Clinical, Polygraphic, and Nutritional Differences Between Moderate and Morbid Obesity in OSAHS

Obstructive sleep apnea–hypopnea syndrome (OSAHS) is a common respiratory disorder frequently associated with obesity and increased cardiometabolic morbidity.While continuous positive airway pressure (CPAP) is the standard treatment, nutritional assessment and management are still insufficiently integrated into routine clinical practice.To evaluate the nutritional status of obese patients with OSAHS and compare their clinical and polygraphic characteristics…

Integrating Epidemiology, Patient Experiences and Workforce Upskilling to Develop Treat-to-Target Maintenance and Flare Pathways for Ulcerative Colitis in Rural Primary Care England

Ulcerative colitis (UC) increasingly requires shared-care delivery across primary& secondary services, yet rural health systems face additional barriers including sparse specialist access, inconsistent monitoring infrastructure, and variation in capability. WONCA priorities emphasise continuity, equity, person-centredness, and strengthening the role of primary care in chronic-disease management—areas highly relevant to UC. This project integrated epidemiology, patient-journey insights, and…

Clinical monitoring workload and use of technology for General practitioners due to private usage for GLP1 analogue injections for obesity

Many of our patients have commenced GLP1 analogue injections for weight loss via private providers. As per NICE, GP must provide follow up care for 12 months after completion of treatment regime. We believe this increases in practice workload in future due to clinical monitoring and investigations in NHS practicesAim: 1.Document number of patients are…

Development of machine learning-based mortality prediction models in older adults using routine primary care data: Comparing overall performance with a dementia subgroup

Mortality prediction models may support medical decision-making in older individuals. However, these models often involve manual scoring, are hindered by methodological issues, and their performance in persons with dementia is unknown.This study aims to leverage machine learning techniques in a large routine care database to automate identification of those with high mortality risks.We utilized routine…

Taking blood pressure in both arms – a diagnostic necessity or a time luxury?

Recommendations of international societies as well as the Standard Diagnostic and Therapeutic Procedures for Arterial Hypertension in Slovakia explicitly recommend measuring blood pressure in both upper extremities. A value of pressure difference higher than 10 mmHg is considered prognostically unfavorable in determation of cardiovascular risk. The symptomatic upper extremity peripheral artery disease is poorly studied…

Improving hypertension care in two rural communities

The project aimed to improve the care and continuous monitoring of patients with hypertension, increase their motivation, foster a responsible attitude toward health, and create a long-term monitoring system in two rural villages of XXX (V1 and V2).Medical records in V1 revealed 45.4% of hypertensive patients had not visited the Center in three years. In…

Delayed Diagnosis Case: The Importance of HbA1c and Fasting Plasma Glucose Measurement

Diabetes mellitus is a common chronic disease, and early diagnosis is essential to prevent cardiovascular and microvascular complications. Family medicine practices follow high-risk individuals longitudinally and occupy a key position in diabetes screening. This case illustrates the consequences of omitting HbA1c and fasting plasma glucose (FPG) screening for years in a patient with multiple cardiovascular…

Introduction of short, mobile-friendly e-learnings for general practitioners: first experiences among users

The Dutch College of GPs (NHG) has been developing accredited e-learnings since 2007, based on NHG guidelines, to support implementation in daily practice. These e-learnings were originally designed for desktops/laptops and take up to two hours to complete. A 2022 survey among users indicated a need for shorter, mobile/tablet-friendly e-learnings, especially among younger GPs.To develop shorter…