[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"stress-physiological\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:stress-physiological":29},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,7,0,[8,52,94,126,167,191,239],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":17,"sex":18,"minAge":19,"maxAge":20,"enrollmentInfo":21,"targetDuration":4,"studyType":24,"phases":25,"briefSummary":27,"conditions":28,"keywords":33,"overallStatus":39,"whyStopped":4,"lastUpdateSubmitDate":40,"lastUpdatePostDateStruct":41,"startDateStruct":44,"completionDateStruct":46,"leadSponsor":48,"locationsCount":51},"100560122","daoist-zhanzhuang-and-human-flourishing-100560122",false,"NCT06573034","Daoist Zhanzhuang and Human Flourishing","Standing Like a Tree: Effects and Mechanisms of Daoist Zhanzhuang on Human Flourishing","Z-Flo","Inclusion Criteria:\n\n1. young adults aged between 18 and 25 years old when they enroll;\n2. be willing and available (e.g., intend to remain in Charlotte or the surrounding area or willing to travel to UNCC campus for in person visits) to participate to 12 month study;\n3. able to stand for 30 minutes;\n4. scoring above 18 on the Perceived Stress Scale (moderate stress); and\n5. able to read, speak and understand English.\n\nExclusion Criteria:\n\n1. experience of qigong-related practice in the past 5 years;\n2. reporting regular medication use that directly modulates immune system functioning (e.g., steroids, cytokine inhibitors, high levels of non-steroidal anti-inflammatory medication, chemotherapy, etc.) or sedates the nervous system (e.g., benzodiazepines, anti-epileptics, tranquilizers, etc.) or alters heart rate (e.g., beta blockers, calcium channel blocker, stimulants, etc.);\n3. self-reported illicit drug use in the past 3 months or substance dependence over the past month (e.g., alcohol binge drinking 2+ days\u002Fweek, using tobacco or nicotine products 5+ days\u002Fweek, cannabis and related products 2+ days\u002Fweek, etc.);\n4. physical impairment that does not allow them to stand for 30 mins (e.g., severe obesity, need wheel-chair or equipment to assist with walking, recent injury that limits standing, etc.), and\n5. severe mental health conditions that could prevent regular practice (e.g., hospitalized in the past 12 months for mental health condition).",true,"ALL","18 Years","25 Years",{"count":22,"type":23},120,"ESTIMATED","INTERVENTIONAL",[26],"NA","This project investigates the impact of Daoist Zhanzhuang (sometimes spelled as Chan Chuang) on human flourishing, and explores the physiological, psychological, and spiritual mechanisms. This study will be a two-arm randomized controlled trial, with mixed-methods and repeated-measures assessment of outcome variables. The two arms will include an active control condition (i.e., sham wall squat) and the Daoist Zhanzhuang condition. Outcome variables will include physiological measures of heart rate variability and inflammatory biomarkers, psychological scales of human flourishing variables, phenomenological interviews of mystical experiences, and daily ecological momentary assessment of human flourishing and mysticism. Randomly assigned into two conditions, 120 participants will complete a three-week intensive practice phase with 9 in-person sessions, followed by a nine-week self-guided practice phase with 4 in-person check-in sessions, and 3 follow-up practice and assessment sessions. Complete assessment (physiological measures, psychological scales, and phenomenological interviews) will be administered at five time points: T1 at about two weeks before the intervention, T2 at the end of the three-week intensive practice, T3 at the end of the 3-month intervention, T4 at the 6-month follow-up, and T5 at the 12-month follow-up. In addition, daily ecological momentary assessment of flourishing variables and practice-induced experiences will be administered daily after the practice for the entire 3-month intervention period.",[29,30,31,32],"Stress, Physiological","Stress, Psychological","Inflammatory Response","Well-Being, Psychological",[34,35,36,37,38],"Human Flourishing","Daoist Zhanzhuang (Chan Chuang)","Heart Rate Variability","Immune Function","Mysticism","RECRUITING","2026-04-27",{"date":42,"type":43},"2026-05-01","ACTUAL",{"date":45,"type":43},"2024-08-29",{"date":47,"type":23},"2027-07",{"name":49,"class":50},"University of North Carolina, Charlotte","OTHER",1,{"id":53,"slug":54,"hasResults":11,"nctId":55,"briefTitle":56,"officialTitle":57,"acronym":4,"eligibilityCriteria":58,"healthyVolunteers":17,"sex":59,"minAge":19,"maxAge":60,"enrollmentInfo":61,"targetDuration":4,"studyType":24,"phases":62,"briefSummary":63,"conditions":64,"keywords":78,"overallStatus":84,"whyStopped":4,"lastUpdateSubmitDate":85,"lastUpdatePostDateStruct":86,"startDateStruct":88,"completionDateStruct":90,"leadSponsor":92,"locationsCount":51},"100632191","effects-of-breastfeeding-virtual-reality-and-stress-ball-on-pain-anxiety-cortisol-levels-and-comfort-during-episiotomy-repair-100632191","NCT07510477","Effects of Breastfeeding, Virtual Reality, and Stress Ball on Pain, Anxiety, Cortisol Levels, and Comfort During Episiotomy Repair","Effects of Breastfeeding, Virtual Reality, and Stress Ball on Pain, Anxiety, Cortisol Levels, and Comfort During Episiotomy Repair in Primiparous Women: A Randomized Controlled Trial","Inclusion Criteria:\n\n* Pregnant women between 18 and 45 years of age.\n* Primiparous women (first-time mothers).\n* Gestational age between 37 and 42 weeks (term pregnancy).\n* Singleton pregnancy with a vertex presentation.\n* Spontaneous vaginal delivery requiring a mediolateral episiotomy.\n* Newborn birth weight between 2500 and 4500 grams.\n* Newborn Apgar scores of 7 or higher at the 1st and 5th minutes.\n* Ability to read, understand, and speak Turkish fluently.\n* Voluntary participation with signed informed consent.\n\nExclusion and Withdrawal Criteria:\n\n* Requesting to withdraw from the research at any stage.\n* Presence of any congenital anomalies in the newborn.\n* Presence of maternal visual or hearing impairments.\n* Occurrence of fetal mortality or morbidity.\n* Occurrence of anal sphincter injury or 3rd\u002F4th-degree lacerations in addition to the episiotomy.\n* Performance of the episiotomy repair in an operating room.\n* Use of assisted delivery methods (e.g., vacuum extraction).\n* Administration of sedative drugs or extra anesthetic agents (excluding routine local perineal infiltration).\n* Development of maternal complications (e.g., postpartum hemorrhage) preventing data collection.","FEMALE","45 Years",{"count":22,"type":23},[26],"The goal of this clinical trial is to learn about the effects of three different interventions-breastfeeding, using a stress ball, or wearing virtual reality (VR) goggles-on pain, anxiety, and stress during episiotomy repair (stitching) after childbirth. It also aims to examine how these methods affect a mother's comfort after the procedure.\n\nThe main questions it aims to answer are:\n\nDoes breastfeeding, using a stress ball, or using VR goggles lower the mother's pain and anxiety during the repair? Do these interventions reduce the mother's biological stress levels, measured by saliva cortisol tests? Do these methods lead to higher postpartum comfort levels for the mother in the first 24 hours after birth?\n\nResearcher will compare these three intervention groups to a \"control group\" (mothers receiving standard hospital care) to see which approach is most effective.\n\nParticipants will:\n\nBe randomly assigned to one of four groups: Breastfeeding, VR Goggles, Stress Ball, or Standard Care.\n\nUse their assigned intervention throughout the entire episiotomy repair process.\n\nProvide saliva samples before and after the procedure to measure stress hormones (cortisol).\n\nRate their pain and anxiety levels using clinical scales twice: once before the procedure begins and once immediately after it is finished.\n\nComplete a survey about their comfort levels between 6 and 24 hours after the delivery.",[65,66,67,68,69,70,71,72,73,74,75,76,77],"Episiotomy","Breastfeeding","Virtual Reality","Virtual Goggles","Anxiety","Cortisol","Postpartum Comfort","Postpartum Comfort Scale","Stress Physiological","PAIN, ANXIETY, AND COMFORT","Acute Pain","Stress Ball","Midwifery",[66,67,76,79,80,81,82,65,83],"Midwifery Care","Primiparous Women","Randomized Controlled Trial","Salivary Cortisol","Episiotomy Repair","NOT_YET_RECRUITING","2026-03-30",{"date":87,"type":43},"2026-04-03",{"date":89,"type":23},"2026-04",{"date":91,"type":23},"2027-09",{"name":93,"class":50},"Aydin Adnan Menderes University",{"id":95,"slug":96,"hasResults":11,"nctId":97,"briefTitle":98,"officialTitle":99,"acronym":100,"eligibilityCriteria":101,"healthyVolunteers":11,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":102,"targetDuration":4,"studyType":24,"phases":104,"briefSummary":105,"conditions":106,"keywords":115,"overallStatus":84,"whyStopped":4,"lastUpdateSubmitDate":117,"lastUpdatePostDateStruct":118,"startDateStruct":120,"completionDateStruct":122,"leadSponsor":124,"locationsCount":4},"100631668","cabg-ai-supported-discharge-education-100631668","NCT07503678","CABG-AI-Supported Discharge Education","The Effect of Artificial Intelligence-Supported Individualized Discharge Education on Postoperative Pain, Anxiety, Stress Response, Recovery, and Discharge Education Satisfaction in Patients Undergoing Coronary Artery Bypass Graft Surgery: A Randomized Controlled Trial","AI-D-E-CABG","Inclusion Criteria:\n\n* Patients who have undergone coronary artery bypass graft (CABG) surgery.\n* Age 18 years or older.\n* Hemodynamically stable at the time of enrollment.\n* Able to understand and communicate in Turkish.\n* Able to use or have access to a mobile phone capable of viewing the educational video.\n* Able to provide informed consent.\n* Scheduled for routine postoperative follow-up at the study hospital.\n\nExclusion Criteria:\n\n* Patients undergoing emergency CABG surgery.\n* Presence of severe cognitive impairment that prevents understanding or following instructions.\n* Diagnosed psychiatric disorders (e.g., schizophrenia, severe depression) that interfere with study participation.\n* Severe vision or hearing impairment that prevents receiving the education.\n* Presence of postoperative complications requiring intensive care readmission.\n* Patients with endocrine disorders affecting stress biomarkers (e.g., Cushing's syndrome, Addison's disease).\n* Chronic use of corticosteroids or medications that significantly alter cortisol levels.\n* Patients who decline to participate or withdraw consent.\n* Patients who are unable to complete follow-up assessments.",{"count":103,"type":23},128,[26],"This randomized controlled trial will evaluate the effectiveness of artificial intelligence-supported individualized discharge education for patients undergoing coronary artery bypass graft (CABG) surgery. Participants will be assigned to either the intervention group, which will receive personalized AI-generated discharge education delivered through a nurse-avatar video in addition to standard verbal education, or the control group, which will receive standard discharge education only. The study will compare postoperative pain, anxiety, physiological stress response, recovery, and satisfaction with discharge education between the two groups. Outcomes will be measured during hospitalization and at the routine postoperative follow-up visit. The findings may help improve patient education methods and postoperative recovery in cardiac surgery patients.",[107,108,109,110,69,111,29,112,113,114],"Coronary Artery Disease","Postoperative Care","Patient Discharge","Recovery of Function","Pain","Surgical Nursing","Nursing","Discharge Education",[107,108,109,116,112],"discharge education","2026-03-25",{"date":119,"type":43},"2026-03-31",{"date":121,"type":23},"2026-06-01",{"date":123,"type":23},"2027-02-01",{"name":125,"class":50},"Hasan Kalyoncu University",{"id":127,"slug":128,"hasResults":11,"nctId":129,"briefTitle":130,"officialTitle":131,"acronym":4,"eligibilityCriteria":132,"healthyVolunteers":17,"sex":18,"minAge":133,"maxAge":4,"enrollmentInfo":134,"targetDuration":4,"studyType":24,"phases":136,"briefSummary":137,"conditions":138,"keywords":151,"overallStatus":84,"whyStopped":4,"lastUpdateSubmitDate":158,"lastUpdatePostDateStruct":159,"startDateStruct":161,"completionDateStruct":163,"leadSponsor":165,"locationsCount":4},"100628685","feasibility-of-breathwork-intervention-with-older-adults-after-knee-surgery-100628685","NCT07464860","Feasibility of Breathwork Intervention With Older Adults After Knee Surgery","A Box Breathing Intervention and the Surgical Stress Response in Older Adults Undergoing Total Knee Arthroplasty: A Randomized Controlled Feasibility Trial","Adults aged 65 years or older of any sex, gender and ethnic background who meet the following criteria will be eligible to enroll in the present study:\n\nInclusion Criteria:\n\n* scheduled for elective TKA within the next week to two months (can be second knee, but cannot be a revision of the original knee)\n* self-reported good health, including denial of debilitating illness that may affect participation in or be potentially exacerbated by deep, controlled breathing (i.e., chronic obstructive pulmonary disorder \\[COPD\\], symptomatic or advanced heart failure, complete heart block, glaucoma, epilepsy)\n* denial of conditions that alter cortisol release or that require corticosteroid therapy (i.e., Cushing's syndrome, Addison's disease, pituitary tumors, adrenal gland tumors, asthma)\n* denial of severe psychiatric or cognitive conditions that warrant the need for a durable power of attorney (DPOA)\n* able to understand written and verbal English.\n\nExclusion Criteria:\n\n* currently taking oral, injectable, intranasal, topical, or inhaled corticosteroid medications (i.e., prednisone, hydrocortisone, dexamethasone, methylprednisolone, methylprednisolone acetate, triamcinolone, betamethasone, mometasone, fluticasone, budesonide, clobetasol)\n* do not have the technology requirements to complete data collection (i.e., participant does not have a smartphone, tablet, laptop, or desktop computer; lack of reliable internet)\n\nThe following exclusion criteria may affect participants' ability to remain in the study following enrollment:\n\n• Development of complications during surgery that require prolonged hospitalization into Postoperative Day (POD) 2 (e.g., postoperative intubation and ventilation requirements, intractable pain, intractable nausea\u002Fvomiting, signs of infection or sepsis)","65 Years",{"count":135,"type":23},32,[26],"Postoperative complications after surgical procedures, including following total knee arthroplasty (TKA), have a negative impact on the health and well-being of surgical patients. Older adults (≥65 years) are particularly vulnerable to postoperative complications and their associated morbidities due to the biological aging process. Older adults comprise nearly half of surgical patients worldwide, and this number is expected to increase in the next 10-20 years as the aging population continues to grow. TKA is the most common procedure undergone by older adults, and the rate of TKA procedures is also expected to rise. Despite perioperative guidelines and protocols to prevent postoperative complications, the prevalence of postoperative complications following TKA is approximately 12%. Given these statistics, millions of older adults undergoing TKA may be at risk for postoperative complications and their associated morbidities in the coming decades. Therefore, additional interventions are needed to combat postoperative complications in this population.\n\nThe body's natural response to surgery, also known as the surgical stress response (SSR), contributes to postoperative complications through complex mechanisms involving the autonomic nervous system (ANS). Increased sympathetic nervous system (SNS) activity, or the body's fight-or-flight response, causes dysregulation in feedback systems that regulate the stress response, potentially leading to poorer outcomes. Interventions, such as breathwork, that induce the parasympathetic nervous system (PNS), or the body's rest-and-digest response, have been shown to balance the ANS, regulate stress biology, and improve outcomes. This study will examine the feasibility of adding a breathwork intervention (Box Breathing), compared to an attention control, to standard perioperative care for older adults undergoing TKA. This study will also examine the proof of concept that Box Breathing, compared to an attention control, may help regulate the SSR by assessing an objective measure of stress-related biology, diurnal cortisol rhythm, and gathering self-report information on pain, anxiety, depression, and quality of recovery following TKA.",[139,73,140,141,142,143,144,145,146,70,147,148,149,150],"Surgical Stress Response","Stress Physiology","Stress Psychological","Breathing Techniques","Breathing Exercises","Hypothalamic Pituitary Adrenal","Relaxation","Relaxation Therapy","Postoperative Pain","Postoperative Anxiety","Postoperative Depression","Quality of Recovery (QoR-15)",[139,152,153,154,143,142,155,147,148,149,156,157],"Total Knee Arthroplasty","Hypothalamic-Pituitary-Adrenal Axis","Breathwork","Postoperative Complications","Quality of Recovery","Diurnal Cortisol Rhythm","2026-03-06",{"date":160,"type":43},"2026-03-11",{"date":162,"type":23},"2026-04-06",{"date":164,"type":23},"2026-09-30",{"name":166,"class":50},"University of Arizona",{"id":168,"slug":169,"hasResults":11,"nctId":170,"briefTitle":171,"officialTitle":171,"acronym":172,"eligibilityCriteria":173,"healthyVolunteers":17,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":174,"targetDuration":4,"studyType":24,"phases":176,"briefSummary":177,"conditions":178,"keywords":180,"overallStatus":39,"whyStopped":4,"lastUpdateSubmitDate":182,"lastUpdatePostDateStruct":183,"startDateStruct":185,"completionDateStruct":187,"leadSponsor":189,"locationsCount":51},"100446490","enhancing-resiliency-and-optimizing-readiness-in-military-personnel-100446490","NCT05094115","Enhancing Resiliency and Optimizing Readiness in Military Personnel","R2OE","Inclusion Criteria:\n\n* Adult 18 or older\n* Male or female soldiers assigned to the 3rd SFAB\n\nExclusion Criteria:\n\n* None",{"count":175,"type":23},600,[26],"Security Force Assistance Brigades (SFABs) are specialized United States Army units formed to train, advise, assist, enable and accompany operations with allied and partner nations. Security Force Assistance Brigades are composed of roughly 800 senior military personnel, primarily commissioned and non-commissioned officers selected from regular Army units across a wide range of military specialties. Because of the high operational tempo (OPTEMPO) of these units, individual resiliency is of utmost importance in maintaining readiness to successfully execute critical, high-stress missions. Acceptance and Commitment Training (ACT) is an evidence-based intervention with strong potential to enhance resiliency by bolstering psychological flexibility along with other factors which have been demonstrated to optimize individual and group performance. This project will compare an Acceptance and Commitment Training-based resiliency-enhancement training program as compared to training as usual in 600 3rd Security Force Assistance Brigades soldiers stationed at Fort Hood in Killeen, Texas. Assessment measures related to resilience will be administered before and after training as well as before and after deployment. Assessments will be conducted at baseline, and every 4 months thereafter for a total of 16-months.",[179,29],"Resilience, Psychological",[181],"Psychological flexibility","2025-11-10",{"date":184,"type":43},"2025-11-12",{"date":186,"type":43},"2021-10-04",{"date":188,"type":23},"2026-09",{"name":190,"class":50},"The University of Texas Health Science Center at San Antonio",{"id":192,"slug":193,"hasResults":11,"nctId":194,"briefTitle":195,"officialTitle":196,"acronym":197,"eligibilityCriteria":198,"healthyVolunteers":17,"sex":18,"minAge":20,"maxAge":199,"enrollmentInfo":200,"targetDuration":4,"studyType":24,"phases":202,"briefSummary":203,"conditions":204,"keywords":209,"overallStatus":39,"whyStopped":4,"lastUpdateSubmitDate":229,"lastUpdatePostDateStruct":230,"startDateStruct":232,"completionDateStruct":234,"leadSponsor":236,"locationsCount":238},"100609887","foundational-programs-to-combat-clinician-stress-100609887","NCT07220421","Foundational Programs to Combat Clinician Stress","Evaluate Foundational Wellness Programs to Help Reduce Clinician Burnout and Improve Professional Fulfilment in Health Care Professionals.","FACCTS","Inclusion Criteria:\n\n* 25-70 years of age,\n* UPHS or MGH clinician (physician, APP, CRNP, PA, psychologist),\n* Access to smart phone and internet,\n* Ability to give informed consent,\n* Interested in wearing an Oura ring and being part of a study to evaluate breath and meditation-derived exercises,\n* Willing to do relaxation exercise every day for 4 weeks.\n\nExclusion Criteria:\n\n* Currently maintaining a regular\u002Fdaily mind-body program practice (eg. meditation, yoga or breathing techniques),\n* Atrial fibrillation,\n* Pacemaker\u002Fdefibrillator,\n* Untreated or severe obstructive sleep apnea (AHI\\>=30),\n* History of diaphragm paralysis,\n* Unable or unwilling to complete the workshop,\n* Severe chronic obstructive pulmonary disease (COPD),\n* Severe valvular heart disease,\n* Prior or planned chest\u002Fabdominal or nasal\u002Ffacial surgery within 6 months,\n* Severe psychiatric illness (e.g. schizophrenia, schizoaffective disorder, bipolar disorder), active substance use, seizure disorder or major somatic illness (uncontrolled hypertension, lung disease, liver disease, cancer or heart disease).","70 Years",{"count":201,"type":23},180,[26],"This is a prospective, randomized, controlled clinical trial in which clinicians from University of Pennsylvania Health Systems (UPHS) including Penn Medicine- Lancaster General Health (LGH) and Massachusetts General Hospital (MGH) are offered a well-known program to help reduce clinician burnout: Sudarshan Kriya Yoga (SKY) Breathing and Sahaj Meditation Intervention.",[205,30,29,206,207,208],"Burnout, Professional","Psychological Well-Being","Mind-Body Therapies","Work Related Stress",[210,211,212,213,214,215,216,217,218,219,69,220,36,221,222,223,224,225,226,227,228],"Sudarshan Kriya Yoga (SKY) Breathing and Sahaj Meditation","Stress Reduction","Healthcare Professional Burnout","Workplace Wellbeing","Work Life Balance","Physician","Healthcare Provider","Cognitive Performance","Cognitive Attention","Depression","Sleep","Resilience","Social Connection","Self-Valuation","Professional Fulfilment","Medical Errors","Physician Turnover","Healthcare Economics","Occupational Burnout","2025-10-21",{"date":231,"type":43},"2025-10-23",{"date":233,"type":43},"2025-09-15",{"date":235,"type":23},"2026-05",{"name":237,"class":50},"Lancaster General Hospital",6,{"id":240,"slug":241,"hasResults":11,"nctId":242,"briefTitle":243,"officialTitle":244,"acronym":4,"eligibilityCriteria":245,"healthyVolunteers":11,"sex":18,"minAge":246,"maxAge":247,"enrollmentInfo":248,"targetDuration":250,"studyType":251,"phases":4,"briefSummary":252,"conditions":253,"keywords":262,"overallStatus":39,"whyStopped":4,"lastUpdateSubmitDate":267,"lastUpdatePostDateStruct":268,"startDateStruct":270,"completionDateStruct":272,"leadSponsor":274,"locationsCount":51},"100544681","tornado-omics-techniques-and-neural-networks-for-the-development-of-predictive-risk-models-100544681","NCT06372054","TORNADO-Omics Techniques and Neural Networks for the Development of Predictive Risk Models","Integration of Omics-based Technologies and Artificial Intelligence to Identify Predictive Risk Models in a Air Force's Pilot Cohort for the Maintenance of Safety, Well-being, Health, and Performance to be Translated to Civil Population","Inclusion Criteria:\n\n* Being part of the Italian Air Force, as in active flight service or ground staff\n* Age between 26 and 38 years\n* Consent to collect biological samples and use the wearable device to monitor exposure parameters\n\nExclusion Criteria:\n\n* Age \\\u003C 25 years and \\> 39 years\n* no signature on informed consent","26 Years","38 Years",{"count":249,"type":23},200,"3 Years","OBSERVATIONAL","The goal of this observational study is to define a personalized risk model in the super healthy and homogeneous population of Italian Air Force high-performance pilots. This peculiar cohort conducts dynamic activities in an extreme environment, compared to a population of military people not involved in flight activity. The study integrates the analyses of biological samples (urine, blood, and saliva), clinical records, and occupational data collected at different time points and analyzed by omic-based approaches supported by Artificial Intelligence. Data resulting from the study will clarify many etiopathological mechanisms of diseases, allowing the creation of a model of analyses that can be extended to the civilian population and patient cohorts for the potentiation of precision and preventive medicine.",[254,73,255,256,257,258,259,260,261],"Oxidative Injury","Discogenic Pain","Cardiovascular Risk Factor","Space Maintenance","Epigenetic Changes","LONGEVITY 1","Neuroplasticity","NGS",[263,264,265,266],"pilots","air force","epigenetic change","environmental exposure","2024-04-16",{"date":269,"type":43},"2024-04-17",{"date":271,"type":43},"2024-02-05",{"date":273,"type":23},"2027-02-05",{"name":275,"class":50},"Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico"]