Subjective general health predicts high risk of physical fitness impairment in hospital employees: a multicenter, tenure-stratified analysis in East Asia

Physical fitness is an important determinant of work ability and is closely associated with work quality, productivity, and overall job satisfaction. In hospital settings, where employees are exposed to sustained physical and psychological demands, impaired physical fitness compromise occupational performance and long-term health. However, the relative contributions of physical, mental, and subjective health factors to…

The crucial role of vaccination in public health: an Interview with apulian citizens between digital and proximity medicine

Vaccination is recognized as one of the most effective public health tools. While European confidence remains high (82%–90%), the post-COVID-19 scenario in Italy has introduced complexity. The pandemic exposed regional heterogeneity and a decline in adherence, particularly in Southern Italy, reflecting the complex issue of Vaccine Hesitancy. Understanding the cultural, social, and communication factors influencing…

Drowsiness not due to Old Age or not Always Benign Hyponatremia Case of Hypopituitarism Due to a Non-Functioning Pituitary Macroadenoma

Intermittent drowsiness in elder people is a frequent clinical picture caused by chronic medical illnesses, polypharmacy, dehydration, or physiological alterations connected to aging. Recurrent or unexplained hyponatremia should be thoroughly investigated, as it might suggest an underlying endocrine disorder. This case presents a rare but clinically important reason for recurrent hyponatremia stemming from hypopituitarism caused…

Needling The Numb: A Case Report of A 57-Year Old Female with Right Sided Facial Numbness Treated with Acupuncture

Trigeminal neuropathy (TNO) presents diagnostic challenges in primary care, often requiring multidisciplinary work-ups to rule out serious etiologies. This case of a 57-year-old female with progressive facial numbness explores Fraternity by integrating traditional family medicine with integrative medicine to enhance outcomes when conventional treatments are limited.A 57-year-old female presented with a one-year history of progressive right-sided facial numbness. A…

Features of medical student education that maximise graduate choice of a career in general practice.

Around the world there is a decline in graduates choosing a career in general practice(GP). This is despite data showing strengthening GP and GP continuity of care leads  to improved health, lower mortality, and reduced healthcare-system costs. Many countries rely on importing GPs from other countries, who provide great value. Ideally capturing home grown doctors   We…

Broadening the Differential: An Atypical Presentation of Graves Disease

Nausea and vomiting are common presentations in family medicine and are often attributed to acute infection, migraine, or self-limiting gastrointestinal illness. When symptoms persist or recur, especially in the presence of competing diagnoses, underlying systemic causes such as hyperthyroidism may be overlooked.We present a descriptive case report of a 39-year-old woman whose diagnosis emerged through…

Ikairos Culture du Soin: an association promoting the mental health of healthcare students. Why are there so few participants ?

Ikairos Culture du Soin is a non-profit organization created in 2023 by Doctors Cloé Brami and Solène Blanchin in response to the deteriorating mental health of healthcare students. Since January 2025, it offers multi-monthly videoconference workshops in mind-body practices. These workshops are led by healthcare professionals and are reserved for health students. Despite regular communication…

General Practice and Judicial Expertise: A Nineteen-Year Experience from Algeria

In Algeria, general practice extends beyond its traditional clinical scope to engage with the judicial domain. Owing to their close relationship with patients and communities, general practitioners provide distinctive credibility and relevance in medico-legal expertise.This work aims to present and critically analyze nineteen years of professional experience in judicial expertise, highlighting the specific challenges encountered,…

Beyond the basics: exploring practical anthropological qualitative methods for everyday general practice.

General practitioners routinely work with clinical situations shaped by social conditions, cultural meanings, chronic illness and ethical tensions. A workshop delivered at WONCA 2025 introduced medical anthropology as a conceptual lens, enabling participants to make explicit forms of reasoning already used implicitly in everyday consultations. Feedback from this workshop raised a recurring question: how can…

Actinomycosis : A Forgotten Chronic Infection About 22 cases in Tunisia

Actinomycosis is a chronic, suppurative, and granulomatous bacterial infection, primarily caused by filamentous, Gram-positive, anaerobic bacilli of the genus Actinomyces. These bacteria, which are commensal flora of the oropharyngeal, digestive, and genital mucous membranes, become pathogenic when the integrity of the barriers is breached. They then cause abscesses, fistulas, and pseudo-tumoral lesions often mistaken for…