[Nursing at the heart of advanced practice].

The posture of the advanced practice nurse (APN) is based on clinical leadership. Their missions contribute to improving the quality of care provided to patients and their families, as well as to deploying the skills of health professionals. It bases its clinical approach on nursing sciences.

[A nurse in an emergency department in French Guiana].

Invited by a member of her family living abroad, Charline Routier, a recently qualified nurse, worked for three months in French Guiana. Working with the teams of Cayenne hospital, she discovered pathologies and treatments which were different from those seen during her initial training. Testimony.

[A cyber lounge to reinforce elderly people's social ties].

Contact with family and friends is essential for elderly people. A multi-professional working group studied ways in which these social and family ties could be reinforced in nursing homes. By using new communication technologies, a "cyber lounge" project using the internet has been established in Fontainebleau's hospital centre.

[A case of Leber's neuroretinitis].

Background: Described in 1916 by Theodore Leber, this rare syndrome characterized by low visual acuity, papillary edema, and a macular star (dry exsudates) occurs classically in the 30 to 40 year age range but also as frequently in children. The visual prognosis is excellent. An infectious cause is found in almost all cases.

Cytochrome c oxidase deficiency presenting as recurrent neonatal myoglobinuria.

Markedly reduced cytochrome c oxidase (COX) activity was found in cultured skin fibroblasts of an infant with recurrent episodes of acute myoglobinuria, hypertonia, muscle stiffness and elevated plasma levels of sarcoplasmic enzymes (creatine kinase 96950 U/l, normal below 150) since the age of 3 weeks (COX activity: 36 nmol/min/mg protein; normal 65-440; COX/succinate cytochrome c reductase ratio: 1.4, normal 3.0 +/- 0.

[Aorto-arteriography of the legs in the elderly. Tolerability and value. Report of 100 tests carried out consecutively in patients over 70 years of age].

Over a period of 4 years, we have studied 100 consecutive cases of arteriographies, realized out of emergency, and concerning patients age 70 and above (average age 77). In 2/3 of cases, the arteriography was requested for a stage IV arteriopathy of the inferior limbs, the other 1/3 being equally distributed between stage II and III. On the technical plan, the femoral pathway with retrograde catheterization was mostly performed because femoral pulses were correct in most cases.