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To study anger as a trigger of the onset of myocardial infarction, we developed the onset anger scale, a new seven-level self-report anger scale. Patients were shown a chart consisting of seven levels of anger (Table 1 FOOTWEAR Loafers Marni With Paypal Cheap Online Low Shipping Cheap Online Cheap Sale For Sale Sale Amazon YijsM
) and were asked to estimate their usual frequency of exposure to each level during the previous year (“usual annual frequency”). They were also asked to state the timing and level of anger during each of the 26 hours before the onset of myocardial infarction. Patients were considered exposed if they reported a peak level of anger greater than or equal to level 5 (very angry, furious, or enraged) during the interval of interest.

View this table:
Table 1.

Onset Study Anger Scale Used to Assess Episodes of Anger in the Myocardial Infarction Onset Study

In addition to the onset anger scale, we administered the state anger, anxiety, and curiosity subscales of the State-Trait Personality Inventory (STPI) 14 to a subset of 881 patients. Patients were asked to respond to the STPI instrument, first focusing on the 2-hour period preceding symptom onset and then for the same 2-hour period on the preceding day. The STPI data were analyzed by determining the distribution of scores for each subscale in the control period. Individuals with responses above the 75th percentile were considered exposed.

A new epidemiological technique called the case-crossover design (Fig 1 ) was developed for the Onset Study. 11 12 This approach was developed to assess the change in risk of an acute event during a brief “hazard period” after exposure to a transient risk factor. The important innovative feature of this approach is that control information for each patient is based on his or her past exposure experience. 11 12 13

Figure 1.

Schematic representation of the case-crossover study design. The 2-hour period before myocardial infarction (MI) onset is defined as the “hazard period.” Comparison 1 contrasts exposure to potential triggering activities (such as episodes of anger) in the hazard period with the frequency of exposure expected based on the reported usual frequency over the year before MI. In comparison 2, exposure in the hazard period is compared with exposure in a “control period” at the same time on the preceding day. Together, the two methods of control information sampling permit assessment of recall and other biases inherent to the study of triggering.

For the onset anger scale, a 2-hour hazard period immediately preceding the onset of myocardial infarction was compared with two types of control data obtained from the patients: (1) their usual frequency of exposure to episodes of anger over the past year and (2) their actual exposure in the comparable 2-hour “control period” at the same time on the day before myocardial infarction. For the STPI subscales, data were available only for the second approach. To help maintain comparability of reporting of exposures for the hazard and control periods, the interview treated the 26-hour period before the onset of myocardial infarction as one long hazard period.

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Start off by tapping on your... chest?

By Tehrene Firman and Ari Notis
January 26, 2018
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50 Ways to Be a Higher-Energy Person Immediately

Start off by tapping on your... chest?

By Tehrene Firman and Ari Notis

We could all use a pick-me-up now and then. But imagine this: A permanent pick-me-up. Instead of that mid-afternoon espresso or RedBull, you’d just… naturally be energetic, pumped, ready to tackle anything and everything in your way. Wouldn’t that be great? Well, lucky for you, that’s a not-impossible goal. Whether it’s a simple dietary shift or a change to your look, there are tried-and-true methods for boosting your energy level from morning ’til night. Adopt these 15 habits and you’ll transform into a bona fide Energizer Bunny in no time. And for more great health advice, check out The 100 Ways To Be A Healthier Person Right Now .

Tap your “thymus”

Tap your “thymus”

Your what? The thymus is located at the top of your chest, a few inches below your collarbone. Its primary function is to produce T lymphocytes, a type of white blood cell that, according to energy coaches and practitioners of Chinese medicine, can boost your energy levels. To properly tap the thymus, slowly and deeply breath in and out while gently tapping that area for 20 seconds. Do this three to five times per day.

Walk up and down some stairs

Researchers from the Department of Kinesiology at the University of Georgia found that, when it comes to powering through your 3:00 pm crash, a visit to your office stairwell will do miles better than another cup of Joe. Walking up and down stairs for about 10 minutes—that’s about 30 stories—offers the same level of energy as roughly 4 ounces of coffee. And as an added bonus, you’ll get a quick workout in, too. There’s a reason this is the number one way for getting an afternoon boost .

Wear orange-tinted glasses

Sure, they may look a little bit… dorky? Edgy?Whatever you think about these funky glasses, they can actually do wonders for your energy levels. See, blue light—the stuff that’s emitted from laptop and smartphone screens— serves as a melatonin inhibitor ; in other words, it’s preventing you from falling asleep quickly. But orange lens glasses will block that blue light, allowing you to sleep easy, rest better, and, as a result, have more energy. So if you’re using screens in the evening, wear these things for an hour or two before bed—when your body starts to power down for the night—and you won’t experience any drop in melatonin.

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