National epidemiological overview of LGBTQIAPN+ health inequalities in Brazil: insights from public datasets to guide primary care policies

LGBTQIAPN+ people in Brazil experience persistent structural vulnerabilities shaped by discrimination, stigma, and gaps in health-system responsiveness. These factors contribute to inequities in access, continuity of care, and protection from violence within the Unified Health System (SUS). Despite regulatory advances, national surveillance systems still present limited and fragmented indicators on gender and sexual minorities, restricting…

Brain Dynamic Audio Stimulation to Improve Sleep and Well-being among Healthcare Workers

Healthcare workers are vulnerable to sleep disturbances due to shift work, circadian disruption, and high occupational stress. Poor sleep quality negatively impacts alertness, mental well-being, and patient safety. Non-pharmacological sleep interventions suitable for irregular schedules remain limited. Brain Dynamic Audio Stimulation has emerged as a potential auditory method for promoting neural relaxation and improving sleep,…

Does vitamin D influence fall risk in the elderly?

Falls and functional decline are major health concerns in the elderly population, leading to significant morbidity. Vitamin D deficiency is highly prevalent in this group. However, its direct correlation with balance disorders, muscle strength, and fall risk in primary care settings remains a subject of ongoing clinical debate.To evaluate the relationship between serum Vitamin D…

Impact of Antiretro Viral Treatment initiation on quality of life in people living with HIV: Evidence from a National Tertiary Infectious Hospital

The advent of antiretroviral therapy (ART) has significantly enhanced the prognosis of individuals living with HIV (PLHIV), mitigating morbidity and mortality as well as improving life expectancy.This study aims to assess the impact of ART initiation on the health-related quality of life (HRQoL) of PLHIV attending a national tertiary infectious disease hospital, using a validated…

Stigma and Social Vulnerability as Barriers to Integrated Care: The Importance of Family Medicine in the Context of Chemical Dependency

Drug addiction and helplessness are strongly linked concepts shaping chemical dependence. Family medicine is crucial for understanding the determinants of mental suffering in psychosocial care and inpatient services, coordinating care through teaching and clinical actions.This report presents a study of three cases using the INTERMED tool to assess the impact of social determinants of health…

Difficulties encountered by general practitioners in the management of chronic pain: a multicentric qualitative study

Chronic pain is a major public health problem, affecting 20% of the French population. The General Practitioner (GP) is the linchpin of its management, but numerous studies suggest that this management is a source of difficulty and frustration for practitioners. A better understanding of these challenges is essential to improve training and the organization of…

Not just symptoms: the hidden psychosocial cost of LUTS awareness

Lower urinary tract symptoms (LUTS) are common among adults and can impair physical, psychological, and social functioning. Despite this, the biopsychosocial aspects of LUTS—especially the role of symptom awareness—remain insufficiently explored. Understanding how symptom perception affects well-being is important for improving care in primary healthcare.The primary objective was to determine whether awareness of LUTS symptoms…

Empowering Educators for Global Health: Embedding Sustainability in Medical Education

Climate change and environmental degradation pose escalating threats to global health, making sustainability a critical component of medical education. The XXX require new doctors to understand the health-related effects of climate change and promote sustainable healthcare practices. Despite this mandate, many medical educators lack the confidence and knowledge to teach sustainability effectively. Embedding sustainability in…