I still appreciate that. In just about every country in Europe, cath lab personnel have their own association and they have their own publications. We receive this German publication because we're in the German-speaking part of Switzerland and the Swiss association is too small to produce their own. The countries' publications display their members' characteristics delightfully, I find. This German journal, for instance, is factual, straightforward, and well-produced.
Language has a lot to do with it, of course, as does thousands of years of cultural history.
You have such an advantage in America, since most people speak reasonable English. Your publication only has to be in one language. I love living in Europe, even after a decade here, but I am still very much an Australian. The cardiovascular nursing group welcomes American nurses and technologists to submit abstracts or attend.