[Competences on hypoglycemia management among healthcare professionals in a clinical hospital].

Background: A tight glycemic control of hospitalized patients increases the risk of hypoglycemia, whose management is not always optimal.

Aim: To assess the hypoglycemia management competences of a multidisciplinary team in a clinical hospital.

Material And Methods: An anonymous questionnaire about hypoglycemia management was answered by 11 staff physicians, 42 residents and 28 nurses of the department of medicine and critical care unit ofa university hospital.

[Cognitive impairment probably related to repeated episodes of hypoglycemia. Report of one case].

We report a 78 year-old diabetic woman, treated with gliburide and metformin, consulting in the emergency room for a non fuctuating impairment in consciousness. She had a history of similar episodes in the last two months. A brain CAT scan showed an old putamen lacunar infarction.

[Management of community acquired pneumonia in adults following clinical guidelines at a rural hospital].

Background: A National Consensus Guideline published in 2005 established the basis for the diagnostic, severity assessment and treatment of community acquired pneumonia (CAP) in the adult population. The compliance with pneumonia clinical guidelines has been associated to a reduction in hospital stay healthcare-related costs, morbidity and mortality.

Aim: To describe the management and outcome of non-severe CAP in hospitalized adult patients treated in a rural hospital, based on the national clinical guidelines.

[Fever of unknown origin caused by multiple myeloma. Report of one case].

Fever of unknown origin (FUO) can be caused by tumors, especially those arising from the hematopoietic system. Multiple myeloma can also cause fever but it is not a common cause of fever of unknown origin. We report a 53 year-old man presenting with fever lasting eight weeks.