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CCO Annual Update

Hepatitis Annual Update 2004

Immunopathogenesis of Acute Hepatitis B and Hepatitis C

Module 1 of 11

Program Director: John P. Phair, MD

Faculty:

Barbara Rehermann, MD
  • Barbara Rehermann, MD

CREDIT INFORMATION

Release Date: 09/10/04

Expiration Date: 09/09/05


Physicians: maximum of 0.5 AMA PRA Category 1 Credits

Status: Please log in to view status

Begin the Module

Topics covered include:

  • Page 1
  • Host Immune Response in HBV and HCV Infection
  • The Liver as the Site of Antiviral Immune Response: Key Points
  • Innate and Adaptive Immune Responses to HBV
  • Innate and Adaptive Immune Responses to HCV

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Review the effect of host genetic factors on the variability of disease

  • Distinguish innate and adaptive responses to hepatitis B and C virus

  • Describe the host immune response to viral infection

HBV Treatment Guidelines: Questions and Controversies

Module 2 of 11

Program Director: John P. Phair, MD

Faculty:

Anna S. F. Lok, MD
  • Anna S. F. Lok, MD

CREDIT INFORMATION

Release Date: 09/10/04

Expiration Date: 09/09/05


Physicians: maximum of 0.5 AMA PRA Category 1 Credits

Status: Please log in to view status

Begin the Module

Topics covered include:

  • Introduction
  • Creating Guidelines
  • What Are the Goals of Treatment?
  • Who Should Be Treated?
  • HBeAg-negative patients

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Review the purpose of treatment guidelines and how guidelines are developed

  • Discuss indications for treatment of acute and chronic hepatitis

  • Discuss treatment options for acute and chronic hepatitis

New Data on Hepatitis B Virus Treatment

Module 3 of 11

Program Director: John P. Phair, MD

Faculty:

Robert P. Perrillo, MD
  • Robert P. Perrillo, MD

CREDIT INFORMATION

Release Date: 09/10/04

Expiration Date: 09/09/05


Physicians: maximum of 1.0 AMA PRA Category 1 Credit

Status: Please log in to view status

Begin the Module

Topics covered include:

  • Introduction
  • Currently Available Treatments
  • Interferon alfa
  • Pegylated Interferon
  • Nucleoside Analogues

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Discuss preclinical anti-HBV agents.

  • Describe drugs with anti-hepatitis B virus (HBV) activity that are already approved for other indications, including peginterferons, tenofovir disoproxil fumarate, emtricitabine, and thymosin alpha-1.

  • Review other anti-HBV drugs that are currently in clinical trials, including telbivudine, entecavir, and clevudine.

Natural History, Diagnostics, and Clinical Profiles of Persons With Chronic Hepatitis B

Module 4 of 11

Program Director: John P. Phair, MD

Faculty:

Norah Terrault, MD, MPH
  • Norah Terrault, MD, MPH

CREDIT INFORMATION

Release Date: 09/10/04

Expiration Date: 09/09/05


Physicians: maximum of 0.5 AMA PRA Category 1 Credits

Status: Please log in to view status

Begin the Module

Topics covered include:

  • Natural History of Chronic HBV Infection
  • Natural History of Chronic HBV: What's New
  • Benefits of Antiviral Therapy
  • High Viral Load
  • HBeAg-negative Cases on Rise

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Recognize clinical patterns of hepatitis B, including inactive carriers, HBeAg+ (with low vs high HBV DNA replication), and anti-HBe

  • Describe the natural history of hepatitis B

  • Discuss diagnostic methods and laboratory testing for hepatitis B, including the role of HBV DNA testing and genotyping

World Epidemiology of Hepatitis C

Module 5 of 11

Program Director: John P. Phair, MD

Faculty:

Miriam J. Alter, PhD
  • Miriam J. Alter, PhD

CREDIT INFORMATION

Release Date: 09/10/04

Expiration Date: 09/09/05


Physicians: maximum of 0.5 AMA PRA Category 1 Credits

Status: Please log in to view status

Begin the Module

Topics covered include:

  • Introduction
  • Global Burden and Patterns of Infection
  • Risk Factors for Transmission
  • Healthcare-Related Infections
  • Additional Risk Factors

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Discuss the different geographic patterns of age-specific prevalence of hepatitis C virus infection.

  • Define the groups of persons at increased risk for hepatitis C virus infection for whom routine testing should be offered in countries with sufficient resources.

  • Review the important modes of transmission of hepatitis C virus for countries with low, moderate, and high endemicity.

Hepatitis C Treatment: Today and Tomorrow

Module 6 of 11

Program Director: John P. Phair, MD

Faculty:

Michael W. Fried, MD
  • Michael W. Fried, MD

CREDIT INFORMATION

Release Date: 09/10/04

Expiration Date: 09/09/05


Physicians: maximum of 0.5 AMA PRA Category 1 Credits

Status: Please log in to view status

Begin the Module

Topics covered include:

  • Introduction
  • Current Therapy for Hepatitis C
  • Early Virologic Response
  • Limitations of EVR
  • New Directions in HCV Therapy

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Evaluate strategies to improve treatment adherence and outcomes

  • Describe current options for the treatment and management of chronic HCV infection

  • Discuss the latest data about new drugs in development for the treatment of HCV infection

Impact of Nonalcoholic Fatty Liver Disease on Hepatitis C

Module 7 of 11

Program Director: John P. Phair, MD

Faculty:

Brent A. Tetri, MD
  • Brent A. Tetri, MD

CREDIT INFORMATION

Release Date: 09/10/04

Expiration Date: 09/09/05


Physicians: maximum of 0.5 AMA PRA Category 1 Credits

Status: Please log in to view status

Begin the Module

Topics covered include:

  • Introduction
  • Steatosis and Hepatitis C
  • Steatosis as a Modifier of Treatment Response
  • Clinical Management
  • Diagnosis: Measuring Insulin Resistance

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Discuss the relationship between steatosis and hepatitis C virus (HCV) in terms of effect of obesity on the natural history of HCV liver disease, and the relationship between steatosis and treatment of hepatitis C, including weight-based dosing adjustments.

  • Discuss the relationship between diabetes and hepatitis C.

  • Define fatty liver syndromes.

Cirrhosis and Beyond

Module 8 of 11

Program Director: John P. Phair, MD

Faculty:

Hugo R. Rosen, MD
  • Hugo R. Rosen, MD

CREDIT INFORMATION

Release Date: 09/10/04

Expiration Date: 09/09/05


Physicians: maximum of 0.5 AMA PRA Category 1 Credits

Status: Please log in to view status

Begin the Module

Topics covered include:

  • Introduction
  • Outcome and Natural History Following Liver Transplantation for Hepatitis C
  • Natural History
  • Hepatitis C Recurrence After Liver Transplantation
  • Preemptive Treatment Prior to Liver Transplantation

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Establish prophylactic screening in cirrhotic patients for hepatocellular carcinoma and gastroesophageal varices.

  • Understand the pros and cons of antiviral therapy in cirrhotic patients, including those awaiting liver transplantation.

  • Understand recurrent hepatitis C and the natural history of this disease in the posttransplant recipient.

Hepatocellular Carcinoma

Module 9 of 11

Program Director: John P. Phair, MD

Faculty:

Adrian M. Di Bisceglie, MD, FACP
  • Adrian M. Di Bisceglie, MD, FACP

CREDIT INFORMATION

Release Date: 09/10/04

Expiration Date: 09/09/05


Physicians: maximum of 0.5 AMA PRA Category 1 Credits

Status: Please log in to view status

Begin the Module

Topics covered include:

  • Epidemiology
  • Risk Factors for HCC
  • Clinical Features and Diagnosis of HCC
  • Treatment Options for HCC
  • Screening and Preventing HCC

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Discuss the epidemiology of hepatocellular carcinoma (HCC) in the Unites States and abroad

  • List the various risk factors for HCC

  • Outline the various treatment options available for HCC

HIV Coinfection

Module 10 of 11

Program Director: John P. Phair, MD

Faculty:

Raymond T. Chung, MD
  • Raymond T. Chung, MD

CREDIT INFORMATION

Release Date: 06/24/04

Expiration Date: 06/23/05


Physicians: maximum of 2.0 AMA PRA Category 1 Credits

Registered Nurses: 2.4 Nursing contact hours

Pharmacists: 2.0 contact hours (0.2 CEUs)

Status: Please log in to view status

Begin the Module

Topics covered include:

  • Introduction
  • Epidemiology of HCV/HIV Coinfection
  • Diagnosis of HCV Infection in HIV-Seropositive Individuals
  • HCV: Pathogenic Interactions
  • Natural History of HCV and HIV

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Discuss the complications of therapy for HBV and HCV coinfection in patients with HIV (including flares).

  • Review the approach to treatment of coinfected patients, including management of antiretroviral therapy.

  • Describe the diagnostic modalities for patients coinfected with HBV or HCV.

Drug Induced Hepatotoxicity: 2004

Module 11 of 11

Program Director: John P. Phair, MD

Faculty:

Willis C. Maddrey, MD
  • Willis C. Maddrey, MD

CREDIT INFORMATION

Release Date: 09/10/04

Expiration Date: 09/09/05


Physicians: maximum of 0.5 AMA PRA Category 1 Credits

Status: Please log in to view status

Begin the Module

Topics covered include:

  • Introduction
  • Spectrum of Hepatotoxicity Induced by Drugs
  • Diagnosis of Drug-Induced Hepatic Injury
  • Factors That Affect Susceptibility to Drug-Induced Liver Disease
  • Mechanisms of Hepatotoxicity

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Describe the hepatotoxic potential and signature for several commonly used drugs.

  • Discuss regulatory procedures involved in drug development and approval with regard to assessment of hepatotoxicity.

  • Outline the major advances leading to the current state of knowledge regarding drug-induced hepatotoxicity.

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