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…

Obesity and Metabolic Dysfunction – Associated Steatotic Liver Disease (MASLD) Education Program for Family Physicians

Obesity and metabolic dysfunction–associated steatotic liver disease (MASLD) represent two of the most rapidly growing global health challenges, with significant implications for primary care. Family physicians are uniquely positioned to identify individuals at risk, initiate early interventions, and coordinate long-term management; however, many report limited confidence in diagnosing MASLD, interpreting non-invasive liver assessment tools, or…

Implementation of Home-Based Acute Infection Management: Early Practice-Based Insights From a Community Hospital in XXX

To address escalating care demands in a rapidly super-aged society and persistent post-pandemic hospital capacity constraints, XXX launched a government-led Hospital-at-Home (HaH) pilot program in July 2024.The program enabled functionally dependent patients with urinary tract infection, pneumonia, or soft-tissue infection to receive intravenous antibiotics at home rather than in hospital. Our community-based public hospital enrolled…

Knowledge, attitudes and beliefs toward polypharmacy among older people attending family medicine clinic in XXX

Life expectancy has increased over the last century among older people, particularly those over 60 years. Aging is associated with increased disability, multiple chronic conditions and increased use of health services managed with polypharmacy. There are few studies on the knowledge and attitudes of patients regarding polypharmacy in XXX, hence it is unclear about the…

Geophagy in a 2-year-old child and 5-month-old child

Pica syndrome is an eating disorder in which indigestible substances are repeatedly consumed, in this case soil. The number of hospitalizations due to the consumption of indigestible substances is increasing. Pica syndrome frequently occurs during pregnancy or in association with certain nutritional deficiencies.A 2-year-old patient was referred to the pediatrics department of the Pediatric Clinic…

Social Prescribing and Lifestyle Medicine: A Practical Framework for Family Physicians .Exchange of experiences

Loneliness, social isolation, and loss of meaning in life are increasingly recognized as drivers of chronic disease. Many patients present to family physicians with symptoms rooted in their social context, lack of purpose, and limited support networks. Drawing on Viktor Frankl’s Man’s Search for Meaning, this workshop highlights how purpose, belonging, and motivation influence health…

The Power of the recovery-supporting Network Intake in General Practice

In the Netherlands, access to care for people with mental health problems is under pressure. Waiting times for patients are too long, psychological complaints are medicalized too easily, and there is insufficient collaboration between different levels of care. National parties have therefore established an Integral Care Agreement with commitments to provide care that fits the…

Pediatric Chest Pain: A Literature Review for Primary Care

Chest pain is a common presenting complaint among children and adolescents and accounts for a significant number of visits to Primary Care and Emergency departments. Despite its alarming nature for patients and families, pediatric chest pain is most often benign, frequently resulting in school absences, activity limitations, and heightened anxiety. A structured and informed approach…

Evaluation of limited health literacy among diabetic individuals following intervention with a diabetic nephropathy educational video

Diabetic nephropathy constitutes one of the foremost causes of end-stage renal disease. Health literacy plays a fundamental role in enabling effective self-care.To analyze the impact of a diabetic nephropathy educational video among individuals with diabetes and limited health literacy.The study was conducted at a university-based diabetes outpatient clinic. Individuals with diabetes aged 18 years or…