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Introduction: The Nigerian population, an emerging group in Europe, has not been studied in terms of its knowledge of the concept of brain death (BD) and its relationship with organ donation and transplantation (ODT)., Objective: To analyze knowledge of the BD concept among Nigerians living in Spain., Method: A sample of Nigerians who are ≥15 years of age and living in Spain were stratified by age and sex and interviewed. The assessment instrument is the attitude questionnaire for donation and transplantation, Proyecto Colaborativo Internacional Donante sobre Donación y Trasplante de Órgano (in Spanish) Ríos, which was self-administered and anonymously completed. The statistics used were descriptive, χ 2 test, Student t test, and a logistic regression analysis., Results: The questionnaire was completed by 362 Nigerians. Eighteen percent (n = 66) know the concept of BD and accept it as a person's death. Of the rest, 58% (n = 210) do not know it and 24% (n = 86) have a misconception. Those who know the BD concept have a more favorable attitude toward organ donation after death than those who do not know it (29% vs 13%, P < .001). Couples' opinions about organ donation (P < .001) and level of studies (P = .039) are related to the knowledge of the BD concept. In the multivariate analysis, the following persist as independent variables: the attitude in favor (P < .001, OR = 3.925) and the opinion of the couples toward donation (P <. 001, OR = 6.776)., Conclusions: Knowledge of the BD concept is anecdotal among the Nigerian population in Spain., (Copyright © 2018 Elsevier Inc. All rights reserved.)

Aims: To describe the epidemiology of tuberculosis and analyzing the differences among native and immigrant patients in Area III of the Region of Murcia., Methods: Cohort study of tuberculosis cases reported to the Epidemiological Surveillance Service from 2004 to 2009. Data collection was performed through the System of Notification Diseases, reviewing clinical files and epidemiological surveys., Results: One hundred sixty two cases were detected; 110 (67.9%) were immigrants, whose incidence rates ranged from 43.4 to 101.2 cases per 100,000 inhabitants. Ecuador (42.7%), Bolivia (30%) and Morocco (18.2%) were the main nationalities. Immigrants were younger than Spanish population (P<.001). The overall diagnostic delay was 50.5 days: 59.5 in Spanish and 47 in foreigners. Moroccans had higher proportions of extrapulmonary TB (P=.02). Mainly, immigrant population took treatment with four drugs (P<.001). Natives had better treatment adherence (P=.04). Spanish cases tuberculosis were associated with smoking (P<.001), the same as alcohol consumption (P=.01) and injection drug use (P<.001), nevertheless in the foreign-born population the most relevant risk factor was overcrowding (P<.001)., Conclusions: The incidence tuberculosis rates are higher among immigrant population, whose the main risk factor is overcrowding. In contrast, Spanish cases are associated with toxic substances consumption and increasing age., (Copyright © 2013 SEPAR. Published by Elsevier Espana. All rights reserved.)