[Health promotion: a relevant concept for a management and organizational dynamics tool in the restructuring of a geriatric hospital].

Introduction: The financial difficulties encountered by Martinique hospitals has led to restructuring of the territory's medical project with the merger of three healthcare facilities. These new constraints impacting the work environment with organizational consequences in services.

Methods: A management experiment was attempted in a geriatric day care hospital based on the use of health promotion concepts.

[A memory outpatient clinic in Martinique].

The ageing of the population is resulting in a growth in chronic physical and/or psychological pathologies, including Alzheimer's disease which progresses relentlessly with age. Lamentin hospital in Martinique has created a memory outpatient clinic in order to accelerate awareness raising, training and diagnosis.

[A memory consultation clinic, an asset for Alzheimer's disease].

In the face of an ageing population and the significant prevalence of neurodegenerative diseases, a team of doctors from the Lamentin general hospital in Martinique has set up a memory clinic. Its objective is to reach out to and inform the public in order to encourage screening and early diagnosis. Treatment and support also form part of its missions.

Acute stroke in the very elderly: epidemiological features, stroke subtypes, management, and outcome in Martinique, French West Indies.

Background And Purpose: Stroke incidence increases with increasing age and has an impact on daily living in many areas. With increasing life expectancy, old people will constitute the majority of stroke victims. We present the first stroke study focusing on very old patients in a black Caribbean population (Martinique, French West Indies).

[Thyrotoxic periodic paralysis: two new cases in Blacks].

Introduction: Thyreotoxic hypokalemic periodic paralysis (THPP) has mainly been described in Asian people. It is rare in Caucasians, and only 12 cases were reported in Blacks.

Exegesis: We report two cases of THPP in black patients.

[Acute renal insufficiency and cerebral infarction during high-dose intravenous immunoglobulin therapy].

Introduction: Side-effects of immunoglobulins administered via the intravenous route are usually minor. However, acute renal failure and more rarely thrombotic events, including ischemic stroke, have been reported in association with immunoglobulin infusion. To our knowledge, no case of both acute failure and stroke following immunoglobulin has been described until now.