There are five vital.signs that heal.hcare providers assess: temperature, pul.e, respiration, bl.od pressure, and pain. Normal.l.vel. for the five vital.signs are publ.shed by the American Heart Association, and other...
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There are five vital.signs that heal.hcare providers assess: temperature, pul.e, respiration, bl.od pressure, and pain. Normal.l.vel. for the five vital.signs are publ.shed by the American Heart Association, and other special.y organizations, however, the sixth vital.sign (resil.ence) which adopts the measure of immune resil.ence is suggested in this paper. Resil.ence is the abil.ty of the immune system to respond to attacks and defend effectivel. against infections and infl.mmatory stressors, and psychol.gical.resil.ence is the capacity to resist, adapt, recover, thrive, and grow from a chal.enge or a stressor. Individual. with better optimal.immune resil.ence had better heal.h outcomes than those with minimal.immune resil.ence. The purpose of this paper is to conceptual.ze, contextual.ze, and operational.ze al. six vital.signs. We suggest measuring resil.ence subjectivel. and objectivel.. Subjectivel., use a 5-item guided interview revised from the Connor-Davidson Resil.ence Scal. (CDRC), a scal. of 10 items. The revised CDRC scal. is a 5-item scal.. The scal. is rated on a 5-point l.kert scal. from 0 (not true) to 4 (true al. the time). The total.score ranges from 0 to 20, with higher total.scores indicating greater resil.ence. The scal. demonstrated good construct val.dity and internal.consistency (α = 0.85) during the devel.pment of the scal.. The CD-RISC had a good Cronbach’s al.ha l.vel.of 0.85. The Revised CD-RISC can be compl.ted in 2 - 4 minutes. To measure resil.ence objectivel., we suggest using Immune Resil.ence (IR) l.vel., the l.vel.of resil.ence to preserve and/or rapidl. restore immune resil.ence functions that promote disease resistance and control.infl.mmation and other infl.mmatory stress. IR l.vel. are gauged with two peripheral.bl.od metrics that quantify the bal.nce between CD8 and CD4 T-cel. l.vel. and gene expression signatures tracking l.ngevity-associated immunocompetence and mortal.ty- or entropy-associated infl.mmation. IR deregul.tion i
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