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Psychological stress and long-term blood pressure variability of military young males:The cardiorespiratory fitness and hospitalization events in armed forces study

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World Journal of Cardiology 2020年第12期12卷 626-633页

作者： Yen-Po Lin Chia-Hao Fan Kun-Zhe Tsai Ko-Hwan Lin Chih-Lu Han Gen-Min Lin Department of Critical Care Medicine Yonghe Cardinal Tien HospitalYonghe 234Taiwan Department of Nursing Hualien Armed Forces General HospitalHualien 97144Taiwan Department of Dentistry Hualien Armed Forces General HospitalHualien 971Taiwan Department of Psychiatry Hualien Armed Forces General HospitalHualien 97144Taiwan Department of Medicine Taipei Veterans General HospitalTaipei 112Taiwan Department of Medicine Hualien Armed Forces General HospitalHualien 970Taiwan

BACKGROUND Acute stress might increase short-term heart rate variability and blood pressure variability(BPV);however,chronic stress would not alter short-term BPV in animal *** To examine the association of psychological stress with long-term BPV in young male *** We prospectively examined the association of chronic psychological stress with long-term BPV in 1112 healthy military males,averaged 32.2 years from the cardiorespiratory fitness and hospitalization events in armed forces study in *** stress was quantitatively evaluated with the Brief Symptom Rating Scale(BSRS-5),from the least symptom of 0 to the most severe of 20,and the five components of anxiety,insomnia,depression,interpersonal sensitivity,and hostility(the severity score in each component from 0 to 4).Longterm BPV was assessed by standard deviation(SD)for systolic and diastolic blood pressure(SBP and DBP),and average real variability(ARV),defined as the average absolute difference between successive measurements of SBP or DBP,across four visits in the study period from 2012 to 2018(2012-14,2014-15,2015-16,and 2016-18).RESULTS The results of multivariable linear regressions showed that there were no correlations of the BSRS-5 score with SDSBP,SDDBP,ARVSBP,and ARVDBP after adjusting for all the covariates[β(SE):-0.022(0.024),-0.023(0.026),-0.001(0.018),and 0.001(0.020),respectively;P>0.05 for all].In addition,there were also no correlations between each component of the BSRS score and the long-term BPV *** Our findings suggest that chronic psychological stress might not be associated with long-term BPV in military young male humans.

关键词： Long-term blood pressure variability Military Psychological stress young males Brief Symptom Rating Scale Average real variability

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Clinical evaluation of testicular torsion presenting with acute abdominal pain in young males

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Asian Journal of Urology 2019年第4期6卷 368-372页

作者： Fujun Wang Zengnan Mo Center for Genomic and Personalized Medicine Guangxi Medical UniversityNanningGuangxiChina Department of Urology Heze Municipal HospitalHezeShandongChina

Objective:To evaluate the features of testicular torsion presenting with acute abdominal pain and to raise awareness of testicular torsion with specific ***:From October 2005 to June 2016,nine patients with testicular torsion who presented with isolated acute abdominal pain rather than scrotal pain as their primary symptom were retrospectively ***,including the age of patients,season at admission,initial medical history,external genital examination,emergency ultrasound findings,operative findings,duration of abdominal pain,complications,and follow-up results,were ***:The average age of patients was 14 years(range 10-17 years).Seven patients whose genitals were not initially examined externally were misdiagnosed as having ordinary abdominal *** exploration revealed that all the involved testes necrotized,and orchidectomy was *** the other two patients,scrotal and testicular abnormalities were detected immediately on admission,and emergency surgical exploration determined that the involved testis remained vital,so orchiopexy was *** mean duration from symptom onset to diagnosis was 4 h(3-5 h)in the orchiopexy group and 37 h(18-72 h)in the orchidectomy *** patients were psychologically affected during postoperative *** recurrence of testicular torsion nor testicular atrophy was ***:Acute abdominal pain can be the initial and sole symptom of testicular torsion in young *** should pay close attention to the specific clinical presentation of testicular torsion.

关键词： Acute abdominal pain Testicular torsion young males Initial symptom Retrospective analysis

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Metabolic biomarkers and long-term blood pressure variability in military young male adults

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World Journal of Clinical Cases 2020年第11期8卷 2246-2254页

作者： Yu-Kai Lin Pang-Yen Liu Chia-Hao Fan Kun-Zhe Tsai Yen-Po Lin Ju-Mi Lee Jiunn-Tay Lee Gen-Min Lin Department of Medicine Hualien Armed Forces General HospitalHualien 970Taiwan Departments of Neurology Tri-Service General Hospitaland Graduate Institute of Medical SciencesNational Defense Medical CenterTaipei 114Taiwan Department of Medicine Tri-Service General Hospital and National Defense Medical CenterTaipei 114Taiwan Department of Critical Care Medicine Taipei Tzu-Chi General HospitalNew Taipei City 231Taiwan Department of Preventive Medicine Eulji College of MedicineDaejeon 34824South Korea Department of Preventive Medicine Northwestern University Feinberg School of MedicineChicagoIL 60611United States

BACKGROUND Metabolic syndrome is a cluster of cardiovascular risk factors, including central obesity, high blood pressure, elevated plasma glucose, reduced high-density lipoprotein and elevated triglyceride *** To investigate the relationship between metabolic biomarkers and long-term blood pressure variability(BPV) in young *** A cohort of 1112 healthy military males aged 18-40 years from the cardiorespiratory fitness and hospitalization events in armed forces study in eastern Taiwan was prospectively included. The following metabolic biomarkers were used: Waist circumference, serum uric acid(SUA), triglycerides, high density lipoprotein, triglycerides, and fasting glycose. BPV was assessed by average real variability(ARV) and standard deviation(SD) across 4 clinic visits during the study period(2012-14, 2014-15, 2015-16, and 2016-18). Multivariable linear regression analysis was used to determine the association after adjusting for age, body mass index, systolic and diastolic blood pressure(SBP and DBP),lipid profiles, physical activity, alcohol intake and tobacco smoking *** In the unadjusted model, waist circumference was significantly and positively correlated with ARVDBP and SDDBP [β(standard errors) = 0.16(0.049) and 0.22(0.065), respectively], as was SUA [β = 0.022(0.009) and 0.038(0.012),respectively]. High-density lipoprotein was negatively correlated with ARVSBP [β=-0.13(0.063)]. There were no associations with the other metabolic *** contrast, only SUA was significantly correlated with SDSBP and SDDBP [β = 0.019(0.011) and 0.027(0.010), respectively] in the adjusted *** Our findings showed that of traditional metabolic biomarkers, SUA had the strongest positive correlation with long-term systolic and diastolic BPV in young male adults, and the clinical relevance needs further investigation.

关键词： Blood pressure variability Metabolic syndrome Serum uric acid young males

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Visual Walkability in Wangjing Area from the Perspective of young Men

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Journal of Landscape Research 2023年第1期15卷 76-78页

作者： GUO Haocheng SUN Shuai LIANG Weinan North China University of Technology Beijing 100144China

This paper mainly evaluated the walkability of the streets around the subway Futong Station in Wangjing area,and with the help of relevant theoretical research conclusions such as environmental behavioral psychology,to study the effect of the visual walkability of streets in different communities on the walking activities of young male *** in-depth analysis of the characteristics of streets that are suitable for walking and young male residents like to walk,practical and feasible reference suggestions were provided for the design of street public space and the establishment of a more livable urban *** text was divided into 3 parts:the determination of the functional types of the streets around Futong Station;the characteristics of young men's crowd activities and the establishment of an evaluation system;the visual walkability evaluation of the streets around Futong Station.

关键词： young males Visual walkability evaluation Wangjing area

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