Motivational brief intervention for the prevention of sexually transmitted infections in travelers: a randomized controlled trial.

Background: Sexually transmitted infections (STIs) are among the frequent risks encountered by travelers. Efficient interventions are needed to improve the understanding of the risks of STIs. We investigated the potential benefits of a motivational brief intervention (BI) and the provision of condoms on the engagement in unprotected casual sex.

Subarachnoid haemorrhage of unknown cause: Clinical, neuroradiological and evolutive aspects.

The clinical and radiological data of 52 patients with subarachnoid haemorrhage (SAH) and a negative panangiography were analysed with an average follow-up period of 3.8 years. Of these 52 patients, only one (1.

[Implementation of a coordinated action plan of indications and follow-up for alcohol dependent patients in the state of Vaud].

Alcohol dependence is a chronic disease with many consequences and needs long-term follow-up. The Public Health Service of the state of Vaud has decided to create a coordinated action plan of indications and follow-up for alcohol dependent patients covering the whole state. As described in this article, the aims of this action plan are to standardize the evaluation, the care and the follow-up for alcohol dependent patients, to improve the accessibility to care by promoting less intense care and to improve the continuity of care from inpatient treatment to ambulatory care.

[Motivational interviewing to help patients stop drinking].

Helping patients to change behavior concerning their drinking is a common task in primary care. This article examines the limitations of using the approach of giving advice and identifies concepts and methods, which offer the promise of improving the quality and effectiveness of consultations about alcohol use. The central role of ambivalence in alcohol dependent patients is explored and practical solutions to resolve ambivalence are described, considering the stages of change model.

[Helping patients with risky health behaviors: some suggestions for motivational interviewing].

Helping patients modify risky health behaviors, including cigarette smoking, at-risk alcohol use, sedentary lifestyle and unhealthy diet, is a common and sometimes frustrating task. Motivational interviewing was developed from the notion that simple advice usually does not lead to behavioral change and may be even misperceived by patients. Based on active listening and an empathic attitude, some principles of motivational interviewing may be easily adapted to a primary care consultation.