Level of distress, somatisation and beliefs on health-disease in newly arrived immigrant patients attended in primary care centres in Catalonia and definition of professional competences for their most effective management: PROMISE Project.

Background: Newly arrived immigrant patients who frequently use primary health care resources have difficulties in verbal communication. Also, they have a system of beliefs related to health and disease that makes difficult for health care professionals to comprehend their reasons for consultation, especially when consulting for somatic manifestations. Consequently, this is an important barrier to achieve optimum care to these groups.

[Underdiagnosis of peripheral arterial disease in the Spanish population. ARTPER study].

Background And Objectives: Although peripheral arterial disease (PA) is an important clinical marker of cardiovascular morbimortality, the rate of under-diagnosis is unknown. Our aimed to know the proportion of patients underdiagnosed of PA and the associated factors.

Patients And Methods: 3786 patients >49 years old, randomly selected, were studied.

Dyspnea--a bad prognosis symptom at the end of life.

Purposes: Dyspnea as refractory symptom leading to sedation at the end of life and the place of death. Survival study in population with dyspnea.

Methods: Longitudinal study of terminally ill patients in a year (n = 195).

[Medium-term effectiveness of a group educational intervention on foot care in patients with type 2 diabetes].

Aim: To evaluate the medium-term effectiveness of a group educational intervention in primary care aimed at improving attitudes and skills in self-care of the feet in patients with type 2 diabetes, and to determine the optimal time for reintervention.

Method: We performed a before-after intervention study with a 24-month follow-up. The sample consisted of 76 patients with type 2 diabetes who underwent two group education sessions.