Acute visual symptoms after exercise: A possible retinal tear in a 33-year-old woman

Retinal tears are vision-threatening conditions that may develop after physical exertion, trauma, or vitreoretinal traction. They require rapid identification to prevent progression to retinal detachment. Primary care physicians frequently serve as the first point of contact when patients present with sudden visual disturbances, making their role in recognizing early warning signs essential.A 33-year-old woman presented…

Enhancing Occupational Safety in Medication Preparation: A Randomized Controlled Trial of an Innovative Ampoule-Opening Device

Glass ampoules provide stable medication storage, but their brittleness makes improper breaking techniques prone to uneven necks and sharp injuries. Up to 38% of nurses and nursing students report ampoule-related cuts, which may lead to bloodborne infection risk, psychological stress, financial burden, and medication contamination, affecting both healthcare workers and patients.To evaluate the effectiveness of…

Implementing the ABCDEF ICU Liberation Bundle to Shorten Delirium Duration in a Mechanically Ventilated Patient: A Practice-Based Reflection

Delirium is a common yet under-recognized complication in mechanically ventilated ICU patients, contributing to prolonged ventilation, restraint use, sleep disruption, and increased risk of mortality. This case involves a 51-year-old man with acute respiratory failure who developed CAM-ICU–positive delirium characterized by agitation and sleep–wake reversal. The nursing team implemented the ABCDEF ICU Liberation Bundle to mitigat risks.The…

Challenges of informing and raising awareness among general practitioners on end-of-life issues

Effective communication about end-of-life (EoL) care is essential, as general practitioners (GPs) play a central role in initiating timely discussions and supporting patients throughout the illness trajectory. However, EoL conversations are often postponed, and significant social and territorial disparities persist in access to information and support. Low health literacy, particularly among vulnerable populations, further limits…

A Nurse in Crisis: The Family Doctor as Case Manager in the Multidimensional Aftermath of Complex Myocardial Infarction

This report details the complex care of a 69-year-old retired nurse following a critical ST-Elevation Myocardial Infarction (STEMI), complicated by hemodynamic collapse and subsequent surgical and infectious complications. This case reflects the edge-group of healthcare professionals as patients, often experiencing problematic access to unbiased self-assessment and care acceptance.The patient, a former nurse, demonstrated professional denial,…

Cross border learning for sustainable Out-of-hours care by general practitioners in Europe

Across Europe, urgent primary care services provide 24/7 or out-of-hours (OOH) care for non-life-threatening illness or injury needing urgent attention. These services, often staffed by General Practitioners (GPs) are vital in providing urgent care and in reducing clinically inappropriate use of emergency ambulance services, emergency departments and reducing preventable emergency hospital admissions. However, these services…

Prevalence Assessment of Hyperventilation Syndrome (HVS) in Chronic Pain

Hyperventilation syndrome (HVS) appears to be overrepresented among patients with chronic pain. Several pathophysiological mechanisms may contribute to maintaining pain in these individuals. However, existing studies show considerable heterogeneity regarding patient populations and screening methods.The primary objective of this study was to determine the prevalence of HVS among patients attending the Pain Evaluation and Treatment…

Analyzing the ratio between prenatal consultations and live births in Brazil: spatial and professional patterns from 2008 to 2023

Prenatal care is a key strategy to reduce maternal and perinatal morbidity and mortality, yet important regional inequities persist in Brazil. The ratio between the number of prenatal consultations and live births (PN/NV) is a synthetic indicator of coverage and intensity of gestational follow-up.To analyse the ratio between the number of prenatal consultations and the…

Narrative medicine and professional development: physicians’ views ten years post-training

Narrative medicine is an emerging discipline that emphasizes listening to patients’ stories through a structured pedagogical approach designed to strengthen relational skills. Previous studies have shown associations with increased empathy and reflexivity, as well as reduced burnout, but little is known about the long-term persistence of these effects. In 2014–2015, XXX University introduced the first…

Unveiling multifactorial erectile dysfunction in Klinefelter syndrome: a clinical case

Klinefelter syndrome (KS) is the most common sex chromosome aneuploidy in men and is frequently underdiagnosed. Sexual dysfunction, including erectile dysfunction (ED), decreased libido, and delayed ejaculation, may arise from androgen deficiency, but vascular and psychosocial factors often coexist. In primary care (PC), understanding and coordinating these dimensions is crucial.We present the case of a…