The Diagnosis of Hereditary Angioedema: Family Caregivers' Experiences.

The aim of this study was to understand the experiences of family caregivers in the process of diagnosing hereditary angioedema. An interpretive and qualitative research methodology based on Gadamer's philosophical hermeneutics was carried out. Data collection took place between May 2015 and August 2016 and included a focus group and in-depth interviews with 16 family caregivers. Two themes define the experiences of family caregivers: "Family life focuses on identifying the problem" and "Discovering and coping with a complex diagnosis." The process of diagnosis generates fear, anxiety, uncertainty, and incomprehension. Family caregivers are the main support for patients diagnosed with hereditary angioedema. As they share in the patients' suffering, they need a diagnosis to be established to be able to cope with the disease and offer support. Family health nurses can contribute to improving the coping process in this phase of the disease.

Cultural Issues in the Provision of Emergency Care to Irregular Migrants Who Arrive in Spain by Small Boats.

INTRODUCTION: The European Union receives one third of the world's migrant population who cross the Mediterranean Sea in small boats and arrive illegally in Europe. Irregular migrants (IMs) are persons who do not have legal permission, documentation, or refugee status and are not authorized to enter or stay in a given country. More than half a million IMs arrive in the European Union by sea creating serious public health issues in Greece, Italy, and Spain, thereby needing emergency care. The purpose of this study was to describe and understand the experiences of IMs who arrive in Spain by small boats in terms of cultural issues surrounding the provision of emergency care. METHOD: A qualitative study based on Gadamer's phenomenology was used. Data were collected between 2015 and 2018 using 12 in-depth interviews of IMs. RESULTS: Three main themes arose: "IMs driven by a culture of emigration in countries of origin," "Facing risk in search of a better life," and "The need for cultural adaptation in emergency care." DISCUSSION: Biopsychosocial and cultural needs must be addressed when providing emergency care to IMs who arrive in Europe by small boat. IMPLICATIONS: Nurses can help adapt and restructure cultural practices in the emergency care provided to IMs.

Cromomicosis en paciente inmunodeprimido / Chromomycosis in an immunosuppresses patient

Las micosis cutáneas profundas son infecciones crónicas, provocadas por la inoculación traumática en dermis y tejido celular subcutáneo de diversas especies fúngicas. La incidencia es baja en nuestro medio y la mayor parte de los casos ocurren en regiones tropicales y subtropicales. La esporotricosis, el micetoma y la cromoblastomicosis constituyen las micosis subcutáneas más comunes. Presentamos el caso de una mujer de 73 años, en tratamiento inmunosupresor tras someterse a un trasplante cardíaco, que presentaba una úlcera traumática en tercio inferior de pierna izquierda de 9 meses de evolución. Los estudios histológicos y microbiológicos permitieron establecer el diagnóstico de cromomicosis. La respuesta a itraconazol oral fue favorable, obteniéndose una curación completa tras 3 meses de tratamiento (AU)