Women's Health Medicine最新文献

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Preventing and detecting perinatal mental illness 预防和发现围产期精神疾病
Women's Health Medicine Pub Date : 2006-03-01 DOI: 10.1383/wohm.2006.3.2.68
Roch Cantwell MRCPsych , Sue Smith MRCPsych
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引用次数: 2
Schizophrenia in women 女性精神分裂症
Women's Health Medicine Pub Date : 2006-03-01 DOI: 10.1383/wohm.2006.3.2.88
David Castle MSc MD MRCPsych FRANZCP , John McGrath PhD FRANZCP
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引用次数: 12
Female sexual dysfunction 女性性功能障碍
Women's Health Medicine Pub Date : 2006-03-01 DOI: 10.1383/wohm.2006.3.2.84
Margaret Ramage Fell. BASRT
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引用次数: 2
Mood disorders in teenage girls 少女的情绪障碍
Women's Health Medicine Pub Date : 2006-03-01 DOI: 10.1383/wohm.2006.3.2.59
David Coghill BSc MBChB MRCPsych , Sarah Seth MBChB MRCPsych
{"title":"Mood disorders in teenage girls","authors":"David Coghill BSc MBChB MRCPsych ,&nbsp;Sarah Seth MBChB MRCPsych","doi":"10.1383/wohm.2006.3.2.59","DOIUrl":"10.1383/wohm.2006.3.2.59","url":null,"abstract":"<div><p>This article reviews our current understanding of depressive and bipolar disorders in teenage girls. It highlights issues related to causality, assessment and treatment. Early onset depression arises as a consequence of inter-related predisposing and precipitating factors which together lead to alterations to biological and psychological functioning and result in depression. Assessment needs to be carefully and thoroughly undertaken by a clinician with experience in child and adolescent mental health problems. Following a brief psychoeducational intervention, further treatment should be initially with psychotherapeutic approaches. Cognitive and interpersonal therapies are supported by the best evidence. Pharmacological treatments may be associated with increased suicidal ideation and behaviour and should only be initiated by those with specialist training and experience in child and adolescent mental health problems. Early onset bipolar disorder remains a controversial area of practice, with uncertainty over the application of diagnostic criteria, validity of the disorder and its relationship with other disorders such as ADHD. For those adolescents and, rarely, children with true bipolar disorder, the longer-term outcome for early-onset bipolar disorder appears to be similar to that for adults, although younger sufferers are more likely to have a more rapidly cycling clinical picture than adults. There is very little research evidence investigating response to medication although there is some evidence for the efficacy of lithium, valproic acid and carbamazepine in the treatment of early-onset mania.</p></div>","PeriodicalId":101284,"journal":{"name":"Women's Health Medicine","volume":"3 2","pages":"Pages 59-63"},"PeriodicalIF":0.0,"publicationDate":"2006-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1383/wohm.2006.3.2.59","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79213332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
My experience of breast cancer 我的乳腺癌经历
Women's Health Medicine Pub Date : 2006-01-01 DOI: 10.1383/wohm.2006.3.1.42
Sue Pembrey OBE PhD FRCN
{"title":"My experience of breast cancer","authors":"Sue Pembrey OBE PhD FRCN","doi":"10.1383/wohm.2006.3.1.42","DOIUrl":"10.1383/wohm.2006.3.1.42","url":null,"abstract":"<div><p>The author’s personal experience of breast cancer is provided in this contribution.</p></div>","PeriodicalId":101284,"journal":{"name":"Women's Health Medicine","volume":"3 1","pages":"Page 42"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1383/wohm.2006.3.1.42","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78119849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
My experience of breast cancer 我的乳腺癌经历
Women's Health Medicine Pub Date : 2006-01-01 DOI: 10.1383/wohm.2006.3.1.40
Valerie Heinrich
{"title":"My experience of breast cancer","authors":"Valerie Heinrich","doi":"10.1383/wohm.2006.3.1.40","DOIUrl":"10.1383/wohm.2006.3.1.40","url":null,"abstract":"<div><p>The author’s personal experience of breast cancer is provided in this contribution.</p></div>","PeriodicalId":101284,"journal":{"name":"Women's Health Medicine","volume":"3 1","pages":"Page 40"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1383/wohm.2006.3.1.40","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87270860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Screening for breast cancer 乳癌筛检
Women's Health Medicine Pub Date : 2006-01-01 DOI: 10.1383/wohm.2006.3.1.22
M Reddy MBBS MRCP FRCR , Ros Given-Wilson MBBS MRCP FRCR
{"title":"Screening for breast cancer","authors":"M Reddy MBBS MRCP FRCR ,&nbsp;Ros Given-Wilson MBBS MRCP FRCR","doi":"10.1383/wohm.2006.3.1.22","DOIUrl":"https://doi.org/10.1383/wohm.2006.3.1.22","url":null,"abstract":"<div><p>Breast cancer is a multifactorial disease that has a worldwide annual incidence of over 1 million cases. In the UK this equates to over 39000 new diagnoses per year. Most of these cases occur in postmenopausal women, and the incidence in both this age group and in younger women is rising. Most of the major risk factors for breast cancer such as female sex, age and a family history of the disease cannot be avoided. However, there is established evidence that earlier detection of breast cancer through mammographic screening does significantly reduce mortality, by up to 24%. Since its inception in 1989, the National Health Service Breast Screening Programme (NHSBSP) has become increasingly effective at detecting breast cancer in the target population of women aged over 50, and together with advances in surgery, chemotherapy and other adjuvant medical treatments, mortality from breast cancer is significantly decreasing. This contribution aims to explore the principles behind the NHSBSP, and will review the key evidence which supports it. The advantages and pitfalls of screening will be examined and an overview of the actual screening and assessment process is included. Screening in high-risk groups is a new and controversial area that is now gaining prominence, and new imaging techniques being used in such groups, in addition to the screening and assessment of breast cancers in the conventional age range, will be covered.</p></div>","PeriodicalId":101284,"journal":{"name":"Women's Health Medicine","volume":"3 1","pages":"Pages 22-27"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1383/wohm.2006.3.1.22","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138333512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Women's Health Medicine 3:1 (January – February 2006) Self-appraisal Breast Disorders 妇女保健医学3:1(2006年1月至2月)自我评价乳房疾病
Women's Health Medicine Pub Date : 2006-01-01 DOI: 10.1383/wohm.2006.3.1.51
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引用次数: 0
Benign breast disease 乳腺良性疾病
Women's Health Medicine Pub Date : 2006-01-01 DOI: 10.1383/wohm.2006.3.1.1
John Pollitt MRCS , Christopher Twine MBBCh , Christopher A Gateley FRCS FRCS(Gen)
{"title":"Benign breast disease","authors":"John Pollitt MRCS ,&nbsp;Christopher Twine MBBCh ,&nbsp;Christopher A Gateley FRCS FRCS(Gen)","doi":"10.1383/wohm.2006.3.1.1","DOIUrl":"https://doi.org/10.1383/wohm.2006.3.1.1","url":null,"abstract":"<div><p>Lump, nipple discharge and pain are the major presenting symptoms of breast disease. Around 60% of referrals are for a lump and less than 10% of these will be diagnosed to have breast cancer. Benign diagnoses are: fibroadenoma, a firm mobile lump considered as aberrations of normal development; breast cysts, which are discrete lumps accounting for 15% of all breast lumps; and nodularity, which is the most common cause for referral in all ages. All breast lumps need to undergo triple assessment. Around 8% of referrals are for nipple discharge. Physiological nipple discharge is usually bilateral, multi-duct and coloured white, yellow green or black. Duct ectasia is due to ductal involution and the change is often bilateral and associated with ‘slit-like’ nipple retraction. Increasing risk of significant pathology is associated with unilateral, single duct, serous and blood stained discharge, which needs to undergo triple assessment. Blood stained discharge may be due to duct ectasis, intra-duct papilloma, epithelial hyperplasia or malignancy. Breast pain is divided into cyclical and non-cyclical mastalgia (including chest wall pain), and 25% of breast clinic referrals will be for breast pain. Cyclical mastalgia is an exaggeration of normal cyclical changes and the patient can be reassured without investigation. If pain is severe treatment is with gamolenic acid, danazol or bromocriptine. Where pain is non-cyclical, unilateral and localized investigation with mammography is required. Chest wall pain is a common end diagnosis for referrals with breast pain and is treated simply with reassurance and simple analgesics or NSAIDs.</p></div>","PeriodicalId":101284,"journal":{"name":"Women's Health Medicine","volume":"3 1","pages":"Pages 1-4"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1383/wohm.2006.3.1.1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138414517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adjuvant therapy for breast cancer 乳腺癌的辅助治疗
Women's Health Medicine Pub Date : 2006-01-01 DOI: 10.1383/wohm.2006.3.1.36
Helen M Sweetland FRCS
{"title":"Adjuvant therapy for breast cancer","authors":"Helen M Sweetland FRCS","doi":"10.1383/wohm.2006.3.1.36","DOIUrl":"https://doi.org/10.1383/wohm.2006.3.1.36","url":null,"abstract":"<div><p>Adjuvant therapy for breast cancer, a rapidly changing area of management, has made the difference to the breast cancer mortality figures over the last ten years. Initial treatments used hormonal manipulation such as ovarian ablation. This was followed by the development of tamoxifen, an oestrogen receptor antagonist. This has been followed by other hormonal regimes such as aromatase inhibitors, which have been used initially in the metastatic setting but are now being transferred to the adjuvant setting for post-menopausal women. Chemotherapy is used routinely for many breast cancers and is now well tolerated. Newer treatments include the use of taxanes and an antibody against HER-2 receptors; both of these are currently being evaluated in the adjuvant setting. Radiotherapy is a local adjuvant treatment that is given after breast conservation treatment surgery and in some cases is required after a mastectomy to decrease the risk of local recurrence.</p></div>","PeriodicalId":101284,"journal":{"name":"Women's Health Medicine","volume":"3 1","pages":"Pages 36-39"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1383/wohm.2006.3.1.36","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138333513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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