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This reflective piece will explore the importance of peer coaching as a tool to support studies, while also addressing the isolative nature of not just doctoral study but also in the authors’ wider professional leadership lives. As we all face an extended period at home (and for Lacey and Kerry this means also juggling caring responsibilities and home schooling) the reflective piece will examine how this peer coaching relationship has enabled them to navigate COVID-19, re-constituting themselves as leaders in a spatially and temporally different environment.

Falls are a common cause of serious injury and injury-related death in the older adult population, and may be associated with multiple risks such as age, history of falls, impaired mobility, balance and gait problems, and medications. Sensory and environmental factors as well as the fear of falling may also increase the risk of falls. The purpose of this article is to review current best practice on screening fall risks and fear of falling, fall prevention strategies, and fall prevention resources to assist gerontological nurses in reducing falls by their older adult clients.

A 56-year-old man was referred to the neurology service by his general practitioner for further management of his migraine. His symptoms had begun 6 years earlier with a fairly sudden onset headache on waking with associated nausea, vomiting, photophobia and neck stiffness. He was admitted to hospital under the general internal physicians; a CT brain scan was normal. He declined a lumbar puncture. He improved over 3 days and was discharged with a presumed diagnosis of viral meningitis. However, shortly afterwards he began to experience stereotyped headaches, which continued over the ensuing 6 years, about three attacks per week, with up to 2 weeks between attacks. He described the attacks as beginning with ‘lights floating’ in front of his eyes; he couldn't clearly recall if this was monocular or not. He also volunteered a description of ‘white patches floating in front of my vision’. These progressed in intensity over 20 min and then improved, always within an hour. This was then consistently followed by an evolving, throbbing headache, generally focused retro-orbitally on the left, frequently extending posteriorly to the vertex and occiput and also on occasion involving the right side. It would worsen over around 30 min to a severe throbbing pain during which he would lie or sit still. There was associated profound nausea, frequently with vomiting, photophobia and phonophobia. Typical headache duration was around 4 h, with a maximum of 7 h. The only triggers he recognised were coitus, when he would get an attack shortly after orgasm, and ‘artificial light’. There were no additional features, in particular any red eye, tearing, rhinorrhoea or nasal stuffiness. Between these attacks he was entirely headache free, with no systemic, neurological or visual symptoms. There was a background of …

Editor,—Sympathetic ophthalmia with deafness has been reported rarely.12 We describe one such case and explore a hypothesis whereby genetic susceptibility may be associated with cross reactivity of antigens derived from common neural crest tissue. ### CASE REPORT A 72 year old woman who had previously undergone a left trabeculectomy had a fall in which she sustained a Colles fracture and a left total hyphaema. By 14 days the blood had cleared sufficiently to reveal that she had expelled the entire left iris into the trabeculectomy bleb, with extensive dispersion of uveal pigment into the subconjunctival space. She was also found to have dislocated the lens, and had sustained a choroidal detachment (confirmed by ultrasonography). A non-granulomatous anterior uveitis was noted in the left eye at this time. The initial visual acuity was light perception in the left eye and 6/12 in the right eye. On the 25th day after the original injury, she experienced pain and blurring of vision in her right eye, with the simultaneous onset of …

Morphometric analyses of the right ventricular papillary muscle, as well as measurements of right ventricular pressure and weight, were carried out in the rat during the development and recovery of hypoxic pulmonary hypertension. Animals were divided into hypoxic and normobaric control groups. The hypoxic rats were placed in hypobaric chambers for 1, 2, and 3 wks; and after 3 wks exposure, subgroups of hypoxic rats were allowed to recover in normoxia for 1 to 9 wks. Hematocrit (HCT) and right ventricular systolic pressure (RVSP) were measured prior to sacrifice. The heart was perfused, and the right ventricle (RV) was separated from the left ventricle and septum (LV+S) and weighed. The papillary muscles were dissected and processed for ultrastructural morphometry. Results showed that HCT, RVSP, and RV weight increased in the rats during the hypoxic exposure and then gradually returned to control levels after 3 to 4 wks of normobaric recovery. The papillary muscle of the hypoxic rats showed increased volume density of interstitium, increased diameter and cross sectional area of the cardiac myocytes, reduced volume density of mitochondria, and reduced mitochondria to myofilament ratio. During normoxic recovery, these morphometric indices returned toward control values at various periods of time ranging from less than 3 wks to 9 wks. The results indicate that the adaptive ultrastructural changes of the papillary muscle in RV hypertrophy paralleled the RVSP changes, and also demonstrate the reversibility of these changes in ambient oxygen.