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Brain functional and ana to mical changes in chronic prostatitis/chronic pelvic pain syndrome. Leukocyte and bacterial counts do not correlate with severity of symp to ms in men with chronic prostatitis: the National Institutes of Health Chronic Prostatitis Cohort Study. T-cell recognition of prostatic peptides in men with chronic prostatitis/chronic pelvic pain syndrome. Monocyte chemoattractant protein-1 and macrophage inflamma to ry protein-1alpha as possible biomarkers for the chronic pelvic pain syndrome. Prostate secretions from men with chronic pelvic pain syndrome inhibit proinflamma to ry media to rs. Psychometric profiles and hypothalamic-pituitary-adrenal axis function in men with chronic prostatitis/chronic pelvic pain syndrome. Stress induced hypothalamus-pituitary-adrenal axis responses and disturbances in psychological profiles in men with chronic prostatitis/chronic pelvic pain syndrome. Stress is associated with subsequent pain and disability among men with nonbacterial prostatitis/pelvic pain. Catastrophizing and pain-contingent rest predict patient adjustment in men with chronic prostatitis/chronic pelvic pain syndrome. Self-reported spousal support modifies the negative impact of pain on disability in men with chronic prostatitis/chronic pelvic pain syndrome. The Spanish National Institutes of Health-Chronic Prostatitis Symp to m Index: translation and linguistic validation. Prevalence of a physician-assigned diagnosis of prostatitis: the Olmsted County Study of Urinary Symp to ms and Health Status Among Men. Association between past urinary tract infections and current symp to ms suggestive of chronic prostatitis/chronic pelvic pain syndrome. Prevalence of and risk fac to rs for prostatitis: population based assessment using physician assigned diagnoses. Impact of chronic prostatitis-like symp to ms on the quality of life in a large group of men. Prevalence of prostatitis-like symp to ms in Japanese men: a population-based study in a to wn in Hokkaido. Influence of environmental fac to rs on chronic prostatitis-like symp to ms in young men: results of a community-based survey.
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Identity mora to rium is a status that describes those who are activity exploring in an attempt to establish an identity but have yet to have made any commitment. This can be an anxious and emotionally tense time period as the adolescent experiments with different roles and explores various beliefs. Identity achievement refers to those who after exploration have made a commitment. During high school and the college years, teens and young Source adults move from identity diffusion and foreclosure to ward mora to rium and achievement. The biggest gains in the 234 development of identity are in college, as college students are exposed to a greater variety of career choices, lifestyles, and beliefs. A great deal of the identity work we do in adolescence and young adulthood is about values and goals, as we strive to articulate a personal vision or dream for what we hope to accomplish in the future (McAdams, 2013). Developmental psychologists have researched several different areas of identity development and some of the main areas include: Religious identity: the religious views of teens are often similar to that of their families (Kim Spoon, Longo, & McCullough, 2012). Most teens may question specific cus to ms, practices, or ideas in the faith of their parents, but few completely reject the religion of their families. Their teenage children are often following suit or become more apolitical (Cote, 2006). Vocational identity: While adolescents in earlier generations envisioned themselves as working in a particular job, and often worked as an apprentice or part-time in such occupations as teenagers, this is rarely the case to day. In addition, many of the jobs held by teens are not in occupations that most teens will seek as adults. Gender identity: Acquiring a gender identity is becoming an increasingly prolonged task as attitudes and norms regarding gender keep changing. The roles appropriate for males and females are evolving, and the lack of a gender binary allow adolescents more freedom to explore various aspects of gender. Some teens may foreclose on a gender identity as a way of dealing with this uncertainty, and they may adopt more stereotypic male or female roles (Sinclair & Carlsson, 2013). Sexual identity: According to Carroll (2016), by age 14 most adolescents become interested in intimate relationships, and they may begin sexual experimentation. Many adolescent feel pressure to express interest in opposite-sex relationships, even if they are not ready to do so.
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The mechanisms by which obesity may influence the progression of prostate cancer are not completely unders to od, but it has been associated with changes in several hormone levels. Dietary fac to rs the worldwide variation in the incidence of prostate cancer coincides with variations in dietary patterns [25]. Some ecological studies have correlated a diet typical of industrialized countries (a high consumption of saturated and trans fats, fatty meats, and dairy products) with prostate cancer (as cited in [26]). The World Cancer Research Fund/American Institute for Cancer Research [27] reviewed the evidence regarding the relationship between several foods and nutrients and the risk of cancer and found that diets high in calcium. However, a meta analysis of observational studies indicated that consumption of dairy products was not associated with an increased risk of prostate cancer [28]. The association between meat (red or processed) consumption and the risk of prostate cancer has been studied extensively [29]. In the most recent evaluation of meat consumption conducted by the International Agency for Research on Cancer indicated that red meat consumption increases the risk of prostate cancer [30]. In a systematic review in 2011 of dietary patterns and the risk of prostate cancer in South America, Niclis et al. Protective effects against prostate cancer have been found for foods that contain lycopene (found mainly in to ma to es and to ma to products, and some fruit, such as grapefruit, watermelon, guava, and apricot) and selenium (found in animal foods, fish, brazil nuts, whole grains, wheat germ and sunflower seeds, and supplements at doses no higher than 200 fig per day, above which it is to xic) [27]. Furthermore, vegetarian diets might reduce the risk of prostate cancer, probably because of the increased consumption of plant based foods (including a variety of potential cancer-preventive substances) and not the exclusion of meat (as cited in [27]). From the current evidence, no conclusions can be drawn on any possible relationship between dietary patterns and the risk of prostate cancer. Acknowledgements this work was undertaken during the tenure of a Postdoc to ral Fellowship by Dr Monica S. An epidemiological reappraisal of the familial aggregation of prostate cancer: a meta-analysis. Relative risk of prostate cancer for men with affected relatives: systematic review and meta-analysis. Empiric risk of prostate carcinoma for relatives of patients with prostate carcinoma: a meta-analysis.
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G ender-Related Diagnostic Issues Acute stress disorder is more prevalent among females than among males. Functional Consequences of Acute Stress Disorder Impaired functioning in social, interpersonal, or occupational domains has been shown across survivors of accidents, assault, and rape who develop acute stress disorder. In acute stress disorder, the stressor can be of any severity rather than of the severity and type required by Criterion A of acute stress disorder. For example, severe stress reactions to life-threatening illnesses that may include some acute stress disorder symp to ms may be more appropriately described as an adjustment disorder. Some forms of acute stress response do not include acute stress disorder symp to ms and may be characterized by anger, depression, or guilt. However, panic disorder is diagnosed only if panic attacks are unexpected and there is anxiety about future attacks or maladaptive changes in behavior associated with fear of dire consequences of the attacks. Severe dissociative responses (in the absence of characteristic acute stress disorder symp to ms) may be diagnosed as derealization/depersonalization disorder. If severe amnesia of the trauma persists in the absence of characteristic acute stress disorder symp to ms, the diagnosis of dissociative amnesia may be indicated. In obsessive-compulsive disorder, there are recurrent intrusive thoughts, but these meet the definition of an obsession.
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