Effectiveness of question prompt lists in patients with breast cancer: A randomized controlled trial.

OBJECTIVES: To evaluate the effectiveness of a question prompt list (QPL) in decision self-efficacy, decision-making participation, patient-physician communication, decisional conflict or regret, and health status in patients with breast cancer. METHODS: A total of 240 patients with breast cancer were randomly assigned to a QPL group or control group (n = 120 each). The intervention and control groups received an additional educational QPL booklet and routine care, respectively. RESULTS: The intervention group exhibited significant improvements in decision self-efficacy, perceived patient-physician interactions, and patient-physician communication compared with the control group. Multilevel modeling analyses revealed significant group-time interaction effects on decision self-efficacy (ß = 9.99, P < 0.01), perceived patient-physician interactions (ß = 8.10, P < 0.01), patient-physician communication (ß = 5.02, P < 0.01), and anxiety status (ß = -3.78, P < 0.05). The QPL intervention exerted more favorable effects than routine care, with repeated measurements of the same patients and the data of patients under the care of the same surgeons accounted for. CONCLUSIONS: The QPL intervention exerted multidimensional effects on decision-making outcomes among patients with breast cancer. PRACTICAL IMPLICATIONS: Clinicians can integrate a QPL into routine care for patients with breast cancer.

Using Diazotization Reaction to Develop Portable Liquid-Crystal-Based Sensors for Nitrite Detection.

A liquid-crystal (LC)-based sensor for detecting nitrite in aqueous solutions was developed using a diazotization reaction as the sensing mechanism. First, tetradecyl 4-aminobenzoate (14CBA) was synthesized and doped into a nematic LC, i.e., 4-cyano-4'-pentylbiphenyl (5CB). When the LC mixture was cast on a glass substrate and then immersed into an aqueous solution without nitrite, the orientation of LC was planar and the LC image was bright. In the presence of nitrite, it reacted with alkylanilines to give corresponding diazonium ions with a positive charge, which aligned at the LC/aqueous interface to cause homeotropic orientation of LC. As a result, a bright-to-dark transition of the LC image was observed. The limit of detection (LOD) of this system for nitrite is 25 µM with high selectivity. In addition, this system can work in environmental water samples such as tap water and pond water. Finally, we demonstrated that the optical signals of LC can be measured and recorded using a built-in digital camera of a smartphone, suggesting the portability of this system for on-site applications.