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Related Concept Videos

Ethical Dilemmas I01:17

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Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
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Some individuals interpret life events as a consequence of their personal choices and actions, while others believe that outcomes are dictated by fate or destiny. This divergence in perspective has been examined in psychological and cross-cultural studies, particularly in relation to religious faith and cultural beliefs about causality.Fate and Personal ResponsibilityPeople who emphasize personal responsibility view events as direct consequences of their decisions. For instance, breaking a leg...
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Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
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Avoidance-avoidance conflict refers to a psychological situation where a person must choose between two or more unpleasant alternatives. These conflicts are particularly stressful because neither option is desirable. This dilemma is often expressed in sayings like "caught between a rock and a hard place" or "between the devil and the deep blue sea." For instance, individuals who fear dental procedures may find themselves torn between enduring a painful toothache or facing the...
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Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
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Updated: Mar 3, 2026

Modulation of the Neurophysiological Response to Fearful and Stressful Stimuli Through Repetitive Religious Chanting
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A hol(e)y predicament.

Shaiva Ginoya Meka1, Daniel Shelden1, Amy Mertens1

  • 1Department of Internal Medicine Oakland University William Beaumont School of Medicine Royal Oak Michigan USA.

Respirology Case Reports
|April 25, 2017
PubMed
Summary
This summary is machine-generated.

Late-presenting endocardial cushion defects, like atrial septal defects (ASDs), are rare. This case highlights a 72-year-old woman with an undiagnosed ASD causing Eisenmenger syndrome and cardiac arrest.

Keywords:
Atrial septal defectEisenmenger syndromeinhaled nitric oxidepulmonary hypertensionsudden cardiac death

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Area of Science:

  • Cardiology
  • Congenital Heart Disease

Background:

  • Endocardial cushion defects are congenital heart abnormalities affecting septa and valves.
  • Typically diagnosed in infancy, late presentation is uncommon.

Observation:

  • A 72-year-old female presented with dyspnea and palpitations.
  • She experienced cardiac arrest due to refractory hypoxemia, requiring mechanical ventilation and inhaled nitric oxide.
  • Echocardiography revealed a large ostium primum atrial septal defect (ASD) with Eisenmenger syndrome.

Findings:

  • The patient's arrhythmia was likely a sequela of her long-standing congenital ASD.
  • This led to sudden decompensation and cardiac arrest.

Implications:

  • This case underscores the potential for late-onset complications from congenital heart defects.
  • Reviews the etiology, presentation, and complications of ASDs, emphasizing rare late-life manifestations.