[Waldenström's macroglobulinemia with an uncommon presentation].

Waldenström's macroglobulinemia is a rare disease with an indolent clinical course. The median age of the affected patient is 65 years. Nevertheless, we report a case of Waldenström's macroglobulinemia revealed by a splenomegaly and severe pancytopenia, in a 51-year-old man without previous medical history.

[ROC (receiver operating characteristics) curve: principles and application in biology].

Laboratory test's diagnostic performances are generally estimated by means of their sensibility, specificity and positive and negative predictive values. Unfortunately, these indices reflect only imperfectly the capacity of a test to correctly classify subjects into clinically relevant subgroups. The appeal to ROC (receiver operating characteristic) curve appears as a tool of choice for this evaluation.

[Drug interference with the determination of urinary proteins with pyrocatechol violet Upro Vitros slides].

The purpose of this study is to investigate drug's interference on proteinuria's determination with pyorcatechol violet (Vitros technology). Five drugs were selected: gelatin based vascular replacement fluids (Plasmion), deferoxamine (Desféral), ceftriaxone (Rocéphine), ceftazidime (Fortum) and imipeneme (Tienam). To state precisely the role played by slide's technology, a liquid phase dosage was simultaneously made with pyrocatechol violet.

[Contribution of the laboratory to the evaluation of brain-dead patients for obtaining organs from dead individuals].

The removal organ in order to transplantation is realized often for patient deceased. It was regulation activity that passes in urgency context where laboratory play an important role. The biochemistry, immunology, haematology, toxicology and microbiology analysis allows the validation of the donors, the supervision of the functional quality of organ and the definition of the best couple donor-recipient.

[Direct determination or estimated value of plasma ionized calcium : indications and limits].

Calcium plays a fundamental role in many essential for life functions. Ionized calcium (Ca(++) ) represents free fraction and 50% of the total calcium in the plasma is accepted as its physiologically active form. On almost all laboratories, only total calcium is routinely measured, and ionized calcium concentration is calculated based on calcium, protein or albumin concentrations for many plasma sample or with others parameters like pH.