Magnitude and Economic Impact of Inappropriate Use of Stress Ulcer Prophylaxis in Non-ICU Hospitalized Patients

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/72884/1/j.1572-0241.2006.00839.x.pd

Clinical men s health : evidence in practice/ Heidelbaugh

xiv, 608 hal. : ill.; 27 cm

Clinical men s health : evidence in practice/ Heidelbaugh

xiv, 608 hal. : ill.; 27 cm

Diagnosis and office-based treatment of urinary incontinence in adults. Part one: diagnosis and testing

Urinary incontinence is a common problem in both men and women. This review article addresses its prevalence, risk factors, cost, the various types of incontinence, as well as how to diagnose them. The US Preventive Services Task Force, the Cochrane Database of Systematic Reviews, and PubMed were reviewed for articles focusing on urinary incontinence. Incontinence is a common problem with a high societal cost. It is frequently underreported by patients so it is appropriate for primary-care providers to screen all women and older men during visits. A thorough history and physical examination combined with easy office-based tests can often yield a clear diagnosis and rule out other transient illnesses contributing to the incontinence. Specialist referral is occasionally needed in specific situations before embarking on a treatment plan

Diagnosis and office-based treatment of urinary incontinence in adults. Part two: treatment

Urinary incontinence is a common problem in both men and women. In this review article we address treatment of the various forms of incontinence with conservative treatments, medical therapy, devices and surgery. The US Preventive Services Task Force, The Cochrane Database of Systematic Reviews, and PubMed were reviewed for articles focusing on urinary incontinence. Conservative therapy with education, fluid and food management, weight loss, timed voiding and pelvic floor physical therapy are all simple office-based treatments for incontinence. Medical therapy for incontinence currently is only available for urgency incontinence in the form of anticholinergic medication. Condom catheters, penile clamps, urethral inserts and pessaries can be helpful in specific situations. Surgical therapies vary depending on the type of incontinence, but are typically offered if conservative measures fail

The role of the teaching practice in undergraduate medical education: A perspective from the United States of America

This article describes and reflects on the role of teaching practices in undergraduate medical education on the basis of teaching experience in the United States of America. China in particular, but also other family medicine–emerging countries, continues to embark on a path of creating and embracing a family medicine–centric system. The purpose of this article is to provide a US perspective on teaching priorities and strategies for medical students, and how these fit into a larger structure of the family medicine clinical clerkship. We emphasize knowledge, clinical skills, clinical behaviors, and strategies for succeeding as a preceptor. We introduce key aspects of the University of Michigan family medicine clerkship and the highly effective structure provided by the leadership of the course directors. This organizational structure provides a framework for implementing the family medicine clerkship for teaching medical students. As China and other family medicine–emerging countries increasingly embrace the discipline, we hope these ideas will provide a meaningful reference