The Growing Burden of Obstructive Sleep Apnea in western Europe: What Future Trends Mean for General Practice

Obstructive Sleep Apnea (OSA) is a prevalent yet underdiagnosed sleep disorder, contributing to substantial cardiometabolic and neurocognitive morbidity. Despite its public health importance, long-term projections for OSA in western Europe are limited, leaving future trends largely uncertain. The EU-5 countries, France, Germany, Italy, Spain, and the United Kingdom, face rising obesity rates and aging populations,…

Three Decades of Prenatal Care in Brazil: Temporal Trends in the Ratio of Prenatal Consultations to Live Births (1994–2024)

Prenatal care is a central strategy for reducing maternal and neonatal morbidity and mortality, and Brazil has undergone major structural and demographic changes in the last three decades, including declining fertility, reduced numbers of live births, and persistent regional inequalities in access and quality of prenatal care. The ratio between the number of prenatal consultations…

Biopsychosocial Determinants Profiling to Support Personalized Hypertension Care in XXX

Hypertension is the leading modifiable cardiovascular risk factor and a major cause of morbidity. In XXX, 34.8% of adults are hypertensive, but 43.2% receive no antihypertensive therapy and only 13.4% achieve blood pressure (BP) control. Although behavioral, psychological and social determinants influence BP outcomes, primary care practice remains largely biomedical and contextual data from XXX…

A POCUS Finding can Change Everything

A 58-year-old woman with no relevant medical history presented to the clinic consulting with abdominal distension and pain for several months. Laboratory tests and an abdominal X-ray were performed with not abnormal findings. She is advised lifestyle modifications, including gluten and lactose restriction, however, did not improve. Patient later developed a low-grade fever, vomiting, and…

Effectiveness of Structured Physical Exercise in Improving Knee Osteoarthritis Outcomes at a Primary-Care Wellness Center

Knee Osteoarthritis (KOA) management requires long-term maintenance and multidisciplinary support to prevent functional decline. Evidence suggests that structured Physical Exercise (PE) can alleviate symptoms and enhance joint function when combined with standard management. Within primary health care, the XXX Center delivers a multidisciplinary program that combines gym and aquatic exercise to complement standard treatment.  The…

Evidence-Based Approaches to Adult Constipation in Primary Care

Constipation is a frequent complaint in Primary Care and a significant cause of discomfort among adults. It may present as an acute or chronic condition and often results from a combination of physiological, behavioural, and lifestyle factors. For Family Medicine physicians, identifying common causes, recognizing alarm signs, and understanding therapeutic options is essential for effective…