Association of the pulmonary artery–aorta ratio with clinical outcomes in acute exacerbations of COPD: implications for primary care

Acute exacerbations of chronic obstructive pulmonary disease (AE-COPD) are commonly first evaluated in primary care, where early identification of patients at risk of deterioration is essential. The pulmonary artery–ascending aorta (PA/A) ratio on chest CT has been proposed as a non-invasive marker of pulmonary hypertension and adverse outcomes in stable COPD, but its relevance during…

Evaluation of the level of integration and current status of operation of the integrated medical curriculum: a study focusing on the cardiovascular system course

The integrated curriculum aims to help students construct clinically meaningful knowledge. A systematic evaluation of content interconnection is necessary to assess its effectiveness. As curriculum autonomy has expanded following academic system reform, reviewing and refining each college’s integrated curriculum has become increasingly important.This study aimed to evaluate the level of integration and operational status of the…

Vonoprazan versus PPIs in Acute Peptic Ulcer Disease

Peptic ulcer disease (PUD) remains a frequent and clinically significant problem in both primary and acute care settings. Proton pump inhibitors (PPIs) have traditionally served as the cornerstone of therapy. Vonoprazan, a potassium-competitive acid blocker (P-CAB), has gained increasing use due to its rapid and sustained acid suppression, yet its advantages over PPIs in real-world…

Leber Hereditary Optic Neuropathy (LHON) Plus: A Case Report

LHON is characterized by mitochondrial deoxyribonucleic acid (mtDNA) point mutations that lead to retinal ganglion cell degeneration and acute, progressive visual loss. In rare instances, referred to as LHON plus, additional systemic manifestations might occur, including peripheral neuropathy, ataxia, myopathy, or cardiac arrhythmias.We report a male patient who first experienced mild visual impairment at 12…

Improving Humanized Healthcare for Adult Patients in Primary Care: Insights from Clinical Practice

Humanization in Primary Care is a wholistic and collaborative process in which all members of the multidisciplinary team—physicians, nurses, administrative staff, social workers, and other professionals—contribute to providing care that is proximate, more dignified, and person-centered. This approach recognizes that the quality of care depends on the coordinated interaction of diverse roles and competencies, particularly…

Collapsed mid-laugh: a curious reflex

A 64-year-old man with poorly controlled hypertension and long-term smoking presented after a sudden, brief loss of consciousness triggered by laughter. Episodes were identical to two previous events years earlier. He experienced no prodromes, chest pain, palpitations, or dyspnea, and recovered fully within seconds. Examination and initial tests, including ECG, labs, and chest X-ray, were…

Mentoring during the general medicine specialization pathway: an innovative and encouraging system

Our mentoring program has been defined as a "Pedagogical, support and exchange system between an experienced doctor (mentor) and the student (mentee) in a longitudinal (3 years) and non-hierarchical relationship, aimed at the professional empowerment of the mentee".The mentoring takes place in a friendly and non-hierarchical atmosphere with 4 meetings per year of approximately 1.5…

Factors influencing the practice of gynecology in general medicine:quantitative study of general practitioners practicing in the XXXX region

Context and objectives: In France, the number of practicing gynecologists is declining.Midwives and general practitioners are authorized to provide gynecological care, but this remains uncommon among them, leading to delays and gaps in care. Midwives and general practitioners are authorized to provide gynecological care,but this is rarely practiced by the latter, leading to delays andgaps…