Approach to abnormal uterine bleeding in non-pregnant women

Abnormal uterine bleeding (AUB) is a common gynecological complaint in primary care and significantly affects women’s quality of life. Its heterogeneous etiologies make initial assessment challenging, and appropriate early evaluation is crucial for guiding management and referral decisions. Developing a clear, evidence-based protocol can support clinicians in standardizing initial care.To develop an evidence-based protocol for…

From Inclusive Education to Impactful Care: Medical Educators as Catalysts for Future Healthcare through DEI Leadership

Inclusive medical education is essential for attracting, supporting, and retaining diverse trainees, thereby reinforcing sustainable and patient-centered healthcare systems. Evidence shows that patients feel better understood and adhere more effectively to treatment when physicians recognize social, cultural, and personal dimensions of care. Such awareness fosters trust, enhances self-management, and improves efficiency and quality across healthcare…

Clinical Efficacy of Codeine in Arthritic Pain: A Systematic Review

Osteoarthritis affects 65% of the French population over the age of 65. Osteoarthritis is a painful condition and results in reduced physical function and quality of life, and increased risk of all cause mortalityThis study evaluates the efficacy of oral codeine, with or without paracetamol and/or NSAIDs, in the treatment of arthritic pain.Included studies assessed…

Comparison of healthcare in Ukraine and Poland: Selected issues regarding the social situation of Ukrainian refugees in Olsztyn and surroundings

After the outbreak of war in Ukraine, millions of refugees sought medical help and social support from our country. We obtained permission from the Ethics Committee to conduct sensitive research.To gather information, we created a survey in Ukrainian for refugees—our patients. We analyzed the collected data.No one had previously conducted such research based on a…

Managing Hypervitaminosis B12 as an incidental finding in a primary care setting

Hypervitaminosis B12 is discussed far less frequently than vitamin B12 deficiency, despite being more common as well as clinically significant, remaining underdiagnosed and underestimated in routine practise. Its origin may arise from a broad spectrum of causes, ranging from benign excessive supplementation to serving as a marker of underlying pathology, including solid tumours, hematologic malignancies and…

Improving Influenza Vaccination Rates Among Elderly Patients in a Singapore Polyclinic: An Audit Project

Influenza infection is associated with considerable morbidity and mortality among individuals aged 65 and above. Influenza vaccination has been shown to significantly reduce complications in this vulnerable group, leading to annual vaccination recommendations from various authorities, including the Centers for Disease Control and Prevention.In alignment with the World Health Organization’s target of a 75% influenza…

Impact of initial symptoms – cutaneous or musculoskeletal – on clinical characteristics, comorbidities and diagnosis delay in Psoriatic Arthritis: data from Stockholm COMPASS Cohort

Psoriatic arthritis (PsA) is a diverse disease by manifestations, but also timing of cutaneous and musculoskeletal symptoms onset. Timely recognition of disease symptoms in primary care and referal to specialists is of importance in order to manage disease and associated comorbidities.To investigate whether the order of symptom onset associate with distinct clinical profiles of PsA.PsA…