Spatiotemporal patterns of cervical cancer screening and medical workforce training in São Paulo State, Brazil

Cervical cancer screening through the Papanicolaou test is a core preventive action in primary health care and a central responsibility of Family and Community Medicine. In Brazil, screening performance reflects the territorial organisation of services, workforce availability, and continuity of care. Medical schools influence local health systems by training physicians, supporting service provision, and strengthening…

Neuromeiningeal manifestations in patients living with HIV

Neurological or neuromeningeal manifestations are common during HIV infection.The diagnosis must be rapid because the patient's life may be at risk.This is a retrospective descriptive study conducted at the HIV/AIDS/STI Reference Center in Oran, based on the medical records of patients followed for HIV infection between 2022 and 2025. HIV serology was confirmed in all…

Cases of bites and scratches with a risk of rabies reported to the infectious disease emergency department

Rabies-prone bites are a public health problem.The WHO: 59,000 people die from rabies each year worldwide.The human rabies, a deadly and endemic disease in our country, where 11 rabies deaths were reported in 2021.A retrospective descriptive study of patient records from 2017 to 2025 presenting to the infectious disease emergency department following bites and/or scratches.…

From Noise to Action: AI-Driven Real-Time Navigation of Community and Institutional Resources

Chronic information dispersion regarding healthcare resources and community partnerships is a major barrier to efficiency in Primary Care. Fragmented data across institutional emails, static lists, and outdated websites hinders timely patient guidance and imposes a heavy administrative burden on healthcare teams.Over a three-month period, a systematic mapping of resources was conducted through a review of…

Hypertensice crisis during paroxetine tapering exacerbated by acute alcohol consumption in a patient with MDD and SA: Successful Outpatient Management

Selective serotonin reuptake inhibitors, such as paroxetine, are widely used for major depressive disorder and social anxiety disorder. Although generally safe, SSRI discontinuation or tapering can rarely precipitate a withdrawal syndrome that includes autonomic dysregulation, anxiety exacerbation, and, in susceptible individuals, significant hypertensive crises. Heavy alcohol consumption during tapering further amplifies risk through sympathetic activation,…

On the road to family medicine

On the verge of expanding its Universal Health Coverage (UHC), Morocco faces an urgent need to strengthen primary healthcare through a family medicine training program. With no family medicine departments in the nine national universities, the Master’s program in Family and Community Health at the National School of Public Health in Rabat offers a promising…

How to develop Quality improvement capacity in primary care

Evidence from several European countries, including recent target trial emulation and qualitative work, shows that improving continuity, coordination, and patient experience can reduce avoidable hospital use and strengthen patients’ sense of safety. Yet many primary care teams lack practical tools to translate this knowledge into everyday practice and system-level change.Describe key challenges and inequities in the…

I only know I know nothing: the non-painful zoster

Herpes simplex virus (HSV) and varicella zoster virus (VZV) are higly prevalent pathogens that establish lifelong latency and can reactivate, causing significant morbidity, especially in immunocompromised and older adults. Nevertheless, the differentiation of these two entities can be challenging specially when they present as atypical forms.A 46-year-old male with medical history of aortic mechanical valve, hypertension and chronic alcoholic liver disease attends General Practitioner (GP) consultation for itchy…

Research and Evaluation Study of digital Treatment of insomnia in Underserved Populations

Chronic insomnia (more than three months duration) is a common and significant health problem which impacts negatively on mental and physical health, quality of life, and is associated with increased healthcare utilisation costs. Cognitive behavioural therapy for insomnia (CBTi) is an effective non-drug intervention. General practitioners commonly manage patients with insomnia but lack the time…