BackgroundIn the province of Tarragona (Spain), 24% of immigrants come from countries in the Maghreb. 40% of Maghrebis residing in Spain say their linguistic command of Spanish is inadequate, which could hinder their relationship with healthcare professionals. The use of minors as translators by health services is a fairly common practice. The suitability of using children as translators has been questioned, although there has been little specific research on the subject and most has been from the perspective of professionals. The aim of this study was to qualitatively analyze the discourse of Maghrebi adults to the use of Maghrebi minors as translators in the health services.MethodsA qualitative study using 12 in-depth interviews and 10 focus groups with Maghrebi adults living in Tarragona. The scope of the study was primary healthcare and hospital services in the area. A content analysis was performed using open coding.ResultsThe practice studied is attributed to a lack of funding for translation resources, and prioritization of adults’ work over children’s education. It is seen as a convenient solution to the community’s communication problems, although it is considered unreliable and detrimental to the rights of the child. The attitudes of healthcare professionals to the phenomenon studied varies from acceptance without any ethical concerns to concern about its effects on the child. The solutions proposed are the organization of translation resources with a proactive approach which are adapted to real needs, and a change in the focus of language training activities for the adults in the community.ConclusionsIt is necessary to reconcile access to healthcare for Maghrebi adults with the rights of children who act as translators in the healthcare context. This requires coordination between health and educational institutions, changes in the organization and provision of translation resources, and a guarantee that immigrants have employment rights under the same conditions as Spanish nationals.

RESUMENEl objetivo del presente escrito es realizar una amplia revisión sobre el tema de SDRA, complementándolo con el reporte de un caso tratado en Admisión Continua del Instituto Mexicano del Seguro Social, Hospital General «Gaudencio González Garza» Centro Médico Nacional «La Raza», enfocándonos en la importancia de esta patología y las opciones terapéuticas que se pueden aplicar en Urgencias. La recopilación de datos se realizó de los artículos más relevantes en el buscador PubMed y en la base de datos de Cochrane. Resultados: El SDRA es un tipo de proceso infl amatorio difuso que lleva a incremento de la permeabilidad vascular, incremento del peso y disminución de las zonas ventiladas del tejido pulmonar generando hipoxemia. Conclusión: La ventilación pulmonar en posición prono y la ventilación protectora disminuyen de manera signifi cativa la mortalidad en pacientes con SDRA grave, siendo factible el uso de estas estrategias en Urgencias.Palabras clave: Ventilación en posición prono, SDRA, Berlín, infl uenza, hipoxemia, ventilación protectora. ABSTRACTThe objective of this paper is to conduct a comprehensive review on the subject of ARDS, complemented by the reporting of a case that was treated in Admission Continuing, Mexican Institute of Social Security, Hospital General «Gaudencio González Garza» National Medical Center «La Raza», focusing on the importance of this disease and the treatment options that can be applied in emergencies. The data collection was carried out in the most relevant articles in the PubMed search engine and database of Cochrane. Results: ARDS is a type of diffuse infl ammatory process leading to increased vascular permeability, increased weight and decreased tissue ventilated lung areas causing hypoxemia. Conclusion: Pulmonary ventilation in the prone position and protective ventilation signifi cantly reduce mortality in patients with severe ARDS, being feasible to use these strategies in emergencies.

Introduction: The Roma community is the largest ethnic minority in Spain, Central and Eastern Europe. As an ethnic group is characterized by a series of cultural elements that shape its ethnic content, its own cultural baggage that distinguishes it from other groups with which it comes into contact. Provide health care services that generally do not address cultural considerations.Aim: to have a greater understanding of the health of the European Roma and his personal view on the concept of health and illness in order to provide an effective tool to help nurses to provide proper care from a multicultural perspective.Method: In the first search was conducted a review of the literature published over the past 30 years in the databases PubMed, Cuiden, Scopus, Cinalh, Index, Spanish physician, ISOC-CSIC and multicercador URV. In a second search used the metasearch "google. com" and "metacrawler.com".Results: We found 102 articles related to the subject to revision of which 13 were considered crucial for providing useful information relevant to the review study. The topics covered were referring to genetic diseases, to sociology and anthropology of health care, child health and transmissible diseases.