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Biomedical subjects

P P Hartlaub

Publications and source records attributed to P P Hartlaub.

5 recordsLinked to original sources
PubMed1999

Evaluation of dysuria in men.

Men with pain or a burning sensation on urination should be evaluated with a thorough history, a focused physical examination and urinalysis (both urine dipstick and microscopic examination of the urine specimen). Although dysuria may be caused by anything that leads to inflammation of the urethal mucosa, it is most often the result of urinary tract infection. In younger patients, the infectious agent is usually a sexually transmitted organism such as Chlamydia trachomatis. In patients over 35 years of age, coliform bacteria predominate. Infection in older men most often occurs as a result of urinary stasis secondary to benign prostatic hyperplasia. Other conditions that may cause dysuria include renal calculus, genitourinary malignancy, spondyloarthropathy and medications. Successful treatment of dysuria depends on correct identification of its cause.

Constriction, Pathologic↗
PubMed1993

Rural practice. Preference, perception, and reality.

Numerous studies have approached the geographic maldistribution of physicians in the United States by evaluating factors associated with rural placement and retention, with "rural" being variably defined. To our knowledge, no one has qualitatively investigated physicians' perceptions of rurality or how closely those perceptions fit commonly used definitions of rurality. In addition, no one has evaluated physicians' preference for rural practice or the association between this preference and the rurality of their practice as they perceive it. This descriptive study uses a questionnaire mailed to graduates of a community hospital, university-affiliated Family Medicine residency program to evaluate physician perception and preference regarding rural practice. The participation rate was 83.1%. Agreement between the rurality of practice sites, as perceived, and definitions of rural was greatest when defined as a "nonurban population center of less than 25,000." Twenty-one (44.7%) of 47 respondents who preferred rural practice sites perceived themselves to be in urban practice sites. Respondents identified a nonurban population center of less than 25,000 as their perceived threshold between rural and urban practice settings. This threshold should be further evaluated as a potential operational standard. Nearly one half of the respondents who preferred rural practice perceived themselves to be in urban practice, indicating significant barriers to rural practice in this population. Potentially many more physicians may settle in rural practices if barriers for those who prefer rural practice can be identified and eliminated.

Adult↗
PubMedDate not supplied

Evaluation of an intervention to change benzodiazepine-prescribing behavior in a prepaid group practice setting.

To determine the effect of two levels of educational intervention on benzodiazepine-prescribing behavior in an elderly population in a controlled prepaid group practice (PPGP) setting, we designed a prospective controlled trial, with six-month follow-up. Our setting was a 270,000 member group-model PPGP in Colorado, from 1990 to 1991. Participants included 91 physicians, 62 men and 29 women; median age was 38.7 years. Group 1 received a one-on-one educational presentation by a clinical pharmacist, written educational materials, a brief follow-up visit, and feedback with recommendations. Group 2 received only a face-to-face presentation, given to departmental groups, as well as the same written educational materials used in group 1. Controls received no intervention. Our primary outcome measure was the benzodiazepine "on/off" status of the elderly PPGP members. The secondary outcome measure was the median change (preintervention minus postintervention) in a standardized amount of benzodiazepines prescribed per physician. Logistic regression analysis failed to show a significant effect on postintervention benzodiazepine on/off status between study groups, when controlling for preintervention on/off status, PPGP-member age, PPGP-member gender, and all possible interactions. Analysis of variance failed to demonstrate an effect of either intervention on the median change in standardized amount of benzodiazepines prescribed per physician, with groups 1, 2, and controls yielding values of -278 (range: -4,137, 2,844), -330 (-1,531, 1,358), and -541 (range: -3,716, 2,185), respectively. We conclude that strategies effective in changing physician prescribing behavior in other settings may not be effective in a PPGP setting with benzodiazepines in the elderly as the target for change.

Adult↗