Abstract:
:Polycystic ovary syndrome (PCOS) is a prevalent, chronic and heterogeneous endocrine condition, with reproductive, metabolic and psychological features. Insulin resistance and hyperandrogenaemia are the key pathophysiological hormonal abnormalities. Insulin resistance is a significant contributor to the reproductive and metabolic complications of PCOS, both independently and in the setting of excess bodyweight. While the diagnostic criteria are now internationally uniformly accepted, individual components of the criteria are ill-defined, making diagnosis challenging. This, along with low awareness of PCOS, has resulted in a significant proportion of women remaining undiagnosed. While reproductive features are best recognised in PCOS and form the basis of the diagnostic criteria, awareness of psychological and metabolic features, recommended screening protocols, and management strategies to prevent metabolic complications are important. In this review, we focus on diagnostic criteria, and reproductive, metabolic and psychological features of PCOS, as well as recommended screening and management strategies suggested by national and international evidence-based guidelines.
journal_name
Intern Med Jjournal_title
Internal medicine journalauthors
Shorakae S,Boyle J,Teede Hdoi
10.1111/imj.12495subject
Has Abstractpub_date
2014-08-01 00:00:00pages
720-6issue
8eissn
1444-0903issn
1445-5994journal_volume
44pub_type
杂志文章,评审abstract:BACKGROUND:Immunohistochemistry for loss of expression of one or more of the mismatch repair proteins is performed on colorectal cancer tissue as a screening test for Lynch syndrome; however, its role in pre-malignant polyps remains controversial. AIM:To determine the effectiveness of mismatch repair immunohistochemis...
journal_title:Internal medicine journal
pub_type: 杂志文章
doi:10.1111/imj.13953
更新日期:2018-11-01 00:00:00
abstract::Interaction between doctors and the pharmaceutical industry is long-standing and ingrained in modern practice. Doctors-in-training are at a vulnerable stage of their careers, both in requiring knowledge and forming lasting relationships. There is evidence that limiting contact between industry and junior doctors has a...
journal_title:Internal medicine journal
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更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:An adequately powered, double-blind, multisite, randomised controlled trial has shown no net clinical benefit for subcutaneous ketamine over placebo in the management of cancer pain refractory to combination opioid and co-analgesic therapy. The results of the trial were disseminated widely both nationally an...
journal_title:Internal medicine journal
pub_type: 杂志文章
doi:10.1111/imj.12442
更新日期:2014-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/imj.12181
更新日期:2013-07-01 00:00:00
abstract::Transient ischaemic attack (TIA) if untreated carries a high risk of early stroke and is associated with poorer long-term survival. There have been recent advances in the understanding of TIA, its investigations, management and organisation of services for patient care. Clinically, patients are diagnosed TIA if they h...
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pub_type: 杂志文章,评审
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更新日期:2019-08-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章
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更新日期:2007-01-01 00:00:00
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更新日期:2017-08-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1445-5994.2006.01079.x
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pub_type: 历史文章,杂志文章
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更新日期:2019-09-01 00:00:00
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journal_title:Internal medicine journal
pub_type: 杂志文章
doi:10.1111/j.1445-5994.2012.02836.x
更新日期:2012-07-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/imj.12007
更新日期:2012-12-01 00:00:00
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journal_title:Internal medicine journal
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2014-03-01 00:00:00
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journal_title:Internal medicine journal
pub_type: 杂志文章
doi:10.1111/imj.13399
更新日期:2017-05-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1445-5994.2008.01700.x
更新日期:2008-08-01 00:00:00
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journal_title:Internal medicine journal
pub_type: 杂志文章
doi:10.1111/imj.13526
更新日期:2017-09-01 00:00:00
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journal_title:Internal medicine journal
pub_type: 杂志文章,评审
doi:10.1111/j.1445-5994.2010.02167.x
更新日期:2010-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2014-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1445-5994.2012.02774.x
更新日期:2012-05-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1445-5994.2005.00940.x
更新日期:2005-10-01 00:00:00
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journal_title:Internal medicine journal
pub_type: 杂志文章
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更新日期:2012-11-01 00:00:00
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journal_title:Internal medicine journal
pub_type: 杂志文章
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更新日期:2020-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2013-04-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1445-5994.2009.02061.x
更新日期:2010-10-01 00:00:00
abstract::Myocardial perfusion imaging is a relatively new technique in the emergency department management of acute chest pain. With improved sensitivity and specificity compared to traditional methods of risk stratification, an abnormal scan rapidly identifies individuals with acute perfusion abnormalities and allows the appr...
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pub_type: 杂志文章,评审
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更新日期:2001-12-01 00:00:00
abstract:BACKGROUND:As direct-to-consumer personal genome testing (DTC-PGT) is increasingly available in Australia, knowledge of Australians' perceptions and attitudes towards this technology is needed in order to assess the (potential) impact it might have on the Australian public and healthcare system. AIMS:To explore the kn...
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pub_type: 杂志文章
doi:10.1111/imj.12289
更新日期:2014-01-01 00:00:00
abstract::Carbimazole is a drug that is widely used for hyperthyroid disorders, such as Graves' disease. Agranulocytosis is a rare idiosyncratic adverse reaction to the drug which is potentially fatal. This report describes a patient with a history of successfully treated pyoderma gangrenosum, who developed agranulocytosis 3 we...
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pub_type: 杂志文章
doi:10.1111/j.1445-5994.2009.02143.x
更新日期:2010-04-01 00:00:00