Unexplained Left Ventricular Hypertrophy Revealing Transthyretin Cardiac Amyloidosis: A primare Care-Driven Diagnosis

Cardiac amyloidosis is an underdiagnosed infiltrative cardiomyopathy that often mimics hypertrophic heart disease. Its recognition has major implications for patient outcomes, especially in older adults frequently managed in primary care.This case illustrates the diagnostic trajectory from an apparently benign hypertrophic pattern to confirmed transthyretin cardiac amyloidosis, emphasizing continuity of care and coordinated diagnostic pathways.A 70-year-old…

Behavioural Science in Action: Finding Solutions to AMS Challenges in Primary Care

Primary care plays a critical role in antimicrobial stewardship (AMS), as most antibiotics are prescribed in this setting. Challenges to optimal use of antibiotics, such as diagnostic uncertainty, time constraints, and patient expectations, persist. Behavioural science can help identify the underlying factors driving behaviours (e.g., prescribing antibiotics) and guide the development and implementation of targeted,…

Adult-Onset Type 1 Diabetes Mellitus Revealed by Incidental Hyperglycemia in a 30-Year-Old Patient: Diagnostic Challenges in Primary Care

Type 1 diabetes mellitus (T1DM) typically appears during childhood or adolescence, yet autoimmune diabetes in adults is increasingly recognized. Its presentation may be subtle and overlap clinically with type 2 diabetes, creating diagnostic uncertainty in primary care. Early identification of autoimmune etiology is crucial to avoid delays in insulin initiation and prevent metabolic decompensation. This…

Septic Shock Secondary to Acute Cholecystitis Managed with Percutaneous Cholecystostomy: A Case Report

Septic shock originating from abdominal infections is a life-threatening emergency requiring rapid diagnosis,fluid resuscitation,and source control.Primary care professionals often identify early warning symptoms and coordinate transfer to emergency services.This case demonstrates the central role of primary care in early recognition,referral,and longitudinal follow-up of a patient who developed septic shock due to acute cholecystitis,ultimately requiring percutaneous…

An Innovative AI-Driven Multimodal Restraint Monitoring and Clinical Decision Support System to Improve Patient Safety

Patient agitation, unplanned device removal, and restraint-related complications remain persistent safety challenges across hospitals, and long-term care facilities. Conventional restraint practices rely heavily on intermittent observation and subjective judgment, leading to delayed detection of escape attempts, pressure injuries, and physiological deterioration. Despite advances in digital health, few solutions integrate nurses’ clinical insights, physiological monitoring, behavioral…

Accreditation Process by ONA to Improve Medical Team Performance and Care Quality at the AMA Primary Emergency Unit in São Paulo

The Unidade de Assistência Médica Ambulatorial (AMA) Jardim Pirajussara, located in the southern region of São Paulo, Brazil, is a pre-hospital care facility managed since 2016 through a public-private partnership between the Einstein Hospital Israelita and the Municipal Health Department. The unit performs approximately 14,000 monthly urgent and emergency consultations in Pediatrics and Internal Medicine,…

The Quiet Rebellion: Storytelling as a Tool for Healing in Burnout Recovery

Burnout interventions in medicine often medicalize exhaustion and overlook the deeper narrative fractures clinicians experience, particularly women and those from historically marginalized communities. Storytelling—rooted in narrative identity science—can function as a healing practice, reconnecting clinicians with meaning, agency, and coherence. This workshop integrates reflective writing with the xxxx Challenge → Choice → Outcome model to…

From Suspected Inferolateral STEMI to Acute Pericarditis with Late Loculated Pleural Effusion: A Diagnostic Challenge in Primary Care

Chest pain with ST-segment elevation usually triggers immediate activation of myocardial infarction protocols. However, non-ischemic causes such as pericarditis may mimic STEMI, creating diagnostic and management dilemmas for primary care and emergency clinicians. This case illustrates the importance of clinical reassessment and continuity of care within the Spanish public healthcare system.A 65-year-old woman with dyslipidemia…

Exploring Universal Healthcare and Economics: A Cross-Country Comparative Study with Correlations of Economic Parameters with UHC SCI Scores amongst Southeast Asian Countries

Universal Health Coverage is central to ensuring equitable access to healthcare without financial hardship. Despite regional progress, Southeast Asian countries show disparities in UHC performance due to varying economic capacities and health system readiness. This study aimed to assess the Philippines’ UHC status relative to its Southeast Asian neighbors; and analyzing their relationships with economic…