[Health in prison: shared vulnerability between detainees and health professionals]. / Santé en milieu pénitentiaire: vulnérabilité partagée entre détenus et professionnels de la santé.

In prison, the health professional has to take the sanitary needs of a temporary of chronically vulnerable population. His practice has to meet laws and recommendations, as well as the field reality and its numerous constraints. This puts him in a "shared vulnerability and stigmatization". He attempts to maintain or restore a health status in a deteriorating environment, at least psychologically. He is in the penitentiary world's eye which he depends upon in many ways to achieve his mandate. His activity is scarcely known and recognised by his peers from whom he can be very out of touch. To ensure a humanistic, efficient and equivalent-of-care practice, the health professional must rely on sound knowledge of general healthcare, ethics, deontology and medical laws. Basic and continuous training is a mainspring, like networking and development of federal recommendations.

[Home-based nocturnal oxymetry by the primary care practitioner]. / Oxymétrie nocturne au cabinet du médecin de premier recours.

Sleep-related disordered breathing is frequent and associated with high morbidity and mortality, thus representing a public health problem. Sleep apnea-hypopnea syndrome (SAHS) is sorely under-diagnosed. Our questioning was about the usefulness of a home-based overnight oxymetry organised by the primary care physician (PCP) for SAHS detection. It appears from our review that patients with snoring and excessive daytime sleepiness can benefit from this tool. Oxygen desaturation index less than 5/h does not rule out SAHS but makes it very unlikely. In accordance with the symptoms, one should refer the patient for complementary investigation. Besides detection, PCP has an important role to play in partnership with the pneumologist in helping the patient to cope with his respiratory device and contributing to treatment com-

[Relevant publications in ambulatory general internal medicine in 2007]. / Médecine interne générate ambulatoire: quelques enseignements de la littérature.

Screening procedures for genital Chlamydia infection, cancer risks linked to oral contraceptives, indications and efficacy of HPV vaccination, and diagnostic tools for celiac disease in adults; these are just a few of the general practice themes that were reviewed and analysed in 2007 by residents and chief residents at the Community medicine and primary care Service of the Geneva University Hospitals. These commented summaries, intended for all our colleagues, constitute Geneva's contribution to the literature data base initiated in 2005 by chief residents in Lausanne.