Necrotizing Fasciitis after the Camino de Santiago

A 36-year-old woman with no significant past medical history presents after a prolonged walk with blistering and ulcerative lesions on the toes accompanied by swelling. She reports fever and generalized malaise. Suspected skin infection with systemic involvement; therefore, the patient is referred to the hospital serviceShe presents  leukocytosis of 24,000 and a CRP of 10.…

TITLE Agenoethics: Re-grounding Responsibility in Agency Beyond Biological Life

Primary care increasingly depends on hybrid environments that integrate artificial intelligence, clinical decision-support systems, digital infrastructures, and distributed information flows. These forms of non-biological agency generate clinically relevant actions but fall outside the traditional life-centered foundations of bioethics. This results in responsibility gaps in areas such as algorithmic triage, automated alerts, digital diagnostic systems, and…

From Research to Revenue: Transforming Clinical Innovation into Patient Impact

General practitioners frequently encounter innovative clinical solutions that could benefit significantly more patients if successfully commercialized. However, most GPs lack frameworks for translating clinical insights into sustainable revenue streams. Primary care innovation remains underutilized despite representing the majority of healthcare encounters globally. Traditional approaches focus on academic publishing rather than practical commercialization, missing opportunities to…

Clinical Use of Cannabidiol (CBD) in Urban Primary Care: Practical Experience and Regulatory Challenges in an Evolving Healthcare Environment

Urban primary care clinics increasingly encounter patients seeking cannabidiol (CBD) for sleep disturbances, anxiety, stress-related symptoms, chronic pain, and women’s health concerns. CBD lies at the intersection of clinical medicine, legal regulation, product quality, public understanding, and ethics. In several East Asian settings, regulatory and quality standards are still evolving, creating uncertainty in routine clinical…

Sinus pause in a middle aged woman: a reminder not to overlook cardiac cause of syncope

Syncope is a brief and sudden loss of consciousness associated with loss of postural tone with spontaneous recovery. It remains a challenging presentation to primary care. Both cardiac and autonomic causes can lead to syncope. Important differential diagnoses include seizure, migraine, hypoglycemia, toxin exposure, functional disorder and nacrolepsy. In younger adults, it is often attributed to…

Developing a practical primary health care handbook for managing medication adherence

Medication non-adherence – defined as the failure to take medicines as prescribed – remains a significant challenge in primary health care (PHC). Its consequences are wide-ranging, including poorer clinical outcomes, avoidable healthcare utilisation, increased medication waste, and substantial economic and environmental burden. Despite the availability of high-level recommendations, PHC teams often lack practical, user-friendly tools…

Family history and risk of major adverse cardiovascular events in a Korean national screening cohort

Family history represents a major inherited determinant of cardiometabolic diseases and is closely linked to shared genetic, behavioral, and environmental factors across generations. Despite its clinical importance, the impact of chronic disease family history on major adverse cardiovascular events (MACE) has not been fully characterized in large-scale Korean populations.This study aimed to evaluate the association…

Navigating Systemic Challenges to Achieve Optimal Primary Health Care

Achieving an ideal primary care system – one that delivers accessible, comprehensive, and coordinated person-centred care – is a continuing priority across diverse settings. Progress is often hindered by systemic barriers such as fragmented policies, poor integration across services, workforce shortages, limited patient engagement, and inadequate data governance, which collectively perpetuate suboptimal care models.Identify and…

Paresthetic Notalgia: A Case Report

POSTER TITLE: PARESTHETIC NEURALGIA Reason for Consultation: A 51-year-old woman presents with localized itching on her back that has been evolving over time, with a brownish skin lesion. Physical Examination: Smooth hyperpigmented area on the right scapular region with excoriation due to scratching. Altered sensation (hyperesthesia). Diagnostic Orientation: Dorsal sensory neuropathy caused by compression or…