The journal of gender-specific medicine : JGSM : the official journal of the Partnership for Women's Health at Columbia最新文献

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Notes from New York City, II: Living on two levels. 来自纽约的笔记,II:生活在两层。
Marianne J Legato
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引用次数: 0
Gender differences in the relationship between insulin-mediated glucose utilization and sex hormones in young African-Americans. 非裔美国年轻人胰岛素介导的葡萄糖利用与性激素之间关系的性别差异。
B Falkner, K Sherif, H Kushner
{"title":"Gender differences in the relationship between insulin-mediated glucose utilization and sex hormones in young African-Americans.","authors":"B Falkner, K Sherif, H Kushner","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether there are gender differences in insulin-mediated glucose utilization and if sex hormones correlate with measures of insulin sensitivity in young adult African-Americans.</p><p><strong>Design: </strong>Cross-sectional case (women)-control (men) study.</p><p><strong>Participants: </strong>African-American men and women aged 27 to 35 years. Excluded were known diabetics, individuals on antihypertensive therapy, and women taking exogenous estrogen preparations.</p><p><strong>Methods: </strong>Procedures included anthropometric and blood pressure measurement, oral glucose tolerance test, sex hormone assay, and euglycemic hyperinsulinemic clamp. Procedures for data analysis included two-way analysis of variance and Pearson's correlation coefficients.</p><p><strong>Results: </strong>Data were analyzed on 104 men and 142 women with a mean age of 31.5 years. Insulin sensitivity was lower in women than in men. When insulin-mediated glucose utilization was corrected for body fat, there was no gender difference in insulin sensitivity. There was a significant correlation of androgen status with insulin sensitivity, but this relationship was divergent between men and women. For men, the correlation between insulin sensitivity and free testosterone was positive (r = .36, P < .001). For women, this correlation was negative (r = -.28, P = .001).</p><p><strong>Conclusion: </strong>These data on young African-Americans demonstrate no gender differences in insulin sensitivity when glucose utilization is corrected for adipose mass. Androgen status is significantly linked with insulin sensitivity, but the relationship is divergent in men and women. Insulin resistance in young women is strongly associated with relative androgen excess, which may augment the risk for cardiovascular disease.</p>","PeriodicalId":83105,"journal":{"name":"The journal of gender-specific medicine : JGSM : the official journal of the Partnership for Women's Health at Columbia","volume":"3 5","pages":"60-5"},"PeriodicalIF":0.0,"publicationDate":"2000-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592382","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
Medical necessity. 医疗必要性。
G. Frankel
{"title":"Medical necessity.","authors":"G. Frankel","doi":"10.4135/9781483346663.n356","DOIUrl":"https://doi.org/10.4135/9781483346663.n356","url":null,"abstract":"","PeriodicalId":83105,"journal":{"name":"The journal of gender-specific medicine : JGSM : the official journal of the Partnership for Women's Health at Columbia","volume":"3 5 1","pages":"67"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70626869","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
Management of headache in women. 妇女头痛的处理。
D. Marcus
{"title":"Management of headache in women.","authors":"D. Marcus","doi":"10.1002/9781118678961.CH21","DOIUrl":"https://doi.org/10.1002/9781118678961.CH21","url":null,"abstract":"Chronic headache is more prevalent in women than in men. In addition, women often experience increases in headache activity in relation to different life stages. Changes in headache pattern coincide with changes in estradiol levels, with elevated levels of estradiol (e.g., during pregnancy) associated with reduced headache, and cycling of estradiol (e.g., during menses) associated with worsened headache. Headache treatment for women must be modified to address the changes in headache that accompany menses, pregnancy, and menopause.","PeriodicalId":83105,"journal":{"name":"The journal of gender-specific medicine : JGSM : the official journal of the Partnership for Women's Health at Columbia","volume":"50 3","pages":"47-50"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50723050","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: 3
Genetic discrimination. 基因歧视。
J. Howes, M. Bass
{"title":"Genetic discrimination.","authors":"J. Howes, M. Bass","doi":"10.4135/9781452240121.n138","DOIUrl":"https://doi.org/10.4135/9781452240121.n138","url":null,"abstract":"In this article, I critique a case study by professor Paul Billings and his coauthors that aims to determine whether access to genetic information may give rise to genetic discrimination. The authors conclude that such discrimination is manifested in many social institutions, especially in the fields of health and life insurance. But I argue that their findings rest on too broad an understanding of the concept of (genetic) discrimination. I propose instead the following definition of the concept of discrimination: one person, A, discriminates against another person, B, if, and only if, A intentionally treats B worse than A treats, or would treat, others in similar circumstances. On this analysis, discrimination involves an intentional breach of the principle of formal justice, which asks us to treat like cases alike (and different cases differently). On this analysis, much of what usually passes for genetic (and other) discrimination is not discrimination at all, though perhaps \"immoral incompetence\" on the part of the alleged discriminators.","PeriodicalId":83105,"journal":{"name":"The journal of gender-specific medicine : JGSM : the official journal of the Partnership for Women's Health at Columbia","volume":"2 5 1","pages":"18-20"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70591796","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: 26
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