Continuing education strategy for primary health care physicians on the pharmacological management of people living with chronic conditions

Continuing Education in Health contributes to the organization of services, qualification, and transformation of health practices. The interprofessional Working Group (WG) for the Care of People with Chronic Conditions, promotes training activities aimed at qualifying professionals in Primary Health Care (PHC).To train physicians on the pharmacological management of Diabetes mellitus (DM), with an updated theoretical…

Correlates of Low Baseline CD4 Count Among New HIV Presenters in Bintulu.

Low CD4 counts at first presentation remain a significant indicator of delayed HIV diagnosis and increased risk of adverse outcomes. Early identification of patients at risk for late presentation is essential for improving diagnosis, linking individuals to timely treatment and guiding targeted public health interventions.This study aims to determine sociodemographic, behavioural and clinical characteristics associated…

Body Mass Index and Pancreatic Cancer Risk in Individuals with Impaired Fasting Glucose and Diabetes: A Nationwide Cohort Study

Previous studies have suggested that obesity is associated with an increased risk of developing pancreatic cancer. However, it is unclear whether the association between body mass index (BMI) and the risk of pancreatic cancer differs by glycemic status.This study investigated how the association between BMI and pancreatic cancer differs by glycemic status.This Nationwide cohort study…

Learning About Integrated, Person-Centered Care in Primary Health Care: Dialogues with Family Medicine

According to the World Health Organization, the preferred model for organizing health systems is People-Centred Integrated Care (PCIC), in which Primary Health Care (PHC) plays a central role. In Brazil, the Ministry of Health identifies the Family Health Strategy (FHS) as the preferred model for delivering PCIC. However, multiprofessional and transdisciplinary undergraduate education within high-quality…

A Look at Neglected Populations: Health Education in the Context of Migration and People in Situations of Vulnerability

Brazil’s Migration Law represents progress in humanitarian reception and has advanced through the Solidarity Resettlement Program, prioritizing vulnerable groups in partnership with civil society. Nevertheless, refugees continue to encounter discrimination and limited access to autonomy-building opportunities. This work reports the experience of a health-care student in a teaching-and-extension project under family medicine tutoring, examining how…

Leadership: Identifying stressors with a focus on self-competency assessment and resilience

Aims: (1) Determine physician stressors (2) Define issues related to gender (3) Delineate gaps in personal leadership and resilience competencies (4) Compare evidence based techniques, tools, and resources to create a personal action plan for personal professional development to enhance leadership skills and counter burnoutMethods: Interactive discussion provides a framework of the current literature with…

Glycemic control rather than Opiates reduces pain in poorly controlled diabetes with Chronic degenerative disc disease

Background Impact of Diabetes in Chronic degenerative disc disease is well known in the literature. We noted excessive use of opiates among poorly controlled diabetes with chronic lumbar disc disease.  the aim to study the impact of lifestyle intervention97 females, aged [55 -70 ] over 24 months periods were reviewed. 60 were given lifestyle interventions included diet, exercise by MSK…

Basic fracture management in family medicine

Fracture management accounts for one percent of patient presentations to family medicine. Fractures that are uncomplicated, and low risk rarely require orthopaedic intervention. These fractures can be treated exclusively in family medicine. Barriers include inadequate remuneration and limited education in fracture management. This workshop will be presented under the banner of the WONCA Emergency Medicine…

Sex-specific U-shaped association between HDL cholesterol and mortality in a large nationwide cohort

High-density lipoprotein cholesterol (HDL-C) has long been considered cardioprotective, yet recent studies suggest a U-shaped association with mortality, indicating possible harm at extremely high levels. Evidence from the XXX population remains limited, particularly regarding sex-specific patterns and cause-specific mortality.The study aimed to (1) examine the association between extremely high HDL-C and all-cause and cause-specific mortality,…

Fraternity in the Healthcare Network and Humanity Facing Dyspnea: A Shared Approach to Dyspnea ²α♥

Diffuse Idiopathic Interstitial Lung Disease (ILD) is a respiratory condition characterized by inflammation and/or fibrosis of the alveolar interstitium. Its diagnosis is particularly challenging in early stages and in patients without significant respiratory symptoms. Differential diagnosis with more common chronic lung diseases such as Chronic Obstructive Pulmonary Disease (COPD) and asthma is essential. Primary Care…