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…

Qualitative study of medical reasoning in the management of patients of non-European origin

In clinical practice, healthcare professionals increasingly encounter patients from diverse cultural and geographic backgrounds. Despite universal healthcare access, several studies report poorer perceived health among immigrant populations and individuals from French Overseas Departments and Territories. Beyond structural and socioeconomic factors, this study explores whether cognitive mechanisms within medical reasoning contribute to these disparities.To identify cognitive…

Cutaneous leishmaniasis in a non-endemic area in Tunisia

Cutaneous leishmaniasis (CL) is a wide-reaching infection of major public health concern. In Tunisia, the disease is endemic in the south and the center of the country. However, new endemic areas are being reported.Cutaneous leishmaniasis (CL) is a wide-reaching infection of major public health concern. In Tunisia, the disease is endemic in the south and…

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…

Plantago lanceolata (Plantain) extract syrup inhibited growth and adhesion of Streptococcus pyogenes to human bronchial epithelial (BEAS-2B) cells

Pharyngitis and acute cough are common symptoms of URTI (Upper Respiratory Tract Infection) that cause significant distress to sufferers. Herbal medicines such as P. lanceolata are commonly used to address these symptoms but research into their mechanism of action is limited. Any anti-bacterial effect of P. lanceolata is also unknown but may be of benefit…

Determinants and consequences of geographic inequalities in the UK GP workforce

Access to General Practitioners (GPs) is essential for delivering timely, high-quality primary care, yet GP availability varies widely across the UK. Underserved regions experience poorer clinical outcomes, lower patient satisfaction, and greater pressure on hospital services.This study aims to examine the determinants of GP career and location choices, quantify how GP distribution affects primary care…

Overview of births and prenatal care in Brazil in 2024 by macro-regions

Monitoring births and their maternal and neonatal characteristics is essential for maternal and child health surveillance, and Brazil’s Live Birth Information System (SINASC) provides standardized national data on prenatal care, delivery characteristics, and newborn outcomes, although substantial regional disparities persist in access, adequacy of care, cesarean rates and neonatal outcomes, reflecting broader socioeconomic inequalities.To describe…

Implementation of New Professional Roles in Catalonia’s Primary Care: Outcomes and Community Impact

Since 2022, Catalonia’s primary care system has incorporated new professional roles to strengthen multidisciplinary care: emotional well-being referents (psychologists), physiotherapists, dietitians-nutritionists, and dental hygienists. This initiative aims to improve population health and expand preventive and community-based services. Objective: To describe the implementation of these roles and assess their impact on group activities, community interventions, and…

Ulceronecrotic Tonsillitis in a Young Adult: A Rare Presentation

Ulceronecrotic tonsillitis is an uncommon and potentially severe form of acute tonsillar infection. Its presentation may raise concern for deep neck infections or hematologic disorders, making early recognition and adequate follow-up essential. This case highlights the role of primary care in initial assessment, risk stratification, and coordination with specialized services to prevent complications.A young adult…