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However, while there is still legitimization of the disease model and the authoritative powerof medicine in the diagnosis and treatment of people with personal and social problems, this hasbeen modified with the growing popularity of psychological, social and mixed models of psycho-pathology (e.g. During exercise, thereis increased pulmonary resistanceand reduced systemicvascular resistance.So, there is increased right to left shunt and admixture of blood of right and left ventricles. Theyconcluded there was a reduction in total mortality and sudden death with-out a clinically significant reduction in nonfatal heart attacks

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