Knowledge, attitudes and practice of general practitioners towards complementary and alternative medicine in Doha, Qatar

A cross-sectional study of knowledge, attitudes and practice of general practitioners [GPs] towards complementary and alternative medicine [CAM] was conducted in Doha, Qatar. Out of 119 respondents, 39.1% reported poor knowledge about CAM. Self-reported knowledge was highest for counselling and psychotherapy [69.0%], diet and supplements [68.1%], acupuncture [45.2%], herbal medicine [47.3%] and massage [42.5%]. While 83.8% described their attitude to CAM as welcoming and 97.5% were interested to learn more about it, fewer [30.1%] had practised it before, referred patients [24.8%] or asked patients' about their use of CAM [34.8%]. Their own lack of knowledge and training in CAM was seen as a barrier to its use by 60.0% of the GPs

Diagnosis and management of urinary incontinence in older patient

To review the various causes of urinary incontinence [UI] in elderly patients and to outline a therapeutic approach to the clinical management of UI. Online search of MEDLINE and additional references selected from the articles found during the search. All peer-reviewed articles and review articles listed on MEDLINE published between 1966 and 2006. Key search terms included urinary incontinence, geriatric, aging, pelvic floor rehabilitation and indwelling catheter. Articles with clinical relevance to the geriatric population were selected based on the robustness of the study and reviews. If applicable, data from studies of healthier or younger populations was extrapolated to the elderly population examined in the reviews. UI is a common occurrence among older adults treated in rehabilitation settings. The causes of UI in the elderly vary, including transient causes, established pathologic states of the urinary tract, and systemat ic multifactorial influences. Both behavioral and pharmacologic management strategies can successfully be implemented for UI, even in the frail elderly. UI can be effectively investigated and treated by rehabilitation practitioners by following a simple, stepwise approach