Association between low phase angle scores and cardiovascular disease risk factors

The phase angle score is an indicator of induced resistance measured in bioelectrical impedance analysis (BIA), with lower values ​​indicating decreased cellular function. Currently, the clinical application of the phase angle score is to assess nutritional status, sarcopenia, and prognosis in high-risk patients, as well as cancer patients.This study was conducted to confirm the relationship…

Climate change and emergence of Dengue-COVID-19 co-infection in temperate region of XXX: Insights from a low and middle-income country

Dengue has rapidly expanded in XXX affecting all 77 districts. It was first reported in 2004 in XXX, a tropical, lowland district. Climate change has resulted in geographic expansion of Dengue with cases reported from higher altitude and mountainous regions. Since COVID-19 pandemic in XXX, sporadic cases of co-infection with Dengue have been reported raising…

When the superficial veins speak: a case report of recurrent superficial thrombophlebitis

Superficial vein thrombosis (SVT) has regained its place among the venous thromboembolism (VTE) pathology, as a clinical entity, not a benign condition we once neglected. Current evidence demonstrates that SVT can be the initial manifestation of underlying thrombophilia, particularly in cases with recurrent presentation.We present the case of a 25-year-old female who consulted with left…

Comprehensive postpartum care in Primary Care: a home-visit experience report emphasizing clinical assessment, maternal recovery, newborn evaluation, and family context.

The postpartum period is a vulnerable phase when physical complications, breastfeeding difficulties, emotional needs and social factors affect maternal and neonatal health. In XXX, primary care recommends the first postpartum consultation within 42 days; when performed at home it enables a contextualized assessment. This report describes a home visit five days after a cesarean delivery,…

Rôle de l’hémoglobine glyquée (HbA1c) dans la prédiction du risque cardiovasculaire chez les patients diabétiques de type 2 : étude descriptive à visée analytique

Le diabète de type 2 constitue un facteur de risque majeur pour les maladies cardiovasculaires. L’hémoglobine glyquée (HbA1c), reflet du contrôle glycémique à long terme, pourrait représenter un marqueur prédictif du risque cardiovasculaire.L’objectif de cette étude est d’évaluer l’association entre les taux d’HbA1c et la survenue de complications cardiovasculaires chez des patients diabétiques de type…

Indications et apport de la mesure ambulatoire de la pression artérielle (MAPA) au service de Cardiologie de l’hopital Sahloul .

L’hypertension artérielle (HTA) est un facteur de risque majeur des complications cardiovasculaires. La mesure ambulatoire de la pression artérielle (MAPA) est aujourd’hui reconnue comme un outil de référence pour le diagnostic, la stratification du risque cardiovasculaire et le suivi du patient sous traitement.Analyser la prévalence et l'impact des anomalies du dipping tensionnel  sur la qualité…

Impact de la prise en charge pré hospitalière du syndrome coronarien aigu avec sus décalage du segment compliqué : état des lieux et revue de littérature

Le syndrome coronarien avec sus décalage de ST (STEMI) est une cause majeure de mortalité nécessitant une prise en charge rapide. En Tunisie, des délais persistants limitent l’efficacité de la revascularisation.Cette revue vise à identifier les complications préhospitalières et les stratégies réduisant les délais afin d’améliorer la survie.Pour réaliser cette revue de littérature, nous avons…

Expanding the medical ethos in primary care: integrating planetary responsibility

Exceeding planetary boundaries with climate change and biodiversity destruction poses an existential threat to human health and livelihoods. The concept of planetary health offers a holistic understanding of the complex interrelationships of health and the vitality of planetary systems. Addressing the human impact of global environmental change requires an expansion of the medical ethos and medical practice…

Latent autoimmune diabetes in adults (LADA) and autoimmune limbic encephalitis: case report and implications for primary care diagnosis

Latent autoimmune diabetes in adults is a form of diabetes recently classified in 2019 by the World Health Organization in 2019 (LADA), frequently underdiagnosed in primary care(PC), with an increasing incidence of 7-14%.We describe a 68-year-old male previously diagnosed with type 2 diabetes mellitus (T2DM) three years prior. He presented in PC after two weeks…