Perception des institutions de sécurité et de justice par les abidjanais

Cette étude vise à connaître la perception et la représentation induite des institutions de sécurité et de justice ivoiriennes par les abidjanais. Les théories de la motivation, notamment celle du contenu motivationnel ont été utilisées pour comprendre le jugement des abidjanais. Un questionnaire et des entretiens ont permis de recueillir des données dont l’analyse relève une image négative du système de sécurité et de justice ivoirien qui s’est progressivement construite dans la conscience de la population. Cette dépréciation du système est motivée par les différentes expériences d’insatisfaction et autres griefs à l’endroit du système et de ses agents. This study aims at knowing the Abidjanian perception and the induced representation of Ivorian institutions of security and justice. We used theories of motivation, in particular the one concerning motivational content, in order to understand the Abidjanian judgments. Data from a questionnaire and some interviews have provided information that highlight a negative image among citizens of the Ivorian system of security and justice. This discrediting of the system is mainly the result of different dissatisfaction experiences and other complaints towards the system and its agents.

Free-Floating Thrombi in the Right Atrium Causing Pulmonary Embolism

A 74-year-old man presented to our Emergency Department with acute dyspnoea. His electrocardiogram showed atrial flutter with 2:1 block and a rate of 150 bpm. Initial investigations revealed a D-dimer level of 6.01 mg/dl. Based on the patient’s complaints and the high D-dimer level, computed tomography pulmonary angiography was immediately performed. This showed no evidence of pulmonary embolism, but there were pneumatic changes in the right upper lung lobe. Antibiotics treatment was started with pipracillin/tazobactam, after which the patient’s condition improved. However, on the third day after admission he developed acute dyspnoea, diaphoresis and cardiopulmonary instability immediately after defecation. To promptly confirm our clinical suspicion of pulmonary embolism, a transthoracic echocardiography was carried out. This demonstrated a worm-like, mobile mass in the right heart. The right ventricle was enlarged, and paradoxical septal motion was present, indicating right ventricular pressure overload. The systolic tricuspid valvular gradient was 56 mmHg. The patient was treated with thrombolysis. His condition was greatly clinically improved after 3 hours. After 10 days of hospitalization, the patient was discharged.

Guillain-Barré Syndrome with Absent Brainstem Reflexes: a Case Report

A 41-year-old man was admitted to an intensive care unit following respiratory arrest. One day prior to admission, he had complaints of nausea and pain involving lower limbs. On the night of admission he developed diplopia, dysphagia, and rapidly progressive quadriparesis. He developed respiratory failure requiring mechanical lung ventilation 24 hours later. On the fifth day of hospital stay the patient became comatose with absent brainstem reflexes and appeared to be brain dead. The cerebrospinal fluid showed albuminocytological dissociation. The electroencephalogram revealed an alpha rhythmical activity. The electrophysiological evaluation revealed an inexcitability of all nerves. Guillain-Barré syndrome was suspected. With supportive treatment the patient had a remarkable recovery and now is able to independently conduct his daily activities.

Unexpected Complication of a Multinodular Goitre

Multinodular goitre is the most common thyroid gland disorder. It can cause hyperthyroidism and mechanical complaints such as tracheal compression or dysphagia. We report a unique case of a patient with a toxic multinodular goitre presenting with a deep venous thrombosis of the left arm due to direct local compression of blood flow.