A Prospective Audit of Osteoporosis assessment, investigation and management at a General Practice in Ireland

Osteoporosis is a common, underdiagnosed condition associated with increased morbidity, mortality, and healthcare costs. Early identification of high-risk patients can reduce fracture incidence. Current guidelines recommend routine fracture risk assessment (FRAX) in women over 65, men over 75 and adults with osteoporosis risk factors including glucocorticoid use, family history, smoking, and diabetes. This practice reflection aims to measure compliance with evidence-based osteoporosis management in adults…

Adapted Physical Activity in Eastern Occitanie : how awareness of nearby facilities promotes written Adapted Physical Activity prescriptions

In France, the prevalence of chronic diseases continues to rise, and physical inactivity is a major risk factor contributing to this trend. Physical activity, as a non-pharmacological intervention, is recognized for its ability to prevent and treat many chronic conditions. However, despite recommendations from the public authorities, written prescriptions for physical activity remain rare.

Early Diagnosis of Sarcoidosis in Primary Care: A Case-Based Reflection from an Irish General Practice

Sarcoidosis is a rare multisystem granulomatous disorder that often presents with non-specific symptoms, making diagnosis in primary care challenging. Early identification can prevent progression to pulmonary or systemic involvement. This reflection describes a diagnostic journey initiated in general practice that led to the confirmation of sarcoidosis through coordinated multidisciplinary collaboration.

Too much water, too little salt: hyponatremia and seizure following colonoscopy preparation

Colonoscopy is a common procedure often coordinated through general practice and requires bowel preparation for adequate visualization. Although generally safe, bowel-cleansing regimens can occasionally cause serious electrolyte disturbances, particularly in elderly patients or those on diuretics. Awareness of these risks in primary care is essential for prevention and patient safety.

Chronic diarrhea: an atypical manifestation of a common antihypertensive drug – a case report

Chronic diarrhea is a frequent clinical problem, and determining its etiology can be challenging. While infectious and autoimmune causes are often explored, drug-induced enteropathies remain underrecognized despite their clinical relevance. Olmesartan, a widely used angiotensin II receptor blocker, has been increasingly associated with a sprue-like enteropathy that mimics celiac disease.

Cardiovascular Outcomes Following Transition from Combustible Cigarettes to Heated or Electronic Tobacco Products Among Korean Adults with Type 2 Diabetes: A Nationwide Cohort Study

Both diabetes mellitus and smoking are major determinants of cardiovascular disease (CVD), and individuals with diabetes who continue smoking face substantially elevated cardiovascular risk. Heated tobacco products (HTPs) and electronic cigarettes (ECs) have recently emerged as alternatives to conventional combustible cigarettes (CCs), but evidence regarding their cardiovascular effects in diabetic populations remains limited.

Association between depression and metabolic dysfunction-associated steatotic liver disease among Korean young adults

Metabolic dysfunction-associated steatotic liver disease (MASLD), previously referred to as non-alcoholic fatty liver disease (NAFLD), is the most common cause of chronic liver disease. MASLD is characterized by the presence of hepatic steatosis in conjunction with metabolic syndrome, without significant alcohol consumption. It is strongly associated with liver-related conditions such as cirrhosis, hepatic failure, and…

Analysis of the Current Situation, Risk Factors, and Primary Care of Falls Among Community-Dwelling Elderly Hypertensive Patients

The global population is experiencing increase in aging and rise in chronic diseases, among which falls represent a significant concern. Falls are the primary cause of injury-related mortality among older adults in XXX, leading to physical and psychological harm and economic burden. Existing research indicates that older adults with hypertension are at a heightened risk of…

Behavioral Health Training Priorities in Residency: Perspectives from Early-Career Physicians

Behavioral health training is a core element of primary care residency education, yet its scope and emphasis vary widely across programs. Estimates indicate that at least one in four visits involves a behavioral health concern, with another quarter requiring lifestyle or behavior change counseling, highlighting the importance of these competencies. Despite guidance from national organizations,…