Professionalism and empathy are crucial in clinical settings. An association would be expected between empathic attitudes and altruistic motivations for a medical education. However, data is scarce in first-year students, and a previous small-scale study did not fully confirm the hypothesis that person-oriented motives would have a strong relationship to empathy. The present study tested this association in a larger sample. 202 first-year medical students (M age = 19.0 yr., SD = 2.7; 67.3% women) were assessed cross-sectionally, using the Vaglum and colleagues' indexes on motives for choosing medicine (security/status, person-orientation, and interest in the natural sciences) and the Jefferson Scale of Physician Empathy for students. There was a weak association between empathy and person-orientation, but the evidence regarding links between empathy and the three motivation scores was low overall. In this Portuguese sample there was not a clear-cut association between empathy and motivations for medical school.
The presence of ED assessed by PAT 24 h after P-PCI in patients with STEMI is associated with larger infarcts, lower LVEF, higher WMSI and higher prevalence of MVO.
Physicians should be alerted to the possibility of TB due to nosocomially acquired, catheter-related infections with M. bovis-BCG in patients with indwelling catheters. This problem may be more common than expected in centers providing BCG therapy for bladder cancer without adequate precautions.
The aim of this work was to evaluate in vitro the effect
of autologous plasma lipoprotein subfractions on erythrocyte tendency
to aggregate. Aliquots of human blood samples were enriched or not
(control) with their own HDL-C, LDL-C, or VLDL-C fractions obtained
from the same batch by density gradient ultracentrifugation. Plasma
osmolality and erythrocyte aggregation index (EAI) were determined.
Blood aliquots enriched with LDL-C and HDL-C showed significant higher
EAI than untreated aliquots, whereas enrichment with VLDL-C does not
induce significant EAI changes. For the same range of lipoprotein
concentrations expressed as percentage of osmolality variation, the
EAI variation was positive and higher in presence of HDL-C than upon
enrichment with LDL-C (P < 0.01). Particle size, up to LDL diameter values, seems to
reinforce erythrocyte tendency to aggregate at the same plasma
osmolality (particle number) range of values.
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