https://www.ijojournals.com/index.php/hsn <p><strong><em>IJO - International Journal of Health Science and Nursing&nbsp;( ISSN: 2814-2098 ) </em></strong><em>focusing on the exchange of knowledge in nursing and health sciences, particularly between the East and West. It has international authorship, readership, and the Editorial Board. The following topics covered (but not limited to):</em><br><em>Psychiatric and mental health nursing, Learning disability nursing, Pediatric nursing, Geriatric nursing, Nursing of people in acute care and long term care institutional settings, Home health nursing, Community and Homecare, Critical and emergency care, Advanced nursing practices, Maternity and Women's health, Yoga and Physiotherapy&nbsp;</em></p> IJO JOURNAL en-US IJO - International Journal of Health Sciences and Nursing ( ISSN: 2814-2098 ) <p>Author(s) and co-author(s)&nbsp;jointly&nbsp;and severally represent and warrant that the Article is original with the author(s) and does not infringe any&nbsp;copyright or violate any other right of any third parties and that the Article has not been published&nbsp;elsewhere.&nbsp;Author(s) agree to the terms that the <strong>IJO Journal</strong> will have the full right to remove the published article on any misconduct found in the published article.</p> https://www.ijojournals.com/index.php/hsn/article/view/1268 <p>Refusal of care constitutes a major medico-legal issue in the Democratic Republic of Congo (DRC), creating tension between the principle of patient autonomy and the professional obligations of physicians, particularly the duty to provide assistance and continuity of care. This study aims to analyze the legal and ethical conditions under which a physician may withdraw from a case of refusal of care in the DRC. It examines the Constitution, the Penal Code, and the Congolese Code of Medical Ethics, drawing on a comparative approach with the medical codes of ethics of France, Belgium, Côte d'Ivoire, and Senegal, and supplementing this with an understanding of ethical principles in Anglo-Saxon contexts, particularly in the United States and the United Kingdom.</p> <p>Based on a documentary analysis of normative texts and scientific literature, it emerges that Congolese law implicitly recognizes refusal of care and the physician's right to withdraw, but within a fragmented and insufficiently codified framework. The study highlights the value of legislative reform aimed at formalizing the refusal of care, securing medical withdrawal, and strengthening continuity of care, drawing on international standards and the medical ethics codes of European and African countries studied in comparative law. (Constitution of the DRC, 2006; Ordinance 70-158, 1970; Penal Code of the DRC, 1940; French High Council for Public Health [HCSP], 2014).Refusal of care</p> Joseph Anovel Mbahigana Marcellin Baguma B Mohamed Luzingu Eyenga Iteke Fefe Rivain ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0/ 2026-04-08 2026-04-08 9 04 01 12 https://www.ijojournals.com/index.php/hsn/article/view/1269 <p>Posterior reversible encephalopathy syndrome (PRES) is a clinical-radiological entity characterized by the association of neurological clinical signs. The most common causes are hypertensive encephalopathy, renal failure, immune suppressants, infections and systemic diseases. The clinical course is most often favorable with a more or less rapid and usually complete improvement of clinical signs and a disappearance of radiological images. We report a case of a 61-year-old chronically hypertensive patient who presented with a clinical picture of confusion, in whom brain CT (computed tomography) revealed images suggestive of an PRES. The evolution was quickly favorable under antihypertensive treatment.</p> Iteke Fefe Rivain Bugeme Baguma Marcellin Jacques Musung Mbaz Franck Omangelo Shongo Kumwimba Kahenga Asher Muyumba Kiyana Emmanuel ##submission.copyrightStatement## https://creativecommons.org/licenses/by-nc-nd/4.0/ 2026-04-08 2026-04-08 9 04 13 16