ABD e-News March 26, 2004

Weekly Newsletter

ABD e-News April 23, 2004

Newsletter for the State of Iowa Alcoholic Beverages Division

Hypertension portate et infection par le VIH [Portal hypertension and HIV infection]

In the era of antiretroviral therapies, the outcome of patients with chronic HIV infection has considerably changed and their prolonged survival allows the development of chronic liver diseases as a major cause of mortality. Although viral hepatitis, alcoholic and non alcoholic steatohepatitis account forthe majority of chronic liver damage in these patients, there is a growing number of cases with unexplained liver disease, many of which are associated with clinical manifestations of portal hypertension. Inthissituation, nodularregenerative hyperplasia is a frequent finding, characterized at histology by the presence of a nodular architecture in the absence of significant fibrosis, resulting from progressive obliteration of small portal veins. This article describes the clinical presentation, diagnostic aspects, pathogenic mechanisms, as well as the management of this emergent non cirrhotic liver disease in HIV-infected patients.

ABD e-News April 30, 2004

Newsletter for the State of Iowa Alcoholic Beverages Division

ABD e-News May 7, 2004

Weekly Newsletter

ABD e-News May 14, 2004

Weekly Newsletter for the State of Iowa Alcoholic Beverages Division

ABD e-News May 21, 2004

Weekly Newsletter for the State of Iowa Alcoholic Beverages Division

ABD e-News May 28, 2004

Newsletter for the State of Iowa Alcoholic Beverages Division

ABD e-News June 4, 2004

Newsletter for the State of Iowa Alcoholic Beverages Division

ABD e-news, June 4, 2004, EXTRA

Newsletter for the State of Iowa Alcoholic Beverages Division

ABD e-News June 11, 2004

Newsletter for the State of Iowa Alcoholic Beverages Division

What process research tells us about brief intervention efficacy.

ISSUE: This article explores mechanisms of the efficacy of brief intervention (BI). APPROACH: We conducted a BI trial at the emergency department of the Lausanne University Hospital, of whom 987 at-risk drinkers were randomised into BI and control groups. The overall results demonstrated a general decrease in alcohol use with no differences across groups. The intention to change was explored among 367 patients who completed BI. Analyses of 97 consecutive tape-recorded sessions explored patient and counsellor talks during BI, and their relationship to alcohol use outcome. KEY FINDINGS: Evaluation of the articulation between counsellor behaviours and patient language revealed a robust relationship between counsellor motivational interviewing (MI) skills and patient change talk during the intervention. Further exploration suggested that communication characteristics of patients during BI predicted changes in alcohol consumption 12 months later. Moreover, despite systematic training, important differences in counsellor performance were highlighted. Counsellors who had superior MI skills achieved better outcomes overall, and maintained efficacy across all levels of patient ability to change, whereas counsellors with inferior MI skills were effective mostly with patients who had higher levels of ability to change. Finally, the descriptions of change talk trajectories within BI and their association with drinking 12 months later showed that final states differed from initial states, suggesting an impact resulting from the progression of change talk during the course of the intervention. IMPLICATION: These findings suggest that BI should focus on the general MI attitude of counsellors who are capable of eliciting beneficial change talk from patients. [Daeppen J-B, Bertholet N, Gaume J. What process research tells us about brief intervention efficacy.

ABD e-News June 18, 2004

Weekly Newsletter for the State of Iowa Alcoholic Beverages Division

ABD e-News July 2, 2004

Weekly Newsletter for the State of Iowa Alcoholic Beverages Division

ABD e-News July 16, 2004

Newsletter for the State of Iowa Alcoholic Beverages Division