Medscape women's health最新文献_第2页

Reflections on the WHI findings: avoiding a pill scare and taking sensible steps forward. 对WHI调查结果的反思:避免药丸恐慌，采取明智的措施。

Medscape women's health Pub Date : 2002-07-01

Paul D Blumenthal

引用次数: 0

Effect of long-term continuous combined hormone replacement therapy with estradiol valerate and either dienogest or norethisterone acetate on mammographic density in postmenopausal women. 戊酸雌二醇联合地诺孕酮或醋酸去甲睾酮长期持续联合激素替代治疗对绝经后妇女乳腺x线摄影密度的影响。

Medscape women's health Pub Date : 2002-07-01

Dimiter B Georgiev, Nikolai A Manassiev

{"title":"Effect of long-term continuous combined hormone replacement therapy with estradiol valerate and either dienogest or norethisterone acetate on mammographic density in postmenopausal women.","authors":"Dimiter B Georgiev, Nikolai A Manassiev","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The potential effect of hormone replacement therapy (HRT) on the appearance of the breast on screening mammography is of considerable interest and may have important practical implications.Objective: The aim of this study was to evaluate the changes in the mammographic breast density during long-term continuous combined HRT with 2 different preparations.Material and methods: Nineteen patients were studied. Fifteen were treated with Climodien (Schering, 2 mg estradiol and 2 mg dienogest [E2/dienogest]), and 4 patients were treated with Kliogest (Novo Nordisk, 2 mg estradiol and 1 mg norethisterone acetate [E2/NETA]). All were followed with yearly mammography for 4 years.Results: Increase in the mammographic density was noted in 3 patients (15.8%). The change was evident after the first year of treatment with no further change during the rest of the study period.Conclusions: Long-term therapy with continuous combined HRT (E2/dienogest or E2/NETA) increased breast density in 3/19 (15.8%) of the patients. Our results suggest that the effect of these HRT preparations on mammographic density may be less significant than suggested by the results of similarly designed trials evaluating different HRT preparations.","PeriodicalId":79687,"journal":{"name":"Medscape women's health","volume":"7 4","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22142233","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

Healthcare utilization among women with physical disabilities. 身体残疾妇女的医疗保健利用情况。

Medscape women's health Pub Date : 2002-07-01

Catherine P Coyle, Mayra C Santiago

{"title":"Healthcare utilization among women with physical disabilities.","authors":"Catherine P Coyle, Mayra C Santiago","doi":"","DOIUrl":"","url":null,"abstract":"Background: Current published data indicate barriers and deficiencies in healthcare for women with physical disabilities. Yet, information regarding the influence of secondary conditions and demographic variables on the actual utilization of general health and rehabilitative services is limited. This research examined this issue.Design: Survey researchSetting: Metropolitan Philadelphia regionParticipants: 170 women between 21 and 65 years of age with physical disabilitiesResults: Most (96%) women had seen a general healthcare provider (eg, personal physician or gynecologist) in the past 6 months, with 60% reporting seeing such a provider 3 or more times. Despite this high frequency, many women had not had routine preventive gynecologic cancer screening services in the past 5 years. Additionally, respondents reported experiencing on average 12 secondary complications in the past year that moderately impaired their functioning. Many of these complications (fatigue, spasticity, deconditioning, joint pain, depression, social isolation) are preventable. Despite these complications, only about half of the women had seen a rehabilitative service provider (eg, physical therapist, mental health worker) in the past 6 months. Women who saw their general healthcare provider most frequently were more likely to also be receiving services from a rehabilitative service provider.Conclusion: General healthcare providers are frequently seeing women with physical disabilities. Healthcare providers have the ability and opportunity to enhance the health and wellness of this population. Particular attention should be focused on providing preventive healthcare services, including gynecologic cancer screenings and prevention and management of secondary conditions that accompany disability.","PeriodicalId":79687,"journal":{"name":"Medscape women's health","volume":"7 4","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2002-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22142236","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

Be careful of what you wish for: putting the WHI Estrogen/Progestin and HERS II Trials in perspective. 小心你的愿望:正确看待WHI雌激素/黄体酮和HERS II试验。

Medscape women's health Pub Date : 2002-07-01

John F Randolph

引用次数: 0

An ecological approach to physical activity in African American women. 非裔美国妇女体育活动的生态方法。

Medscape women's health Pub Date : 2001-12-01 DOI: 10.1037/e322352004-249

J. Walcott-Mcquigg, J. Zerwic, A. Dan, M. Kelley

{"title":"An ecological approach to physical activity in African American women.","authors":"J. Walcott-Mcquigg, J. Zerwic, A. Dan, M. Kelley","doi":"10.1037/e322352004-249","DOIUrl":"https://doi.org/10.1037/e322352004-249","url":null,"abstract":"Physical activity in women has assumed increasing significance as a policy issue as a result of the release of the 1996 Surgeon General's Report on Physical Activity and Health. This report revealed that women in the United States were less likely than men to adhere to the recommended guidelines for physical activity. African American women are less likely than white women to participate in leisure time physical activity across age, occupational, and income groups. The purpose of this study was to use the Ecological Model of Health Promotion to explore policy, environmental, and individual factors influencing physical activity of middle- to older-aged African American women in a mixed income community in a large midwestern city. Focus group discussions were held with 3 groups of women -- administrators/community leaders, exercisers, and nonexercisers. Thirty-three women between the ages of 40 and 78 participated in the study. The women identified 6 themes influencing physical activity: perceptions of physical activity and exercise; perceived barriers to exercise; perceived benefits of and motivators to exercise; past and present opportunities for exercise; factors that enhance the successful delivery of an exercise program; and coalition building to deliver an exercise program to women in the community. The results of this study reveal that to successfully increase physical activity in an ethnic urban community, researchers and other concerned individuals need to collaborate at multiple ecological levels, with an initial emphasis on establishing coalitions between institutions, community groups, policy makers, and individuals.","PeriodicalId":79687,"journal":{"name":"Medscape women's health","volume":"6 6 1","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2001-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1037/e322352004-249","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57755254","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: 41

The parathyroid hormones: bone-forming agents for treatment of osteoporosis. 甲状旁腺激素:治疗骨质疏松症的成骨剂。

Medscape women's health Pub Date : 2000-09-01

J F Whitfield, P Morley, G E Willick

引用次数: 0

Risk factors for osteoporosis: prevalence, change, and association with bone density. 骨质疏松的危险因素:患病率、变化及与骨密度的关系。

Medscape women's health Pub Date : 2000-09-01

J R Guthrie, P R Ebeling, L Dennerstein, J D Wark

{"title":"Risk factors for osteoporosis: prevalence, change, and association with bone density.","authors":"J R Guthrie, P R Ebeling, L Dennerstein, J D Wark","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: To describe the prevalence of risk factors for osteoporosis in a population-based cohort of Australian-born midlife women; determine the effect of these risk factors on premenopausal and early perimenopausal bone mineral density (BMD); and describe changes in risk factors and any effect of these on bone loss.Design: 4-year longitudinal community-based study. BMD of the lumbar spine (LS) and femoral neck (FN) was measured using dual x-ray absorptiometry (DXA).Setting: Melbourne, AustraliaParticipants: 224 Australian-born women aged 46-56 yearsMain outcome measures: Risk factors for osteoporosis, LS-BMD, FN-BMD, and change in risk factors and BMD.Results: At baseline, 52% reported a calcium intake of less than 800 mg/day and 46% reported a caffeine intake of more than 360 mg/day; 29% exercised less than 1.5 hours/week; 5% had a body mass index (BMI) of less than 20; 14% were current smokers; 23% were past smokers; 10% reported abnormal menstrual histories; and 25% reported a family history of osteoporosis. BMD was positively associated with weight; BMI; and waist, hip, and trunk skin-fold measure (P less than .0005). At 4-year follow-up, there were increases in weight (P less than .0005), waist/hip ratio (P less than. 05), trunk skin-fold measurements (P less than.005), and calcium intake (P less than.05). In women who became late perimenopausal or postmenopausal, bone loss was associated with time in relation to the final menstrual period but not with other variables.Conclusions: There are multiple risk factors for osteoporosis in this Australian-born population of midlife women, but only anthropometric variables were associated with BMD at baseline. Significant changes during the menopausal transition in anthropometric variables and calcium intake were in the direction that could decrease the risk of osteoporosis but were not found to affect menopausal bone loss.","PeriodicalId":79687,"journal":{"name":"Medscape women's health","volume":"5 5","pages":"E2"},"PeriodicalIF":0.0,"publicationDate":"2000-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21936774","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

Breast cancer risk reduction: what do we know and where should we go? 降低乳腺癌风险:我们知道什么，我们应该去哪里?

Medscape women's health Pub Date : 2000-09-01

M N Prout

引用次数: 0

Physical activity and the prevention of breast cancer. 体育锻炼和预防乳腺癌的关系。

Medscape women's health Pub Date : 2000-09-01

A McTiernan

引用次数: 0

Risk factors for osteoporosis: A review. 骨质疏松的危险因素:综述。

Medscape women's health Pub Date : 2000-07-01

J R Guthrie, L Dennerstein, J D Wark

引用次数: 0