[Diagnosis of possession by a djinn in a transcultural consultation].

The transcultural approach is indicated for complex cases where the cultural dimension is useful in fully understanding a problem. The cultural coding of certain symptoms, such as trance or possession, can be difficult to achieve in conventional individual therapy. The clinical case of Aïcha, originally from Morocco, referred by her psychiatrist for a transcultural opinion, illustrates a reflection on diagnostic elaboration in the face of possession by a djinn.

[ETP and transcultural clinics in health centers in French Guiana].

French Guiana is a "transcultural world" in its own right, with its indigenous "inland" populations, highly isolated from the healthcare system, more affected by chronic cardiometabolic and infectious diseases than either the coast or mainland France. Transcultural clinics and therapeutic patient education (TPE) therefore play a key role. French Guiana is a pioneer in TPE, health mediation and the practice of "outreach" via local hospitals, delocalized specialty consultations and so on.

[The question of cultural transference and countertransference in transcultural clinical practice].

Through a clinical analysis of the cultural transfers and counter-transfers at play in the exchange between a nurse and a young unaccompanied minor, the authors propose a reflection on the question of transcultural encounters in healthcare. What recognition should be given to otherness, so as not to reduce the other to his or her difference, but rather to support him or her in the construction of an identity at the heart of the issue of métissage?

Gut Microbiota, Bacterial Translocation, and Stroke: Current Knowledge and Future Directions.

Stroke is one of the most devastating pathologies in terms of mortality, cause of dementia, major adult disability, and socioeconomic burden worldwide. Despite its severity, treatment options remain limited, with no pharmacological therapies available for hemorrhagic stroke (HS) and only fibrinolytic therapy or mechanical thrombectomy for ischemic stroke (IS). In the pathophysiology of stroke, after the acute phase, many patients develop systemic immunosuppression, which, combined with neurological dysfunction and hospital management, leads to the onset of stroke-associated infections (SAIs).