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Objective: To evaluate the health impact of drug use among patients in care in the psychiatric unit of the University Hospital Center Point G., Method: This was a prospect in description study of drug users admitted to the G-UHC for care. From January to July 2018. It was performed in the Psychiatry Department of the University Hospital Center Point G in Bamako, which is the only structure in Mali that deals with addiction., Results: Our results show that young people in the 20-30 year group were the most affected. Cannabis was the most consumed, followed by Alcohol, and Tramadol Hydrochloride. There were cases of poly-drug abuse as well as new forms of consumption. Drug use has multiple negative consequences on health and social life: addiction, psychopathological disorders., Conclusion: Substance abuse of drugs is a reality that is gaining momentum in Mali. Our study have demonstrated its sanitary impact among patients with adduction. The fight against the use of drugs requires the combined efforts of all the actors involved., (Le comité de rédaction se réserve le droit de renvoyer aux auteurs avant toute soumission à l'avis des lecteurs les manuscrits qui ne seraient pas conformes à ces modalités de présentation. En outre il leur conseille de conserver un exemplaire du manuscrit, des figures et des tableaux.)

General internal medicine is particularly concerned by the shift from stationary to ambulatory care, a shift that unfortunately is more often discussed from an economic perspective than from the angle of evidence. This article presents the results of studies and reviews published in 2019 that investigated the effectiveness of ambulatory instead of stationary care., Competing Interests: Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.

Case-reports, traditionally used in different medical specialties, allow to share important clinical information for the optimization of medical treatment of patients. They typically describe unusual or novel medical observations that may not have been previously reported in clinical studies. This article aims to resume the key aspects of the process of preparing and writing a good quality case-report in order to optimize its interest and its contribution to the medical knowledge. We will review the usefulness of this type of publication, its purpose and its major drawbacks. We will present the CARE guideline, established by a consensus of authors in 2013 in order to standardize the writing of case report studies and allow a qualitative comparison of these articles on objective bases., Competing Interests: Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.

Frontotemporal dementia is a health issue that encompasses different specialties. This type of dementia is underdiagnosed and usually confused initially with psychiatric pathologies. Its clinical aspect as well as its evolution is a challenge for the physician on a daily basis due to the heterogeneity of the various forms. The diagnosis is usually uncertain and the current treatment can only treat the symptoms. The care of the patient and his entourage must be done in a multidisciplinary way. The advancement of research in its later years has brought to light genetic mutations that have led to a better understanding of pathology and pathophysiology. In the near future, these discoveries could lead to new targeted therapies., Competing Interests: Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.

This article provides an update on the evaluation and management of dizziness in older people. It is based on a recent literature review. Indeed, it is a frequent reason to consult a general practitioner. Its clinical presentation is not very specific and its treatment is often challenging. Although dizziness is often benign it can have serious physical, functional and psychological consequences. Thanks to a careful medical history and simple clinical examination tools, general practitioners can make a correct diagnosis and provide early multidisciplinary care that can greatly improve the quality of life of elderly people who suffer from dizziness., Competing Interests: Les auteurs n’ont déclaré aucun conflit d’intérêts en relation avec cet article.

Globally, populations are more and more physically active in western countries, also participating in competitions, even if not professionally. The main goals of the sports preparticipation screening is to detect conditions that may predispose to injuries, may cause sudden death, or trigger worsening in preexisting conditions. In Switzerland, primary care physicians are regularly confronted to it. The requests mainly come from people practicing sports in bordering countries, where the examination is mandatory, or from people concerned with their health. This article reviews the essential points of this examination, mainly consisting in history taking and physical examination. On a cardiovascular point of view, it details the main differences between the European and the American recommendations regarding athletes between 12 to 35 years old and those older.