Communication preferences and perceptions of cancer patient during their first medical oncology appointment

BACKGROUND

The first medical oncology appointment serves as a platform for patients to comprehend their diagnosis and prognostic implications of cancer. This study aimed to determine patients' communication preferences during their first medical oncology appointment and to assess the disparities between patients' preferences and perceptions.

METHODS

A total of 169 cancer patients participated by completing the Communication in First Medical Oncology Appointment Questionnaire (C-FAQ), a two-section questionnaire designed to assess patients' preferences and perceptions regarding Content (information provided and its extent), Facilitation (timing and location of information delivery), and Support (emotional support) during their first medical oncology appointment. A comparative analysis was conducted to assess the variations between preferences and perceptions.

RESULTS

Content emerged as the most significant dimension compared to Facilitation and Support. The physician's knowledge, honesty, and ability to provide clear information were considered the most important attributes. Patients evaluated most of their preferences as "very important". Patients' perception of the communication dimensions present during their appointment was below preferences for 11 items, indicating significant discrepancies in clinical practice.

CONCLUSIONS

Patients highly valued their preferences concerning Content, Facilitation, and Support dimensions of communication. However, patient preferences were more prominently oriented towards the Content dimension. The discrepancies between preferences and perceptions should be viewed as an opportunity for enhancing communication skills through training.

Effect of organic compost and inorganic nitrogen fertigation on spinach growth, phytochemical accumulation and antioxidant activity

The aim of this study was to evaluate the effect of the addition of organic compost in combination with the inorganic nitrogen fertigation on growth, phytochemical accumulation, and antioxidant activity of spinach (Spinacia oleracea L. cv. Manatee). Soil blocked spinach seedlings (six seedlings per block), three blocks per pot (316 plants m^-2) were transplanted after 18 days after emergence into to 12 L pots. The treatments were: unfertilized soil, organic compost, organic compost +75 kg of N ha^-1, applied as ammonium sulfate; and organic compost +75 kg N ha^-1, applied as ammonium nitrate. The addition of organic compost to unfertilized soil increased the fresh yield. The application of inorganic N from the two sources in relation to organic compost treatment increased spinach fresh yield from 2.3 to 4.81 kg m^-2 and shoot dry weight from 0.60 to 1,31 g plant^-1. Levels of carotenoids also increased with inorganic N addition, producing higher values in plants grown with organic compost + ammonium nitrate (31.14 mg/100 g fresh weight). However, the addition of N led to a decrease in leaf-blade total phenols from 75 to 56 mg gallic acid equivalents/100mg fresh weight. The addition of inorganic N led to a dramatic decrease in leaf-blade ferric reducing antioxidant activity. This effect was higher with ammonium sulfate application. The application of organic compost and inorganic nitrogen had no influence on the petiole's phytochemical accumulation and antioxidant activity.

Plant growth, phytochemical accumulation and antioxidant activity of substrate-grown spinach

Spinach production in soilless cultivation systems, mainly in substrate, transplanted with soil blocks and drip-irrigation is increasing worldwide. However, spinach establishment with soil blocks, with several seedlings per block compared with traditional planting methods, may affect light interception by plant canopy, wetting and salt patterns in root medium and therefore the plant growth and functional value of spinach. The effects of soil block number (plant density) and emitters spacing on plant growth, nitrate, proline and total phenols content and antioxidant activity were evaluated in spinach (Spinacia oleracea L). Five seedlings per soil block were transplanted to Styrofoam boxes filled with the substrate and grown during winter in an unheated greenhouse. Four treatments were carried out with two soil block numbers [8 (160 plants/m²) and 14 (280 plants/m²) soil blocks per Styrofoam box] and two emitter spacing [emitters spaced every 25 and 12.5 cm, respectively, with 4 and 8 emitters per Styrofoam box]. Neither plant density nor emitter spacing had any effect on shoot dry weight. Fresh yield increased as planting density and the number of emitters per Styrofoam box increased. The yield in Styrofoam boxes with 160 plants/m² and 8 emitters (3.85 kg m⁻²) was ≈31 % lower than that obtained in treatment with 280 plants/m² and 8 emitters (5.09 kg m⁻²). However, the leaf blade of the latter treatment presented a higher content of phenols and proline and greater antioxidant activity (FRAP and DPPH) as well as lower content of nitrate and lesser PDH activity. Decrease of space between emitters reduced the leaf blade nitrate concentration of spinach grown in a greenhouse during the winter. Leaf blade antioxidant activity (FRAP) decreased as planting density increased.