Simulation in Primary Care, yes we can.

Simulation has been used in hospitals to improve the quality of care provided, offering healthcare professionals the opportunity to practice in a safe environment with actors or simulators and in universities to allow students to practise away from real patients in order to gain practical experience in their training. It has been used very rarely…

Beyond the label: the hidden world of endocrine disruptors in everyday products and their effects on personal and public health

This workshop introduces the concept of endocrine-disrupting chemicals (EDCs)—compounds that closely resemble our hormones but pose significant risks to human health. These ubiquitous chemicals are found in everyday products such as plastics, cosmetics and food packaging. While often overlooked on ingredient lists, EDCs and other toxics have far-reaching health consequences, contributing to conditions such as cancer,…

Key Considerations in the Design of a Sentinel Network for Drug Use: Qualitative Findings

An effective surveillance program of drugs and addiction requires timely detection of emerging consumption patterns and new psychoactive substances. The time lag between conventional reporting systems and population-level perception creates a gap that can be more effectively addressed through sentinel networks.To advance the development of a drug-use sentinel network in Spain by building on our previously published study, focusing specifically on operational structure, implementation strategies,…

Primary care dilemmas : How to diagnose diabetes types 1, 2 and everything in between

Diabetes mellitus presents a spectrum ranging from classical type 1 (T1DM) and type 2 diabetes (T2DM) to hybrid and atypical forms, including latent autoimmune diabetes in adults (LADA) and maturity-onset diabetes of the young (MODY). Accurate classification in primary care is challenging due to overlapping phenotypes, variable clinical presentations, and limitations of conventional diagnostic tools.…

Management of urinary tract infections in XXX: lack of benefit from audit and feedback on adherence-to-treatment guidelines.

Acute uncomplicated urinary tract infections (UTIs) are common, however, treatment is not optimal. Few studies on antibiotic use for specific diagnoses have been done in XXX. Information is sparce about prescribing patterns in the region.Outpatient management of urinary tract infections by medical officers in XXX.The Aga Khan University hospital has 16 outpatient clinics in XXX run by…

Improving diabetes screening in a suburban polyclinic

In this country, the mortality rate from diabetes is the highest in the region, with 50.9 cases per 100,000 population annually. In this Polyclinic, serving 38,000 patients, medical staff’s attention was focused on managing already diagnosed cases, with no measures for early detection and prevention. Previous years’ data showed poor screening rates and low population…

Clinical Nutrition Management for 50-Year-Old Female Undernourished with Giant Neurofibroma Right Lower Limb: A Biomedical and Psychosocial Multidisciplinary Approach

Neurofibromatosis (NF) is genetically inherited autosomal dominant disorder with incidence of 1 in 3,000 live births. Two types are recognized: NF1 and NF2, with NF1 being the most common. Solitary giant neurofibromas are rare and present significant surgical challenges due to extensive infiltration and high vascularization, often resembling normal tissue. These complexities are further compounded…