Osteoporosis prevention in perimenopausal women; Screening and lifestyle prevention advice in primary care.

Counselling women about osteoporosis prevention in primary care is typically performed in post-menopausal women as part of a ‘healthy checkup’ or following low trauma fracture diagnosing osteoporosis. However, implementing lifestyle change earlier can influence rates of osteoporosis after menopause. Patient perspectives are relevant in considering approaches to counselling perimenopausal women to improve compliance and thus…

Allergic Reaction to Tranexamic Acid: A Therapeutic Dilemma in a Patient with von Willebrand Disease

This case report describes a 34-year-old man with a history of adult-onset PFAPA (Periodic Fever, Aphthous Stomatitis, Pharyngitis, Adenitis), von Willebrand disease and Factor XI deficiency who experienced an anaphalactic allergic reaction to Hexakapron.Case reportOriginal and rareThe rarity of such reactions presents a diagnostic challenge, as there are no widely accepted, specific tests for TXA-induced…

Effects of squat exercise on muscle oxygenation among inactive obese older adults living in geographically disadvantaged areas: A prospective case series study”

Objectives: The current investigation sought to evaluate the impact of a 24-week squat exercise regimen on body composition and muscle oxygenation among overweight and obese older adults, with particular emphasis on outcomes related to sarcopenia.A prospective case series involved overweight and obese older adults performing body-weight squats three times a week for 24 weeks. Body…

Transforming physician mental health support: Development, implementation and impact of an innovative “Mifne” service

Background: Physicians often face substantial personal and professional challenges, leading to high rates of burnout, psychological distress, and an elevated risk of suicide, which can significantly impact both doctors’ well-being and patient care. Recognizing these challenges, the Israeli Medical Association established the 'MIFNE' service to provide tailored mental health support for physicians and their families.Aims:…

Effects of probiotic Bacillus coagulans MTCC 5856 on symptoms and fecal microbiome in adults with functional constipation: a randomized double-blinded, placebo-controlled trial

Functional constipation affects 10–12% of the global population, significantly impairing quality of life. Current treatments are often insufficient, creating a need for safe, effective long-term strategies. Probiotics are promising, particularly spore-forming Bacillus coagulans. While the B. coagulans MTCC 5856 (LactoSpore®) strain has shown efficacy in diarrhea-predominant irritable bowel syndrome, its effectiveness in managing functional constipation is clinically unverified.The…

Metastatic Hepatopulmonary Hydatidosis: A Long-Term Case Follow-Up in Primary Care

Hydatidosis is a parasitic zoonosis caused by Echinococcus granulosus, still prevalent in rural areas where livestock and domestic animals coexist. Although hepatic involvement is most common, secondary pulmonary dissemination is unusual and can mimic malignancy. Early recognition in primary care is essential to prevent complications and unnecessary interventions. We present the case of a woman…

Évaluation des facteurs de risque du cancer du sein en soins primaires : Analyse au centre de soins de base de Sidi Mansour-Sfax-Tunisie

Le cancer du sein est la première cause de mortalité par cancer chez la femme en Tunisie. L’identification des facteurs de risque permet d’adapter les recommandations de dépistage et d’orienter celles à haut risque vers un suivi spécialisé. Cette étude vise à analyser la prévalence des facteurs de risque du cancer du sein dans une…

Facteurs Motivants et Barrières au Dépistage du Cancer du Sein : Une Étude au Centre de Soins de Base de Sidi Mansour-Sfax-Tunisie

Le dépistage précoce du cancer du sein est un pilier essentiel de la réduction de la mortalité liée à cette maladie. Cependant, la participation aux programmes de dépistage reste insuffisante dans de nombreuses régions, en raison de barrières psychosociales, culturelles et économiques.Explorer les facteurs motivants et les barrières perçues par les femmes concernant le dépistage…

Diagnostic challenges in post-traumatic epilepsy with olfactory auras: correlation between MRI and clinical findings

Post-traumatic epilepsy (PTE) is a well-known delayed complication of traumatic brain injury (TBI). In primary care, recognition can be challenging when seizures present only as sensory phenomena, such as olfactory auras, rather than convulsive episodes. These subtle manifestations may lead to underdiagnosis and delayed treatment, affecting patients’ quality of life and functional outcomes. We describe…

Exploring Barriers and Enablers of Hypertension Screening Practice Among Middle-Aged Adults in Ethiopia: A Qualitative Study

Hypertension screening and early treatment are essential for preventing severe health complications such as stroke, heart failure, and coronary heart disease. Screening allows for the identification of hypertension at an asymptomatic stage, facilitating timely control before irreversible damage occurs. However, in low- and middle-income countries such as Ethiopia, hypertension screening practices are poorly understood and…