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

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…

Moderate-to-high fatigue severity as an independent correlate of muscle strength and endurance among Hospital Employees

Fatigue is highly prevalent among healthcare workers and is associated with impaired health, reduced productivity, and increased occupational risk. Fatigue assessment using standardized scales may provide a practical approach for identifying workers at risk of functional decline and guiding workplace health promotion strategies. However, its association with objectively measured physical fitness remains unclear in occupational…

Unnoticed intrauterine device migration into the pelvis: a case report

Intrauterine devices (IUD) are a widely used and reliable long-acting contraceptive method, favored for their convenience and cost-effectiveness, and commonly inserted by family physicians in Portugal. Although uterine perforation is one of the most serious complications associated with IUD use, it remains rare and may be clinically silent. Following perforation, the device may migrate and…

Harmonizing Health: An Innovative Active Music Methodology for Sepsis Awareness and Health Promotion in Primary Care Communities

Sepsis is a life-threatening condition with significant public health implications. Despite its severity, public awareness remains low. This project aimed to increase community awareness about sepsis while promoting overall health literacy using an innovative active music methodology. The initiative aligns with broader health promotion goals, emphasizing preventive measures and early intervention strategies in primary care…

Relationship Between Regular Primary Care Physician Access and Uptake of Preventive Health Services Among Public Rental Housing Residents

Preventive services reduce disease burden, yet uptake remains suboptimal among public rental housing residents. Continuous contact with a regular primary care physician may influence preventive services engagement, but this association remains under-characterised in Singapore’s rental-flat communities.To examine associations between having a regular primary care physician and uptake of preventive services, including colorectal screening, mammogram, general…

Stories That Teach: Using Literary Texts for Professional Development in Family Medicine

Narrative Medicine and the field of Medical Humanities highlight the role of literature and writing in understanding the experiences of patients and physicians, fostering reflection, and shaping professional identity. These dimensions are increasingly recognized as essential in medical education, as they contribute to resilience, empathy, and a sustained sense of meaning throughout a medical career.…

Evaluation of the relationship between professional quality of life and smartphone addiction among family medicine residents

Family medicine residents work under high clinical workload, emotional demands, and continuous accessibility requirements, which may adversely affect their professional quality of life. With the integration of smartphones into clinical practice, physicians are increasingly exposed to work-related digital demands beyond working hours. Excessive and problematic smartphone use has been associated with burnout and psychological distress…

Sudden cardiac death risk in athletes: a primary care reflection on screening challenges

Sudden cardiac death (SCD) is a catastrophic event that can occur in apparently healthy athletes, often during training or competition. Despite advances in diagnostics, SCD remains a major public health concern, underscoring the critical role of primary care in prevention, risk stratification, and early detection. Primary care clinicians are frequently responsible for pre-participation evaluations, yet…

A 12-week Randomized Double-Blind Clinical Trial, Evaluating the Effect of Lithospermum erythrorhizon (Gromwell) Root Extract on Skeletal Muscle Function in Adults over 50 Years of Age

Lithospermum erythrorhizon (gromwell) root contains shikonin derivatives with anti-inflammatory and antioxidant properties, and preclinical studies have suggested protective effects on muscle tissue. However, clinical evidence in humans remains limited. Given that age-related loss of muscle strength contributes significantly to functional decline in older adults, effective and safe nutritional interventions are needed.This study aimed to evaluate…

”Breathing Hope” Holistic Care for a Child with Probable Hurler Syndrome with Recurrent Pneumonia

Hurler Syndrome is a rare lysosomal storage disorder with progressive multisystem involvement. Respiratory complications, particularly recurrent pneumonia, are a major cause of morbidity in affected children. These complications are often magnified in low socioeconomic settings where access to healthcare resources, preventive services, and continuity of care are limited. This family case highlights the interaction of…