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…

The impact of attention deficit disorder (ADHD) on the healthcare costs

Attention deficit hyperactivity disorder (ADHD) is characterized by symptoms such as inattention, hyperactivity, and impulsivity, with a significant impact on a person’s overall health and well-being. The impact of ADHD on healthcare costs is limited.The aim of this study is to examine the extent to which a diagnosis of ADHD affects health expenditure.The study group…

Auriculotherapy as an Occupational Health Strategy: Reducing Stress and Pain Among Healthcare Professionals

Healthcare professionals in the Brazilian Unified Health System (SUS) face high levels of stress, anxiety, and musculoskeletal pain due to demanding environments, leading to significant absenteeism. This project was developed at the São Cristóvão Basic Health Unit in Vitória, Brazil, to address the wellbeing of the unit’s own workforce through Integrative and Complementary Practices (PICS)The…

A Novel Machine Learning–Based Model to Support Shared Decision-Making for Early Identification of Esophageal Variceal Bleeding Risk in Primary Care Patients With Non–Cancer-Related Cirrhosis

Chronic liver disease (CLD) is highly prevalent in XXX and commonly managed in primary care and shared-care settings. Esophageal variceal bleeding (EVB) is a severe and potentially fatal complication of advanced CLD that often presents unpredictably and substantially affects quality of life and end-of-life care. For family physicians, early identification of patients at high risk…

Beyond a “familiar dysmenorrhea”: Acute appendicitis identified in primary care – A case-based reflection

Dysmenorrhea is a common reason for consultation in primary care among women of reproductive age. This case highlights the importance of combining history-taking and physical examination to detect an underlying surgical pathology in pain perceived as “habitual” by the patient.A 25-year-old woman presented to a family medicine clinic with a complaint of dysmenorrhea. She reported…

Recurrent urinary tract infections in a pediatric patient: indications for further diagnostic evaluation in primary care

Urinary tract infections (UTIs) are among the most common bacterial infections in pediatric patients and a frequent reason for primary care consultation. While isolated episodes are usually managed empirically, recurrent UTIs may indicate underlying anatomical or functional disturbances. Functional bowel–bladder dysfunction, particularly constipation, is increasingly recognized as a reversible risk factor, especially in female pediatric…

Silent Murmurs, Slurred Words: Dysarthria as a Harbinger of Stroke in Rheumatic Heart Disease: A Case Report in Cauayan District Hospital

Rheumatic Heart Disease (RHD) remains a significant yet underrecognized cause of cardioembolic stroke in low- and middle-income countries. Subtle neurological symptoms such as dysarthria may represent early warning signs of acute ischemic stroke, particularly in patients with longstanding valvular disease and atrial fibrillation. Early recognition is crucial, especially in primary-level hospitals where diagnostic and specialist…