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Author |
Magenta, Lorenzo; Fossati, Elena; Gurtner, Vanina; Terziroli, Benedetta; Cerny, Andreas |
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Title |
Results of an educational and screening program for liver diseases in patients attending substance use rehabilitation programs in southern Switzerland |
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Report |
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Year |
2011 |
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Abbreviated Journal |
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Pages |
7 |
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Keywords |
treatment and maintenance; chemical addiction; illicit drug; licit drug; alcohol; AOD dependent; AOD user; health; epidemiology; AOD induced risk; AODR disorder; viral disease; viral hepatitis; hepatitis B; hepatitis C; diagnosis; statistical data; counseling; cost (economic); Switzerland |
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Abstract |
Background and Aims: Substance users are at high risk of viral (HBV and HCV) and alcoholic liver disease leading in some to progressive fibrosis and cirrhosis. Users in rehabilitation programs often lack information about health risks related to substance use and ways for prevention and treatment and often postpone medical workup and treatment. The aims were: 1. To improve knowledge and awareness about the epidemiology, mode of acquisition, natural history, diagnosis and treatment of chronic viral hepatitis B and C in persons participating in substance use rehabilitation programs in southern Switzerland. 2. To identify users with liver disease and fibrosis or cirrhosis using ALT and Fibroscan testing, and 3. To offer personalized counseling on diagnostic workup and treatment for persons with significant fibrosis or cirrhosis in order to prevent progression to cirrhosis and its complications. Methods: Substance use rehabilitation programs were contacted and offered an educational event, held by an MD, with information on epidemiology, mode of acquisition, natural history, diagnosis and treatment of chronic alcoholic and viral hepatitis B and C. Participants interested were given the possibility to undergo ALTtesting, Fibroscan® testing as well a consultation with a hepatologist, free of charge. Results: Eleven Institutions were involved in the program, 7 offering residential and 4 daytime rehabilitation programs. A total of 136 users and 22 health care workers attended the educational sessions. 82 of whom (60.3%) participated in the ALT/Fibroscan screening program. The mean age was 43.9 years (65 male and 17female users). 45% had abnormal ALT levels. The mean was 89.6 IU/ml. Only 17% had normal liver elasticity, 83% had abnormal values compatible with fibrosis assessed by Fibroscan (>4.0 KPa). 21.9% had at least moderate (F2-F4) fibrosis (>8.0 KPa) and 10.9% had values indicating the presence of cirrhosis (>16 KPa, F4).The running costs in terms of personnel and materials of this pilot program were slightly more than 100 Swiss Francs per participant. Conclusions: The results confirm a high burden of liver disease in substance users in rehabilitation programs in our region. The interest and adherence to the program was excellent with 60.3% of those participating in the educational event undergoing voluntary ALT and Fibroscan® testing followed by counseling. Significant liver disease was found in more that 4/5 of the participants. More than 10% had results compatible with cirrhosis. Similar programs can be adapted to other high-risk settings for liver disease at reasonably low costs. |
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Clinica Luganese Moncucco |
Place of Publication |
Lugano |
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English |
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Call Number |
50-12922 |
Serial |
56782 |
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Author |
Gumy, Cédric; Gervasoni, Jean-Pierre; Dubois-Arber, Françoise |
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Title |
Evaluation de la 1ère année de mis en place du “pôle de valorisation des compétences sociales des usagers de drogue” géré par première ligne |
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Report |
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Year |
2012 |
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48, annexe |
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Keywords |
AOD dependence; health promotion; program evaluation; work; report; evaluation; Geneva |
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Abstract |
Première ligne est une association genevoise oeuvrant pour la réduction des risques liés à la toxicodépendance. Elle a mis en place un pôle de valorisation des compétences sociales des usagers de drogue (ci-après “le Pôle”) afin de lutter contre le désoeuvrement de ceux-ci. Ce nouveau “dispositif” a été basé sur des activités dites “petits jobs” déjà en place et d’autres à développer. Les objectifs principaux étant de valoriser les compétences des usagers de drogue, de leur permettre de travailler sur l’estime de soi et de se décentrer de la consommation. Le présent rapport porte sur l’évaluation du Pôle et d’une nouvelle activité, l’usager auxiliaire en salle de consommation. |
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Institut universitaire de médecine sociale et préventive (IUMSP); Unité dévaluation de programmes de prévention (UEPP) |
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Lausanne |
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French |
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Raisons de santé |
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rds |
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Series Volume |
189 |
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Call Number |
50-12440 |
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56520 |
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Author |
Fondation le relais |
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Title |
Programme ELAN : projet de réinsertion professionnelle pour personnes souffrant d'addiction : rapport final |
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2010 |
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19 |
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Keywords |
vocational rehabilitation; AOD dependent; Vaud |
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Fondation le relais |
Place of Publication |
Morges |
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French |
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50-11055 |
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50751 |
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Author |
Spendov, Andrej |
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Title |
MigRatio : Arbeit mit jungen MigrantInnen und ihren Eltern : Schlussbericht |
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2010 |
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13 |
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Keywords |
migration |
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Swiss Prevention : Fachverband für Prävention im Kindes- und Jugendalter |
Place of Publication |
Lausanne |
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German |
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Call Number |
50-11087 |
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56358 |
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Author |
Sieber, Martin |
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Title |
Evaluation des ambulanten Alkohol-Entzugsprogramms (AEP) der Zürcher Fachstelle für Alkoholprobleme (ZFA) : Schlussbericht mit den Ergebnissen der sieben Zyklen 2007-2008 |
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Report |
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Year |
2009 |
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27 |
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Keywords |
treatment and maintenance; addiction; chemical addiction; alcohol; AOD abstinence; program evaluation; Zurich (canton); Zürcher Fachstelle für Alkoholprobleme (body) |
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Abstract |
Die Entgiftungsbehandlung bei Alkoholabhängigen ist ein idealer Ansatzpunkt für psychotherapeutische Interventionen, welche auf die spezifische Problematik der Betroffenen ausgerichtet ist und sich nebst der eigentlichen Entgiftung auf die Motivation zu einer vertiefteren Auseinandersetzung mit der Problematik konzentriert. Das Ambulante Alkohol-Entzugsprogramm (AEP) der Zürcher Fachstelle für Alkoholprobleme (ZFA) gehört zu den Modellen der integrierten Entgiftungs- und Motivationsbehandlung und stellt die psychosoziale Begleitung während der sensiblen Phase des ambulanten Alkoholentzugs sicher. Die Teilnehmenden nehmen am zweiwöchigen ambulanten Gruppenprogramm teil und werden parallel dazu ärztlich unterstützt. |
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Forschung und Evaluation im Gesundheitswesen |
Place of Publication |
Zollikon |
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Language |
German |
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Call Number |
50-11003 |
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56353 |
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Author |
Graber, Gabriela; Leu, Erich |
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Title |
Schlussbericht des Pilotprojektes “Migrationsarbeit in der stationären Suchttherapie Schlüssel” |
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Year |
2008 |
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34 |
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Keywords |
migration; treatment and maintenance; inpatient care; residential facility; Switzerland; Detligen; Terra Vecchia (body); Schlüssel (body) |
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Terra Vecchia, Gemeinschaft zum Schlüssel |
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Detligen |
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German |
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Siehe auch: 91.01-REG/AG/MIGARB |
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09.00-070 |
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55863 |
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Author |
Berchtold, Regula |
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Title |
Pilotprojekt Gesundheitsförderung und Prävention im Sexgewerbe im Kanton Solothurn (Mai 2007 bis April 2009) : Schlussbericht zuhanden des Regierungsrates des Kantons Solothurn |
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Report |
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2009 |
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48 |
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Keywords |
health promotion; street work; prostitution; sex worker; woman; sex counseling; HIV infection; Aids; Solothurn (canton) |
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Lysistrada |
Place of Publication |
Olten |
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German |
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Call Number |
50-10966 |
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56347 |
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Author |
Chisholm, Alison |
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Title |
Réseau Genre : évaluation finale 2006-2009 |
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2009 |
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15 |
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Keywords |
addiction; gender |
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Infodrog |
Place of Publication |
Berne |
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French |
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Auch auf Deutsch vorhanden: 50-10572 |
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Call Number |
50-10573 |
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56308 |
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Author |
Chisholm, Alison |
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Title |
Schlussevaluation Gender-Netz 2006-2009 |
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2009 |
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15 |
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addiction; gender |
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Infodrog |
Place of Publication |
Bern |
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German |
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Aussi disponible en français: 50-10573 |
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Call Number |
50-10572 |
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56307 |
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Author |
various |
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Title |
Sucht und Gender : ganz der Vater, ganz die Mutter? : dritte nationale Fachtagung = Genre et addictions : pères, mères dépendant-e-s – enfants dépendants? : troisième journée nationale |
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2011 |
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Dritte nationale Fachtagung : Sucht und Gender |
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Volume |
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24 |
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Keywords |
AOD dependence; gender; conference; report; Switzerland |
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Infodrog |
Place of Publication |
Bern; Berne |
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Infodrog, |
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German; French |
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Zweisprachige Publikation Deutsch-Französisch; document bilingue allemand-français |
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Call Number |
50-12194 |
Serial |
61108 |
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