Alcohol intake in lactating women assisted in a University Hospital.

 
 vol.31, n.2, pp. 198-204

Nascimento, Ana Luisa V.; Souza, Amanda Fernandes O. de; Amorim, Ana Carolina R. de; Leitão, Mayara Brasil de S.; Maio, Regiane; Burgos, Maria Goretti P. A.

http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0103-05822013000200010&lng=en&nrm=iso&tlng=en

OBJECTIVE: To determine the prevalence of alcohol intake and the degree of alcohol-related risk among nursing mothers attended at the Child Care Service of Hospital das Clínicas of Universidade Federal de Pernambuco, Brazil. 

METHODS: A cross-sectional study was carried out with 157 nursing mothers enrolled in the Child Care Program of the university hospital. A questionnaire was administered addressing demographic and socioeconomic variables, type and duration of breastfeeding, smoking habits and consumption of foods considered as appetizers. The Alcohol Use Disorders Identification Test (AUDIT C) was applied for assessing alcohol consumption in the previous 12 months. Pearson's chi-square test and Fisher's exact test were used for statistical analysis. 

RESULTS: Twelve percent of the nursing mothers reported consuming alcoholic beverages, 100% of whom were classified as being at low risk for alcohol use disorders. The frequency of nursing mothers who consumed appetizers during alcohol consumption was 100%, the most common of which was cheese - 18 (95%). 

CONCLUSIONS: The prevalence of alcohol intake was low in the nursing mothers analyzed. The users exhibited a low risk for alcohol disorders and a high frequency of the consumption of appetizers during alcohol consumption.

Keywords : alcoholic beverages; breast feeding; maternal nutrition; infant nutrition.

Interventions for reducing alcohol consumption among general hospital inpatient heavy alcohol users: A systematic review

Noreen D. Mdege, 

Debra Fayter, 

Judith M. Watson, 

Lisa Stirk, 

Amanda Sowden, 

Christine Godfrey

Drug and Alcohol Dependence
Volume 131, Issue 1 , Pages 1-22, 1 July 2013

http://www.drugandalcoholdependence.com/article/S0376-8716(13)00036-7/abstract

Background

There is growing interest in pro-active detection and provision of interventions for heavy alcohol use in the general hospital inpatient population. We aimed to determine, from the available evidence, the effectiveness of interventions in reducing alcohol consumption among general hospital inpatient heavy alcohol users.

Methods

The following databases were searched for completed and on-going randomised and non-randomised controlled studies published up to November 2012: MEDLINE; C2-SPECTR; CINAHL; The Cochrane Library; Conference Proceedings Citation Index: Science; EMBASE; HMIC; PsycInfo; Public Health Interventions Cost Effectiveness Database (PHICED); and ClinicalTrials.gov. Studies were screened independently by two reviewers. Data extraction was performed by one reviewer and independently checked by a second.

Results

Twenty-two studies which met the inclusion criteria enrolled 5307 participants in total. All interventions were non-pharmacological and alcohol focused. Results from single session brief interventions and self-help literature showed no clear benefit on alcohol consumption outcomes, with indications of benefit from some studies but not others. However, results suggest brief interventions of more than one session could be beneficial on reducing alcohol consumption, especially for non-dependent patients. No active intervention was found superior over another on alcohol consumption and other outcomes.

Conclusions

Brief interventions of more than one session could be beneficial on reducing alcohol consumption among hospital inpatients, especially for non-dependent patients. However, additional evidence is still needed before more definitive conclusions can be reached.

Focos de oportunidad para implementar el modelo SBIRT.

En México, sólo un proporción pequeña de la población dependiente al alcohol asiste a tratamiento. Se propone brindar ayuda a dicha población desde los contextos que frecuentan debido al consumo y a sus consecuencias. Se señalan focos de oportunidad.

Click en la imágen o en la liga inferior para ver la presentación

http://prezi.com/got-7bwu-0f7/focos-de-oportunidad-para-implementar-el-modelo-sbirt-sansol/

El Hospital: un contexto para implementar el Modelo SBIRT.

Diversas enfermedades asociadas al alcohol son atendidas en los hospitales. Este contexto ofrece la oportunidad para brindar intervenciones adecuadas a las condiciones/necesidades para reducir el uso nocivo del alcohol.

Haz click en la imagen o en el link de abajo.

http://prezi.com/c30_htez5hap/

http://iretablog.org/2013/05/20/sbirt-in-hospitals-it-can-be-done/

SBIRT in Hospitals: It Can Be Done

 

May20by iretablog

IRETA staff member Dr. Dawn Lindsay shares a manifesto and model project

In early April, I had the opportunity to travel to Newark, Delaware to attend “Addressing Substance Use in the Hospital: Building Bridges to Community Treatment.” I always enjoy conferences (they bring me back to my academic roots) and no matter how many I attend, I never fail to learn something new.

(...)
http://iretablog.org/2013/05/20/sbirt-in-hospitals-it-can-be-done/


Project Engage: A Model

Project Engage brings SBIRT to two Wilmington, DE hospitals

From Dr. Broyles’s perspective, Project Engage is a great working example of “how substance use can be addressed in the inpatient setting and how the provider can then follow the patient through to the community.”
Launched at Wilmington Hospital and now expanded to Christiana Care, Project Engage embeds an outreach coordinator with intervention expertise full-time in the hospital.  The coordinator counsels patients with substance abuse problems at their bedside and encourages them to go directly into treatment when they leave the hospital. In this way, Project Engage offers patients help when they need it most and provides a clear pathway directly to treatment.  Staff even go so far as to offer patients bus passes or rides to treatment facilities.

(...)
http://iretablog.org/2013/05/20/sbirt-in-hospitals-it-can-be-done/

Urge apertura en sector salud por mayor consumo de drogas

Urge apertura en sector salud por mayor consumo de drogas: Conadic. Con Ruiz Healy
8 de Mayo, 2013

 

El titular de la Comisión Nacional Contra las Adicciones (Conadic), Fernando Cano Valle, dijo que si bien existen 400 centros de atención en todo el país, en donde hay personal capacitado para la atención de estos problemas, la enorme estrategia de ampliar este programa a los hospitales y centros de salud no se ha dado y eso sí es un problema.

( ... )

"Como estamos hablando de enfermos y no de criminales, la salud pública tiene que abrir sus hospitales, sus centros de salud y sus institutos de alta especialidad para la atención de cada uno de los problemas, de cada uno de los niños y adolescentes", precisó.

 

( ... )

http://www.radioformula.com.mx/notas.asp?Idn=323393

Amplía la red de atención a adictos. EL UNIVERSAL 07 MAYO

http://www.mediasolutions.com.mx/ncpop.asp?n=201305070431050001

Hospitales generales y centros de salud brindarán tratamiento Amplían la red de atención a adictos Será prioridad la rehabilitación, no la criminalización, señala Conadic "Insuficiente", estrategia de Calderón Fortalecen plan contra adicciones Con la administración pasada se criminalizó al adicto y hubo un “boom” de centros de ayuda; hoy darán prioridad a la rehabilitación, afirman

El reto de las adicciones. Editorial EL UNIVERSAL

El reto de las adicciones. Editorial EL UNIVERSAL

07 de mayo de 2013
http://www.eluniversalmas.com.mx/editoriales/2013/05/64386.php

Brief interventions for heavy alcohol users admitted to general hospital wards

1. Jean McQueen^1,*, 
2. Tracey E Howe², 
3. Linda Allan³, 
4. Diane Mains⁴, 
5. Victoria Hardy⁵

http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005191.pub3/abstract

Abstract

Background

Brief interventions involve a time-limited intervention focusing on changing behaviour. They are often motivational in nature using counselling skills to encourage a reduction in alcohol consumption.

Objectives

To determine whether brief interventions reduce alcohol consumption and improve outcomes for heavy alcohol users admitted to general hospital inpatient units.

Search methods

We searched the Cochrane Drug and Alcohol Group Register of Trials (March 2011) the Cochrane Central Register of Controlled Trials (The Cochrane Library March 2011), MEDLINE January 1966-March 2011, CINAHL 1982-March 2011, EMBASE 1980-March 2011 and www.clinicaltrials.gov to April 2011 and performed some relevant handsearching.

Selection criteria

All prospective randomised controlled trials and controlled clinical trials were eligible for inclusion. Participants were adults and adolescents (16 years or older) admitted to general inpatient hospital care for any reason other than specifically for alcohol treatment and received brief interventions (of up to 3 sessions) compared to no or usual care.

Data collection and analysis

Three reviewers independently selected the studies and extracted data. Where appropriate random effects meta-analysis and sensitivity analysis were performed.

Main results

Forteen studies involving 4041 mainly male participants were included. Our results demonstrate that patients receiving brief interventions have a greater reduction in alcohol consumption compared to those in control groups at six month, MD -69.43 (95% CI -128.14 to -10.72) and nine months follow up, MD -182.88 (95% CI -360.00 to -5.76) but this is not maintained at one year. Self reports of reduction of alcohol consumption at 1 year were found in favour of brief interventions, SMD -0.26 (95% CI -0.50 to -0.03). In addition there were significantly fewer deaths in the groups receiving brief interventions than in control groups at 6 months, RR 0.42 (95% CI 0.19 to 0.94) and one year follow up, RR 0.60 (95% CI 0.40 to 0.91). Furthermore screening, asking participants about their drinking patterns, may also have a positive impact on alcohol consumption levels and changes in drinking behaviour.

Authors' conclusions

The main results of this review indicate that there are benefits to delivering brief interventions to heavy alcohol users admitted to general hospital wards in terms of reduction in alcohol consumption and death rates. However, these findings are based on studies involving mainly male participants. Further research is required determine the optimal content and treatment exposure of brief interventions within general hospital settings and whether they are likely to be more successful in patients with certain characteristics.

 

Significados de la actividad de ‘Llevar el Mensaje de AA’ en un contexto hospitalario

Sánchez A. y Saucedo R. (2012). Significados de la actividad ‘Llevar el Mensaje de AA’ en un contexto hospitalario. Psicología y Ciencia Social, 13(1-2).

Resumen: Alcohólicos Anónimos es una comunidad que propone un programa de recuperación de Doce Pasos. En el Doceavo Paso se establece que es necesario ayudar a otros alcohólicos, como parte de la recuperación personal. A esta actividad se le conoce como llevar el mensaje. A través de la teoría de la actividad y desde una aproximación etnográfica se analizan los significados que median el llevar el mensaje: regresar la dádiva y puente de comprensión. Se considera que el resultado de este análisis contribuye a una mayor comprensión de la relación entre la abstinencia y el acto de ayudar a otros que otros autores han venido señalando.

Artículo completo aquí

Meanings of the activity ‘Carrying the AA Message’ at one hospital context.

Abstract

Alcoholics Anonymous is a community that offers a 12-step recovery program. The twelfth step states that it is necessary to help other alcoholic as a part of the personal recovery. This activity is also known as carrying the message. Through activity theory and from ethnographic approach, the meanings which mediate carrying the message were analyzed: regresar la dádiva and puente de comprensión. It is considered that analysis of outcomes give a greater comprehension about the relationship between abstinence and the act of help others which has been pointed out by other researchers.

Full paper here

Ethnography in an emergency room: Evaluating patients with alcohol consumption

Salud Pública Méx 2008; Vol. 50(4):308-315

Ethnography in an emergency room: Evaluating patients with alcohol consumption

Liliana Mondragón, Martha Romero M  Guilherme Borges.

PDF - http://bvs.insp.mx/rsp/_files/File/2008/Julio%20Agosto/5-ethnography.pdf

Resumen

Objetivo. Presentar una descripción etnográfica en un servicio de urgencias (SU) sobre la atención de los pacientes con consumo excesivo de alcohol, las formas de la valoración de los médicos y los diferentes aspectos contextuales que enmarcan esta condición. Material y métodos. El trabajo etnográfico se realizó durante dos meses, trabajando las 24 horas, los siete días de la semana, del 9 enero al 15 de marzo de 2002, en el servicio de urgencias de un Hospital General de la Ciudad de México. Resultados. Al paciente que había consumido alcohol y que ingresaba al SU se le hacía esperar más, para que se tranquilizara y a su vez disminuyera la intoxicación. A través de regaños se trató de sugerirle al paciente con dependencia o abuso de alcohol que redujera su consumo. Conclusión. El abordaje teórico y metodológico de la observación etnográfica permite hacer una reflexión sobre los mecanismos sociales y culturales, enmarcados en las problemáticas de salud.

Palabras clave: etnografía; servicio de urgencia en hospital; consumo de bebidas alcohol