Prévalence du prédiabète en médecine de première ligne en Tunisie : résultats de l’étude nationale TUN-PREDIAB

Le prédiabète constitue un problème croissant de santé publique, en particulier dans les pays à revenu intermédiaire. En Tunisie, les médecins de première ligne sont en première position pour le dépistage et la prévention, mais les données nationales récentes restent limitées. L’étude TUN-PREDIAB a été mise en place pour estimer la prévalence du prédiabète en…

Congestive heard failure assessed by inferior vena cava ultrasonography in primary care. cross-sectional study.

Inferior vena cava (IVC) ultrasonography is an increasingly valuable tool for managing patients with chronic heart failure (HF), yet its use in primary care settings is not well describedThis study aims to evaluate the prevalence of ultrasound-assessed congestion in HF outpatients seen in primary care.A cross-sectional observational study was conducted involving all patients diagnosed with…

Participatory Approaches in Primary Care: Challenges and Solutions

Participatory approaches include communities and those working with them in this process, promoting active engagement, shared decision-making, and equity in knowledge generation. Patient and Public Involvement and Engagement and participatory methods are increasingly recognised as valuable tools in general practice service design, research, and training. Their importance is evident in healthcare, where collaboration between patients…

Type 1 diabetes mellitus: relevance of the problem; a comprehensive approach to addressing issues related to prevention and effective measures to avert the development of the disease in children born to mothers with type 1 diabetes

The problem of type 1 diabetes mellitus (DM) remains relevant due to the constantly increasing incidence, the development of complications that lead to loss of work capacity and disability of the population, and due to the high mortality rate in all age groups. Modern literature presents studies on the leading issues of etiology, pathogenesis, clinical…

Chronic Pain, Social Vulnerability and Opioid Dependence in Primary Care

In primary care, family physicians often face patients whose physical illnesses are deeply influenced by social determinants of health. Managing chronic pain becomes particularly challenging when combined with domestic violence, alcohol misuse, and social vulnerability. This case illustrates how social adversity can shape clinical outcomes and therapeutic responses, creating new challenges for healthcare systems.We present…

Integrated telemedicine for chronic care in an Italian university hospital: experiences from a Primary Care–Community Medicine pathway

Chronic diseases require continuous, patient-centred care, yet access to follow-up is often limited by organisational and social barriers. Telemedicine is promoted as a tool to improve continuity and equity of care, but real-life evidence from pathways involving community and primary care physicians is limited. At the AOU Policlinico Umberto I (Rome), a Day Service of…

Cardiac alterations following an electric shock

Post-electric shock cardiothoracic symptoms in a 25-year-old female with normal cardiac evaluation.A 25-year-old woman, with no significant medical history, presented to Primary Healthcare following an occupational electric shock two days prior. Since the incident, she has experienced chest oppression, asthenia and bradykinesia. On physical examination, cardiopulmonary auscultation was rhythmic without murmurs or additional sounds; transient…