Etude de l’observance thérapeutique chez les patients suivie à la consultation de l’hôpital de circonscription de Grombalia

Les patients multitarés, souvent polymédiqués, présentent fréquemment une faible adhésion à leurs traitements, entraînant une mauvaise observance thérapeutique et une augmentation des consultations médicalesNotre objectif était de déterminer la prévalence et les facteurs prédictifs de la mauvaise observance thérapeutique (MOT) chez les patients atteints de maladies chroniques lors des consultations.Il s’agissait d’une étude prospective réalisée…

Neuroethical dimensions of AI-assisted clinical decision-making in primary care

Artificial intelligence (AI) systems are increasingly used in primary care to support diagnosis, documentation, and treatment planning. While these tools offer operational advantages, they raise significant bioethical and neuroethical concerns. Traditional ethics emphasize autonomy and beneficence, but AI also impacts cognitive processes fundamental to judgment and trust.To review current literature on how AI systems in…

Prevalence of Burnout Among General Practitioners in a Portuguese Local Health Unit

Family physicians are the healthcare professionals who ensure patients initial access to the care system, maintaining a closer and continuous relationship with each patient. However, this proximity may have negative implications for the physician’s mental health, leading to physical and mental exhaustion. Burnout among family physicians is an increasingly common and multifactorial phenomenon, associated with…

Unconjugated hyperbilirubinemia in an adolescent with ulcerative colitis: a clinical diagnostic challenge

Unconjugated hyperbilirubinemia in adolescents with chronic inflammatory disorders may suggest hemolysis, hepatocellular injury, or immune-mediated hepatobiliary disease. In patients on biologic therapy, distinguishing benign hereditary conditions from drug-related adverse effects is crucial. We describe evaluation of mild scleral icterus in a 16-year-old with ulcerative colitis.A 16-year-old female with ulcerative colitis maintained on anti-TNF therapy presented…

Changes in Clinical Supervision During Emergency Shifts After National Resident Advocacy Efforts: Preliminary Results from the 2026 Spanish Follow-Up Survey

Clinical supervision during emergency department shifts is both a legal and educational requirement in residency programs. However, the 2024 nationwide survey conducted by Asociación MIR España (AME) identified widespread inadequate supervision among Spanish residents. Since then, AME has carried out national advocacy, media campaigns, and institutional negotiations aimed at improving supervision standards. A follow-up survey…

Early Lyme Disease Presenting as Atypical Erythema Migrans: The Importance of Clinical Judgement in Family Medicine

Lyme disease is a common tick-borne infection in Europe, with erythema migrans serving as the primary clinical criterion for early diagnosis. However, many patients do not recall a tick bite, and early cutaneous manifestations may lack the classic annular or target-like appearance. Such atypical lesions can resemble allergic dermatitis, cellulitis, or fungal infection, contributing to…

Complicated pneumococcal pneumonia case review

A 28-year-old woman presents with productive cough and left-sided chest pain three days long. Initial chest X-ray is does not show infiltrates, so symptomatic management is started. Three days later, the patient goes to the emergency department with worsening symptoms, as she is found to have markedly elevated CRP (500 mg/L) and procalcitonin (4.8 mg/dL),…