Diabetes control and mortality in Community-Dwelling frail older adults

Managing diabetes in frail patients is complex due to varying clinical factors. The optimal HbA1c target for each level of frailty remains unclear. Existing thresholds are based on expert opinion, but evidence guiding individualized targets by frailty severity is limited.1. What is the association between diabetes control and mortality among community-dwelling frail older adults. 2.…

Unnecessary access to the Emergency Room: role of General Practice

In last few years Italy has faced ad increase in Emergency Department (ED) admissions, mostly for non-urgent conditions: although institutions often attribute this trend to perceived General Practice's (GP) inefficiency, evidence remains scarce.This study analyses inappropriate ED visits, quantifying the proportion of patients bypassing GP consultation and evaluating the GP’s effectiveness as a gatekeeper for…

Advanced nursing practice indicators in Brazilian primary health care nursing consultations

Advanced practice nursing roles are promoted internationally to improve access and quality in primary health care (PHC). In Brazil, nurses in PHC already perform autonomous clinical work, but the extent to which their consultations include activities aligned with advanced practice remains unclear.To analyze indicators of advanced clinical activities within nurses’ routine PHC consultations; to identify…

The un-contacted contact lens

Contact lens use is a major risk factor for sight-threatening ocular pathology, particularly microbial keratitis, which can lead to permanent vision loss or require corneal transplantation if not promptly treated. The pathogenesis involves disruption of corneal barrier function, increased susceptibility to infection by bacteria (notably Pseudomonas aeruginosa), fungi, and Acanthamoeba, and induction of chronic inflammation and…

Management of peripheral arterial disease in nonagenarian patients: beyond frailty, toward limb salvage

Nowadays, General Practitioner (GP) have to face the progressive aging of the population. Due to that, GP have to deal with increasingly complex therapeutic decision-making in ultra-nonagenarian patients with advanced peripheral arterial disease (PAD). Extreme frailty and multiple comorbidities often lead to a conservative management approach. This study analyzes the effectiveness and sustainability of revascularization…

fullpresence meditation

Meditation is an non pharmacolgical intervention and is used in integrative medecine. in supportive care. A workshop could be an experience of meditation session for 25 or 30 participants-give  a tool for patient support and empowerment -present the nature of meditation and its application in patient care and therapeutic education, -A full presence meditation session…

From Suspicion to Diagnosis: Hidden Cardiac Amyloidosis in General Practice

Cardiac amyloidosis is an underrecognized cause of heart failure, particularly in patients with preserved ejection fraction (HFpEF). Its clinical presentation is often subtle and overlaps with more common cardiovascular conditions, leading to delayed or missed diagnosis. Primary care physicians may play a key role in early identification through recognition of characteristic clinical and laboratory “red…

Oral history as a tool for community based intervention and health improvement in older adults

Social isolation among older adults is a growing challenge in rural primary healthcare. Standard, time-limited consultations often fail to capture psychosocial needs, loss of dignity, and reduced social participation. Person-centered, community-based approaches are needed to address aging more holistically. Oral history offers a narrative-based tool grounded in active listening.The intervention was conducted in Vasilies, a…

Early Detection of Malignant Diseases – Preventive Activities of the Doboj Health Care Center

Lung, colorectal, breast, cervical, and prostate cancers are the most common malignancies globally, in Europe, and in Republika Srpska. Reducing their morbidity and mortality is a priority in public health. Key strategies include health promotion, early detection, risk factor reduction, and timely treatment initiation. Primary healthcare plays a critical role in implementing preventive measures and…