it, so i would say, you know, impairment and occupational and social interactions are some of the early assign. now we have spoken about social implications, maybe missing a term, paper, mood swings, drug and conversations. what are some of the physical repercussions to alcohol overuse over a long term period of time, or what some characterize as binge drinking as well and yeah, another metric that i should have mentioned to sleep. so alcohol disrupts, sleep, you know, it does help you fall, sleep slightly, shortens the latency to go to sleep. you know, the time it takes that fall sleep. but unfortunately, um, you know, it wears off fairly quickly and so you may wake up in the middle and night to go to

the bathroom number one. and then you suddenly find your brain as hop wired and you know, hyper active and then you take it back to sleep. and then the next night, you know, so maybe you drink a little more the next night so that you increase the likelihood of falling asleep . but again, you then exacerbate the same problem that you had the night before and you wake up early and you get into this vicious cycle where actually alcohol can cause sleep problems and sleep problems because more drinking. so that's one physical sign. i mean, other gastrointestinal discomfort and alcohol can irritate to got, especially if you're drinking on an empty stomach and not with food. so that's a early physical sign. you could have elevated liver enzymes. when you go in for your physical. um, you know, there, there are a host of, of, of other changes in your body that, that could be affected. people with

a vulnerability to a risk me is most start showing more. a risk me is hardly written is i'm talking about. so you know, it's like alcohol affects every bought a organ in the body. and it's not a good way when you, when you pass, for certainly when you're past the you know, the dietary guidelines, levels of drinking. if someone wants to confront a loved one about high alcohol use, what are some suggestions you have about starting this very delicate conversation? yes, absolutely. and a real challenge. and so you don't want to confront someone that inevitably backfires you. we have a resource up maybe get to talk about at the end called rethinking drinking. you can sometimes point a loved one toward that were kind of mentioned that you've looked at this website and you know, it's a website that covers main things are then we have been discussing. but it also,

you know, allows you to reevaluate your relationship with alcohol. one thing you can say to someone you know, is, you know, if you, if you just skipped drinking a couple of days, why don't you see how you feel? and what i tell people is if, if you feel better when you're not drinking, then your body is trying to tell you something. so listen to your body. another option is to talk to your primary care doctor. and when the person goes in for a physical know, make sure that the physician ask them or, or the nurse practitioner, whoever, you know, in the health care domain, ask them how much do you drink. and in a very simple version of this is how much do you drink and how much do your friends drink and just those 2 questions. you can do the audit, see, which is something that use professionally, but basically it's similar. it's just as how often do you have a drink containing alcohol? how many drinks do you have on a typical day? and have you ever had more than 6 drinks or more on, on a given occasion?

and that audit see is part of a bigger screener. but, but it actually awesome predicts whether someone is developing alcohol use problem . now i'm not suggesting everybody, just the audit see to their loved ones, but i'm just pointing out that, you know, or there are questions you can ask that in, in, in moving toward a form of motivational interviewing. like, you know, if you didn't spend so much money on, on, on alcohol, you know, maybe you could get that new surfboard or, you know, maybe you could even upgrade your automobile and i'll be people add up how much they actually spend on alcohol when they're starting to get into it, it is actually can be substantial. so you know, those are the approaches that we recommend. obviously we have another resource called the, an i aaa treatment navigator. and if you go on there you can find out what is and alcohol used disorder. and also the spectrum of and i'll call use disorder and the

spectrum of treatment. and so there are many counselors that are, are experts that can help individuals at the beginning of alcohol problem. there are, there are motivational interviewing groups, cognitive behavioral therapy groups. and there are outpatient facilities, where you can go in and join some of these treatments just in the evenings, not interfere with your day job, not even interfere with your family life. or maybe you have to enter there and every few days. so, you know, i think i think people have to realize that there are multiple ways that you can inter interface with this problem. but confrontation and yelling and carrying on this is only going to backfire because it just puts people's backs up. it's not a, it's not a good approach for changing behavior. now, some people, they say they try to drink coffee, they actually try to check the water, eat a fatty greasy food. but what is the real thing that will help lower your alcohol

intake levels, limit your absorption and limit your intoxication and, and food on your stomach will do that. it once the rising face of the blood alcohol curve. so if you drink on an empty stomach, i don't want this used in the wrong way, but you get a very fast rise and what alcohol level. all right. but if you, if you're having wine with dinner or beer with dinner or cocktail with dinner, you'll find that that, that you get a much less steep, a verizon, but alcohol curve, you end up ultimately absorbing the same amount of alcohol. but it's, but the curve is blunted. if, if you have food on your stomach, so that's true. caffeine doesn't help you at all. i mean, probably it's going to potentiate the dehydration because it's also a diuretic, caffeine. you know, people use it to soper up and there's a problem with that as well. because if, if you get behind the wheel after you've drunk alcohol and then added caffeine,

you know, maybe for a little while, you're a little more alert because of the caffeine. but if the caffeine starts to wear off and then you have the alcohol set of effects, you're just going to have a double whammy. so we don't recommend using alcohol anymore, caffeine to as a so brain agent, the best thing to do is, is not drink. so much that's the bottom line and oh great. we have been speaking with dr. george qu, but the director of the national institute on alcohol abuse and alcoholism at the national institute of health. thank you so much for joining us today to discuss this very important though, it could topic known as recommended individuals limits or alcohol intake to know more than one drink per day for women, and no more than 2 drinks per day for men. and that people who choose to drink do so moderation and with caution. for those who struggle with alcohol, use our bench drinking dna recommend seeking professional help and support to

address the issues and prevent future harm. i was going to, he was, and this has been your 360 view of the news affecting you. thank you for watching the who is the aggressor today? i'm authorized, is additional strong sites today. russian was the country with the most sanctions imposed against it. a number that is constantly growing, but i think the pitch of the seniors just click on the bottom. you see the most, the more in the will shift. we're banning all important. so russian oil and gas news happening in another country. hope all's well. we're going to reset the fed said the little joe bites in, imposing these sanctions on russia has destroyed the american economy. so there's

a boomerang the the, the headlines right now and i'll change the national as the russian president vladimir putin couldn't. moscow struck the ukrainian military intelligence headquarters and is the key of just the past 48 hours or so. that confirmation comes as residential buildings here in moscow came under a ukrainian drone attack on tuesday. the pregnant branding is an act of desire and also of the program giving washington the cold shoulder is trying those defensive minister tongues down depending on the request for a private focus, told me that the russian something different about the play, mister west, the role in the ukraine conflict is trying to balance supporting genocide, strong words coming from. so get off or off on his latest tour of

the larger and most go with just off the midnight local time. it's all the international with your top stories right now. the russian president vladimir putin has confirmed the russia struck the ukrainian military intelligence headquarters in key of roughly 2 days ago of the russian armed forces striking the territory, a few cranes with high precision long range weapons, specifically at military infrastructure facilities. and we have already talked about the possibility of striking headquarters where decisions are made. of course, this category includes the headquarters of the military intelligence of ukraine, which was head 2 or 3 days ago. the president of today's stated that this conflict is actually started a very long time ago and done boss, and that russia has been nothing but come to aid. those people that have long been

discriminated against by the ukrainian regime. he has also touched upon the lives of nato, expanding east floors, as well as a lion to stay true to a peaceful resolution. he talked about ukraine being a neutral state for a very long time now, but gradually, a line with nato becoming a lead by the west and choosing the path of flies and terrorism. and here's more of what he had to say on that easy. the key freedom has chosen the path, attempting to intimidate russia, intimidates russian citizens with the tax on the residential buildings. this is a clear sign of terrorist activity. i am concerned about attempts to provoke retaliatory measures from russia, which they provoke as cheap a tooth for 10 response will consider what to do about it. he is also a touch, briefly on the 2014 quote at that. and however, since then, anybody though was trying to normalize relations with russia was simply eliminated

. now the situation has escalated to drone attacks. and while russia, target's military infrastructure in ukraine cube is targeting residential buildings in the russian capital, which is a provocation to have russia react the similar way. now the president has also talked about russia, voicing concerns over the misuse of that burrows you a nuclear power plant. but the only thing russia has received in return is blame. oh yeah, and advise that you'd be a great name president claims of kias, todd. quote, no direct involvement in the drawing strikes, but that it was quote, happy to walk, shun predicts, and in increasing the tax emergency services were quick at the scene, although the cities may i said no casualties were reported. and we heard from local is that one of the site can use the who and usually the schools to so many people because i'm expected a state believes that most goes well protected. people like me,

we understand that this might happen. we were ready, but it caused panic. i am a journalist, myself, miles people, and they said that everything is normal and they don't panic. that's what i don't understand how not to because for me it's terrifying. everything that's happening is terrifying. really, pretty much the course. me been, you go at the attacks this morning on moscow with a drones equipped with explosive warheads demonstrate the disregard that has been shown, no, by ts, in this serious escalation of its attacks on moscow. these weren't your average domestic drone that a child or a family would fly in the park. these kite significant warheads and locally were shut down and destroyed by the russian army. of course, nobody was impacted by this attack today, luckily, but as you can see behind me, this building was hit by debris we believe from one of the drones which was destroyed at the very base so that you can see there's a child's playground. and this morning, as things a textbook place,

it was ordinary families who were potentially going to be the victims of this indiscriminate desperate terrorist attack on moscow. meanwhile, maintenance workers were examining the damage cost of the top of an apartment building by one of the drones and west and politicians have since claimed that ukraine has every right to launch attacks on russian. terry. it's important to remember that you've trained, does have the legitimate rights to defend itself. it has the legitimate rights to do so within its own voters, of course. but it does also have the rights to project force. beyond this board is to undermine russia's ability to, uh, to project for students to ukraine itself. we took note of the reports, claiming allegedly that there are, there are some of the drones flying over the region of most call. this is not really for us to come and we don't know anything about the origins about the details of,

of it. the only thing i can recall and repeat is the strong coal by the european union and not from the russia, not to use such incidents as a pretext for further escalation. it's very ironic, isn't it that some when you put the west leads a native narrative under the microscope, you keep coming up with these phrases, the escalation, your names are the claims of this. what about the escalation stuffing? but my, the point himself a couple weeks ago with the script of interview with the washington post, the escalation. but in fact, when you listen to someone like judge cody, you know, he's a great induces politician who's quite mostly, is not printing to them. making polemic comments. so i think for him to say this, i think we should take it very seriously. i think um, typically is signaling to russia to west of, to media in general that the west is about to up the ante up, the stakes in it. so, and it's will with russian. so what can we expect in the future?

he is indicating, i think cleverly signaling that's minutes. she strikes outside of the book. the bullet is on the crate of now to be expected. but it just the past 24 hours a learn that don't that script public is said to have come on to $33.00 attacks carried out by ukrainian forces. a 3 people injured, including an 11 year old girl. as a correspondent, steve sweeney. now reports as an 11 year old girl has been wounded in the latest ukrainian attack on a civilian area. she was playing with the chickens here when the rocket struck about midday on a tuesday and she ran, you can put behaving the skies. now miss all is possibly a defense is working to protect the area. she ran across to her grandfather who was over here and she was both of them were covered in blood. she was screaming out in pain, an ambulance was cold, she was taken to hospital. we're wasting further news on her condition such as soon

as that i heard explosion. it felt like there was an explosion. and after a while i heard a crack the probably a crack from a tree. the weapon went through a tree to the neighbor's fence. there's a hole in the fence along the grand daughter was sitting there playing with some chickens on a shelf to a meter away from her. she was covered in blood. we called an ambulance and she was taken to the hospital smith and the doctor said it didn't seem to be a serious injury, but she needed to be examined just because i didn't miss the numbers 4 and one is the rock is tall through this building here causing some damage him into the fence, then impacting on the ground, causing this crate to as you can clearly see around me, this is no image area, anything, but this is a beautiful garden. you can see things going on. the trees you can probably have in the background chickens, animals, vegetables being grown up, but we're seeing more, more civilian navy is being targeted. ukrainian forces have intensified their

attacks, particularly since the strategically important city of all to most came with the full rushing control just days ago, you can probably have in the sky is a game. now the sound of perhaps real. okay, so uh at the defense systems, of course, the don't nets go to ortiz, are working incredibly hard to keep the city sites in the latest report, locals over to say that's 33 attacks of to can place by ukrainian forces in the last 24 hours finding more than $200.00 rounds in maine, the residential areas, they've targeted 7 towns and cities across the don't. yes, republic, one person was killed in the city of gold card, which is roughly hopefully between don't yet city and all channels gone. this attack took place on monday to civilians have been injured one of them, another child born in the year 2006 now local authorities and human rights

organizations have launched. i will crimes probably been to the wounding and kidding of children in the don't yet. republic gunned, as we're seeing, the continued shedding of the civilian areas with a mixture of nato and grad real kids. we're seeing more more these types of injuries. this is steve sweeney faulty in the next republic. your grinding presidents, letterman, savanski, is to be investigated, apparently the trees and after a coughing key ever posley old at a pre trial pro. it's all according to a member of the ukrainian pilot. let me remind you that the ukraine state bureau of investigation refused to investigate zalinski trees. and when he had pointed f, s p ages to key positions in the ukrainian secret services. but as we've ordered by the code to ends information into the registry and start a pre trial the investigation, they must reveal who paid them and how much for these appointments. because it was these appointments that lead to the death of 10.