Chemotherapy patient perception regarding communication with the healthcare staff

Purpose: To qualitatively explore the communication between healthcare professionals and oncology patients based on the perception of patients undergoing chemotherapy.Method: Qualitative and exploratory design. Participants were 14 adult patients undergoing chemotherapy at different stages of the disease. A socio-demographic and clinical data form was utilized along with semi-structured interviews. The interviews were audio-recorded, transcribed and content analysis was performed. Two independent judges evaluated the interview content in regards to emerging categories and obtained a Kappa index of 0.834.Results: Three categories emerged from the data: 1) Technical communication without emotional support, in which the information provided is composed of strictly technical information regarding the diagnosis, treatment and/or prognosis; 2) Technical communication, in which the information provided is oriented towards the technical aspects of the patient’s physical condition, while also providing psychological support for the patients’ subjective needs; and 3) Insufficient technical communication, win which there are gaps in the information provided causing confusion and suffering to the patient.Conclusions: Communication with emotional support contributes to greater satisfaction of chemotherapy patients. Practical implications: the results provide elements for the training of healthcare professionals regarding the importance of the emotional support that can be offered to cancer patients during their treatment.

Relaciones de poder y memoria de un linaje. La intervención de la Casa de Moscoso en la Compostela de los siglos XIV-XVI

La ciudad ofrecía en la Baja Edad Media claras oportunidades para aquellos nobles que supieran situarse en el complejo juego de la política urbana y sus diversas instancias de poder. Para ello siempre se hace necesario contar con los apoyos sociales y físicos adecuados. La dinámica de enfrentamientos entre el Arzobispo de Santiago y el concello compostelano presenta un ejemplo inmejorable para valorar en su justa medida la inserción de la nobleza territorial en las relaciones de poder. Para abordar este caso se analizará la participación en la vida pública –también las revueltas urbanas– de la Casa de Moscoso tanto a través de su larga trayectoria de enfrentamientos con la Iglesia como mediante el estudio de su patrimonio urbano, incluyendo aquellos elementos relacionados con la creación de una memoria específica del linaje dentro de la ciudad.

Imperative, subjunctive, and the desiderative-appellative space in Spanish

After defining the “enunciative scheme” (sentence type) as a communicative unit, the imperative is characterized as a morphologized modality of appellative kind used when the following conditions occur: appellative meaning, 2nd person, future tense and absence of negation. In Spanish, any variation of any of these requirements determines that the subjunctive is used. We reject the idea that the imperative is a variant of subjunctive specialized in appellative function and that both modes share a desiderative morpheme. Working in this way means attributing to a morphological category of the verb a property that actually corresponds to the enunciative schemes (sentence types). We propose to integrate the imperative and subjunctive in the framework of what we call the “desiderative-appellative space”. This “space” brings together various grammatical or grammaticalized means based on the imperative and the subjunctive. Semantically, it is organized around a component of desirability (action appears as desirable) that, by varying several factors, configures a route that goes from a center (the imperative) to a periphery (the expression of desire).