[Description of sexual practices of women who have sex with other women to HIV / AIDS in Abidjan (Côte d'Ivoire)]. / Description des pratiques sexuelles des femmes ayant des rapports sexuels avec d'autres femmes face au VIH/sida à Abidjan (Côte d'Ivoire).

The response to HIV must be based on all situations of risk and vulnerability related to sexual behavior. Sexual practices of women who have sex with other women to HIV described in his study come within this framework. This transversal and descriptive study on the sexual practices of 150 women who have sex with other women to HIV was conducted from July to September 2010 in Abidjan. Mean age of the respondents was 26.6 years. Among them, 21.3% was illiterate, 41.4% had no earned income and 57.3% was Christians. At the time of data collection, the majority (70.7%) did not know their HIV status. The analysis of sexual practices has found 13.3% of lesbians, bisexual, 36% and 50.7% of women who say they are lesbian even if they have had sex with men. Women who have sex with other women had sexual risk behavior. It was mostly the non-systematic use of the condom during sexual relation (60%). Among the 26.7% of respondents who had lesbian practices with penetration, 40% took no precaution to prevent HIV and other sexually transmitted infections. Taking into account these results could help to develop specific strategies to promote responsible sexual practices among women who have sex with other women.

[Beriberi, recurrent nutritional disease in a detention house in Côte-d'Ivoire]. / Le béribéri, maladie nutritionnelle récurrente en milieu carcéral en Côte-d'Ivoire.

As a re-emerging disease, beriberi caused by a lack of thiamine in food threatens more and more prisons in developing countries. Indeed in 2008, a beriberi epidemic occurred in a detention house of Côte-d'Ivoire called Maca. The goal of our retrospective investigation was to describe this epidemic in order to improve prisoners' health. The study related to 131 subjects, 64% of cases affected (N = 205). The total rate of beriberi attack was estimated at 38.6‰. The mean age was 33; all patients were male and they were detained in "Batiment C" (70.2%), synonymous with heavy punishment. They spent about 28.1 month in Maca. The clinical symptoms were neurological signs (swarming: 41%) and cardiovascular signs (dyspnoea: 42%, thoracic pain: 35%). Half of the patients (51%) presented oedemas of the lower limbs. The rate of healing was about 97% when patients followed treatment. Providing good nutrition to the prisoners and the distribution of vitamin complements will avoid other epidemics.

[First therapeutic recourse of the teenagers received to the service of Mental Hygiene of the INSP of Abidjan]. / Premier recours therapeutique des adolescents reçus au Service d'Hygiene Mentale de l'INSP d'Abidjan.

INTRODUCTION: The care of health in Africa is characterized more and more by an increasing offer, as well by its volume as by the diversity of its forms ("traditional" care, practise therapeutic related to the religion, medicine of the Western type). The request for psychiatric care is high at the teenager (25.34%) and causes the description of the therapeutic route of the teenagers to the Dispensary of Mental Hygiene. MATERIAL AND METHODS: The exploratory study with descriptive aiming proceeded with the Service of Mental Hygiene of the INSP of Abidjan of July 1 at November 31, 2005. The data socio epidemiologic, clinical, paraclinic and therapeutic were analyzed at 27 teenagers received in ambulatory consultation in 2004. RESULTS: It arises from the structured interviews, the following observations: a male prevalence (66.7%); the majority of the teenagers (63%) was pupils and students, of Christian religion (55.6%); 63% of the teenagers were referred by their families frequently for are delirious (22.2%) and insomnia (22.2%); a prevalence of the schizophrenic subjects (40.7%) followed disorders of mood 25.9%; No patient had had resort as a first intention with the DHM; the first recourse being dominated by the tradithérapie (33.3%) followed centers of conventional care (25.5%) and churches and camps of prayers (18.5%). CONCLUSION: He comes out from this study that the profile of the teenagers was of male sex, for the majority of the pupils and the students. Also, the majority of the patients were referred by their family and schizophrenia represents principal pathology. The tendency to choose in first resort the healers should challenge the authorities on the need into practice for putting recommendations of consensus to improve the mental health of the teenagers.