Carpal tuberculosis: a case report

Tuberculosis remains a major public health problem in Tunisia, where extrapulmonary forms are frequent. Osteoarticular tuberculosis (OT) is uncommon, and carpal involvement is particularly rare and frequently misdiagnosed. We report a case of carpal tuberculosis in a 39-year-old immunocompetent man.

From Theory to Practice: Building Sustainable Healthcare into Medical Training

Sustainability in healthcare is increasingly recognised as a vital competency for future medical professionals. The General Medical Council (GMC) guidance underscores the importance of understanding the broader determinants of health, including environmental impacts, to deliver high-quality, sustainable care. Climate change, resource depletion, and environmental degradation are directly linked to the global burden of disease, making…

The Critical Role of Family Medicine Continuity in the Diagnosis of Guillain–Barré Syndrome

Guillain–Barré Syndrome (GBS) may initially present with mild, nonspecific neurological symptoms. Early emergency department evaluations often appear normal, leading to missed diagnoses. In contrast, family physicians who know patients longitudinally can detect subtle deviations from baseline. This case illustrates how an unexpected administrative visit enabled early recognition of GBS in primary care.

Aging with HIV: Clinical, Functional and Care-Pathway Challenges in Primary Care – A Cross-Sectional Study of Adults Aged 65 and Older, followed at the University Hospital of Besançon, France

Therapeutic advances have significantly improved outcomes for people living with HIV (PLWH), whose life expectancy is now close to that of the general population. As this cohort ages, clinicians increasingly face complex medical and social issues such as comorbidities, polypharmacy, frailty, reduced autonomy, and persistent stigma. With traditional infectious-disease–centered follow-up reaching its limits, reconsidering a…

Strengthening Heart Failure Care in Rural Primary Care: Quantitative Insights from Patient-Reported Experience Aligned with WHO, NHSE and WONCA Priorities

Heart failure (HF) is a leading global cause of morbidity and mortality, disproportionately affecting older adults. WHO and WONCA emphasise equitable, person-centred chronic disease management, while NHS England (NHSE) prioritises improved access, shared decision-making and reducing unwarranted variation. Understanding patient-reported experience is essential to shaping community-based HF services and informing targeted quality improvement.

Mobile Application to Support Informal Caregivers of Patients with Alzheimer’s Disease Context

Alzheimer’s disease and related dementias (ADRD) affect over 60 million people worldwide, resulting in significant emotional burden on informal caregivers. Existing mobile health (mHealth) applications largely fail due to non-personalized content (83% focus on generic education ), lack of scientific validation (only 20% reviewed by specialists ), and insufficient practical support.

Perceived loneliness in the elderly: is there a gender gap?

Unwanted loneliness is widely recognized as a significant social determinant of health in the geriatric population, linked to poorer mental and physical outcomes. However, the specific influence of gender on the subjective experience of loneliness and its intensity among community-dwelling older adults warrants further investigation in primary care settings.