The influence of inflammatory and fibrotic markers on atrial fibrillation development in patients with arterial hypertension

Arterial hypertension (AH) and atrial fibrillation (AF) are highly prevalent cardiovascular disorders that frequently coexist and represent major public health challenges. AH substantially increases the risk of AF and plays a pivotal role in atrial remodeling; however, the underlying pathophysiological mechanisms remain only partially understood.To evaluate the association between arterial stiffness (AS) and selected inflammatory…

Bridging the Distance: Rural POCUS-Based Diagnosis and Co-Management of Non-Immune Fetal Hydrops

Non-immune fetal hydrops (NIHF) is a rare, life-threatening fetal condition associated with high fetal mortality. Outcomes depend on early recognition, prompt referral, and multidisciplinary management. In rural settings, access to Maternal-Fetal Medicine (MFM) specialists is often limited, making Family Physicians trained in both obstetrics and point-of-care ultrasound (POCUS) critical for early detection and care coordination.A…

Prevalence and severity of anxiety, stress, and depression among adults with long COVID in Barcelona: a cross-sectional study

Some individuals infected with SARS-CoV-2 experience a wide range of mid- to long-term symptoms, a condition known as Long COVID. The long-term mental health consequences of the COVID-19 pandemic are of growing concern, particularly among individuals with Long COVID and cognitive complaints.To explore the presence and distribution of anxiety, depression, and stress in individuals with…

Time motion and patient satisfaction in outpatient department at a government tertiary hospital

Patients’ expectations and efficient management of waiting time in outpatient departments are crucial for better service delivery. Turnaround time encompassing waiting and consultation periods, serves as a benchmark for workforce efficiency. Time-motion studies systematically observe, measure, and analyze time spent on tasks, improving workflow and productivity.To assess patient satisfaction in relation to waiting time until…

Dagok ng Lagok

Caustic chemical ingestion is a significant public health concern. Household bleach (3–6% sodium hypochlorite) is commonly involved in intentional or accidental poisonings. In adults, ingestion is often deliberate and associated with psychosocial stressors, family dysfunction, or mental health challenges, leading to substantial morbidity. This case presents a 35-year-old female who ingested bleach following a family…

Psychotic Depression Initially Presenting With Fatigue and Weakness in Primary Care: A Case Report

Depression is a common psychiatric disorder characterized by depressive mood, anhedonia (loss of pleasure), decreased energy, and impaired daily functioning. In primary care, patients often present with nonspecific somatic complaints such as fatigue or malaise rather than overt psychological symptoms. The continuity of care and comprehensive approach in family medicine enables early recognition of psychiatric…

Beyond Hormones: Family, Faith, and Fertility in PCOS with Hyperthyroidism

Infertility is a complex, multifactorial condition influenced by endocrine, psychological, familial, and social factors. The coexistence of hyperthyroidism and polycystic ovary syndrome (PCOS) significantly disrupts reproductive function through compounded hormonal dysregulation, anovulation, and metabolic disturbances. Social pressures, cultural expectations, and emotional stress further exacerbate the psychosocial impact of infertility, highlighting the need for holistic care…

Persistent postpartum symptoms revealing Sheehan syndrome: a case diagnosed in family practice

Postpartum fatigue and nonspecific symptoms are common complaints in family medicine and are often normalized as part of recovery. However, rare endocrine disorders such as Sheehan syndrome can present subtly and remain undiagnosed, potentially leading to prolonged morbidity. This case highlights the importance of considering endocrine causes in postpartum women with persistent symptoms.A 30-year-old woman…