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Telemedicine screening and three-year follow-up of stress-associated autonomic dysfunction in students during university adaptation: clinical and digital risk stratification and personalized prevention

Seliverstov P.V., Salikova S.P., Aleshko O.V., Simakhodsky A.S., Shapovalov V.V., Dyakov T.S., Romakh D.V., Roslyakova M.A., Chernyakova V.E., Golikova D.A.

Background. University entry is accompanied by abrupt changes in social environment, lifestyle and cognitive load, which challenge stress-response systems, the autonomic nervous system (ANS), and immune-metabolic homeostasis. In Russian clinical practice, this…