Acute consequences of the menopausal transition: the rise of common menopausal symptoms.

abstract：:Unlike other pituitary hormones, PRL is under tonic inhibition by the hypothalamus by way of the PRL inhibitory factor, dopamine. GAP and GABA may also be inhibitory. PRL-releasing factors include TRH and VIP and possibly others. Circulating PRL is predominantly monomeric, although some patients with hyperprolactinemi...

journal_title：Endocrinology and metabolism clinics of North America

authors： Molitch ME

更新日期：1992-12-01 00:00:00

abstract：:There are many pathways that might lead to decreased bone mass, skeletal fragility, and increased fracture risk in osteoporosis. Some of these have been clearly identified, such as estrogen deficiency. Others that were conceived on the basis of experimental findings and recent scientific discoveries such as abnormalit...

journal_title：Endocrinology and metabolism clinics of North America

authors： Raisz LG,Rodan GA

更新日期：2003-03-01 00:00:00

abstract：:Historically, systemic therapies for advanced, metastatic thyroid carcinomas have been poorly effective. However, as a result of a confluence of increasing knowledge of the biologic basis for thyroid cancer development and progression, identification of therapeutic agents that could target these biologic abnormalities...

journal_title：Endocrinology and metabolism clinics of North America

authors： Sherman SI

更新日期：2008-06-01 00:00:00

abstract：:Ethnicity is a complex yet important construct and an independent risk factor for diabetic heart disease (DHD) with paramount clinical significance. Clinicians should try to better understand the role of ethnicity through more questions. The risk of DHD is modified by ethnicity through more questions. The risk of DHD ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Dave JK,Kamdar VV

更新日期：2006-09-01 00:00:00

abstract：:The prevalence of low-risk differentiated thyroid cancer (DTC) is dramatically increasing because of superior diagnostic imaging technologies. Remote-access endoscopic thyroidectomy is becoming more popular for the lack of a noticeable neck scar. Transoral endoscopic thyroidectomy, vestibular approach (TOETVA) is the ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Jongekkasit I,Jitpratoom P,Sasanakietkul T,Anuwong A

更新日期：2019-03-01 00:00:00

abstract：:Normal sleep is characterized both by reduced glucose turnover by the brain and other metabolically active tissues, and by changes in glucose tolerance. Sleep duration has decreased over the last several decades; data suggest a link between short sleep duration and type 2 diabetes. Obstructive sleep apnea (OSA) result...

journal_title：Endocrinology and metabolism clinics of North America

authors： Mesarwi O,Polak J,Jun J,Polotsky VY

更新日期：2013-09-01 00:00:00

abstract：:Only two drugs are currently approved for long-term use in the treatment of obesity and four others for short-term use. Evaluating the risk-benefit profile is an essential first step. For individuals who have a low body mass index for whom the risk is small, the risk profile must make the drug acceptable for almost ev...

journal_title：Endocrinology and metabolism clinics of North America

authors： Bray GA

更新日期：2008-12-01 00:00:00

abstract：:This article covers considerations in the etiologies and therapy of hypercalcemia. The differential diagnosis of hypercalcemia is discussed, with particular emphasis on primary hyperparathyroidism and the hypercalcemia of malignancy. Clinical features of hypercalcemia are also discussed. Therapy of hypercalcemia is co...

journal_title：Endocrinology and metabolism clinics of North America

authors： Bilezikian JP

更新日期：1989-06-01 00:00:00

abstract：:Insulin resistance in skeletal muscle is a major hallmark of type 2 diabetes mellitus (T2D) and obesity that is characterized by impaired insulin-mediated glucose transport and glycogen synthesis and by increased intramyocellular content of lipid metabolites. Several studies have provided evidence for mitochondrial dy...

journal_title：Endocrinology and metabolism clinics of North America

authors： Højlund K,Mogensen M,Sahlin K,Beck-Nielsen H

更新日期：2008-09-01 00:00:00

abstract：:Combined clinical and laboratory investigations of MEN-1 have resulted in an increased understanding of this disorder, which may be inherited as an autosomal dominant condition. Defining the features of each disease manifestation in MEN-1 has improved patient management and treatment and has facilitated a screening pr...

journal_title：Endocrinology and metabolism clinics of North America

authors： Thakker RV

更新日期：2000-09-01 00:00:00

abstract：:Glucocorticoid-induced bone loss has been recognized for almost 50 years, yet it remains an important medical problem and a common cause of fracturing. Loss of skeletal mass may occur early in the course of glucocorticoid therapy and appears to be related to the cumulative dose of steroid, as well as to the usual risk...

journal_title：Endocrinology and metabolism clinics of North America

authors： Hodgson SF

更新日期：1990-03-01 00:00:00

abstract：:The liver is key to glucose homeostasis. Any disruption of its metabolism, structural integrity, or intracellular dynamics may alter the liver's ability to maintain normal glucose homeostasis. When such disruption affects hepatic glucose output, hypoglycemia may eventuate. Multiple drugs including alcohol may alter th...

journal_title：Endocrinology and metabolism clinics of North America

authors： Arky RA

更新日期：1989-03-01 00:00:00

abstract：:Primary aldosteronism used to be considered a rare cause of secondary hypertension. However, accruing evidence indicates that primary aldosteronism is more common than previously recognized. The implications of this increased prevalence are important to public health because autonomous aldosterone production contribut...

journal_title：Endocrinology and metabolism clinics of North America

authors： Hundemer GL,Vaidya A

更新日期：2019-12-01 00:00:00

abstract：:The interface between thyroid hormone action and neuropsychiatric function is intricate, and several mechanisms of thyroid hormone uptake into brain tissues, hormone activation, and influences on neurotransmitter generation have been identified. Symptoms of hypothyroidism are nonspecific, whereas those attributed to t...

journal_title：Endocrinology and metabolism clinics of North America

authors： Feldman AZ,Shrestha RT,Hennessey JV

更新日期：2013-09-01 00:00:00

abstract：:In summary, patients who will remain on glucocorticoids for more than a few weeks are clearly at risk for osteoporosis. A list of therapeutic strategies is provided in Table 2. While our therapy remains inadequate at this time, newer agents are on the horizon. In the near future, it may be possible to recommend specif...

journal_title：Endocrinology and metabolism clinics of North America

authors： Adler RA,Rosen CJ

更新日期：1994-09-01 00:00:00

abstract：:With building pressure for cost-containment of medical expenditures, the medical community is finding it increasingly necessary to justify its procedures and systems of care. The analysis of health care outcomes has been extensively applied to diabetes care as a means of determining the process by which optimal outcom...

journal_title：Endocrinology and metabolism clinics of North America

authors： Ratner RE

更新日期：1997-09-01 00:00:00

abstract：:An approach to the diagnosis and follow-up of patients with osteoporosis is described. A system of classification of vertebral fractures is outlined, and the relative merits of different techniques for bone mineral density are discussed. The importance of identifying factors that accelerate bone loss is stressed. The ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Eastell R,Riggs BL

更新日期：1988-09-01 00:00:00

abstract：:With apparent failure of SU drug therapy, the management of NIDDM patients becomes even more challenging. The following sequence of actions is recommended. 1. Situational dietary noncompliance (eg, a prolonged vacation or a recent period of family or occupational stress) should be treated first by renewed regular cont...

journal_title：Endocrinology and metabolism clinics of North America

authors： Genuth S

更新日期：1992-06-01 00:00:00

abstract：:Establishing the cause of Cushing's syndrome (CS) is one of the most challenging processes in clinical endocrinology. Biochemical testing, including measurement of plasma adrenocorticotropin (ACTH), high-dose dexamethasone suppression, and corticotropin-releasing hormone stimulation testing, is integral to the differe...

journal_title：Endocrinology and metabolism clinics of North America

authors： Lindsay JR,Nieman LK

更新日期：2005-06-01 00:00:00

abstract：:Hypergonadotropic forms of amenorrhea in young women are many and varied, and the disorder is not nearly as uncommon as previously believed. It is likely that all physicians seeing women with amenorrhea will encounter this disorder. Careful evaluation is warranted to eliminate any associated autoimmune disorders. Beca...

journal_title：Endocrinology and metabolism clinics of North America

authors： Rebar RW,Cedars MI

更新日期：1992-03-01 00:00:00

abstract：:Diseases in other organs may impair the male reproductive system. Acute critical conditions such as severe trauma, surgery, myocardial infarction, burns, liver failure, intoxication, or starvation are associated with suppression of gonadotropin secretion and secondary hypogonadism. With chronic illnesses, a primary te...

journal_title：Endocrinology and metabolism clinics of North America

authors： Baker HW

更新日期：1998-12-01 00:00:00

abstract：:The actions of the vitamin D hormone 1,25-dihydroxyvitamin D(3) (1,25(OH)(2)D(3)) are mediated by the vitamin D receptor (VDR), a ligand-activated transcription factor that functions to control gene expression. After ligand activation, the VDR binds directly to specific sequences located near promoters and recruits a ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Pike JW,Meyer MB

更新日期：2010-06-01 00:00:00

abstract：:Since its discovery, ANF has provided multitudinous opportunities to explore its relationship to various biologic functions. Hundreds of publications investigating various aspects of this newly discovered hormone system have appeared. ANF exhibits a plethora of direct and indirect biologic activities that oppose the h...

journal_title：Endocrinology and metabolism clinics of North America

authors： Adams SP

更新日期：1987-03-01 00:00:00

abstract：:Raloxifene, the first of the second-generation of SERMs to be widely available, represents a significant improvement over tamoxifen. It prevents postmenopausal bone loss and reduces the incidence of vertebral fractures and of new breast cancer cases in osteoporotic patients without stimulating the endometrium. The sug...

journal_title：Endocrinology and metabolism clinics of North America

authors： Fontana A,Delmas PD

更新日期：2003-03-01 00:00:00

abstract：:Thyroid nodules are extremely common, affecting from 4% to 7% of the population. Fine-needle aspiration biopsy is the most accurate and cost-effective technique for nodule diagnosis. It is simple, safe, and should be the first test used in patient work-up. Routine thyroxine (T4) suppressive therapy is no longer recomm...

journal_title：Endocrinology and metabolism clinics of North America

authors： Gharib H

更新日期：1997-12-01 00:00:00

abstract：:Obesity is associated with a spectrum of metabolic and cardiovascular disorders, including hypertension. Both the degree and the distribution of excess adipose tissue impact on the risk of hypertension and associated cardiovascular diseases. The mechanisms that may lead to hypertension in obese individuals include inc...

journal_title：Endocrinology and metabolism clinics of North America

authors： Hsueh WA,Buchanan TA

更新日期：1994-06-01 00:00:00

abstract：:This article summarizes the clinical features and molecular pathogenesis of medullary thyroid cancer (MTC) and focuses on the current use of molecular, biochemical, and imaging disease markers as a basis for selection of appropriate therapy. Clinicians treating patients who have MTC face the following challenges: (1) ...

journal_title：Endocrinology and metabolism clinics of North America

authors： Ball DW

更新日期：2007-09-01 00:00:00

abstract：:This article addresses the role of insulin resistance in the pathogenesis of type 2 diabetes. The major causes of acquired insulin resistance including aging, pregnancy, lack of physical activity, and obesity are discussed briefly. The role of free fatty acids (FFAs) as a link between obesity and insulin resistance/ty...

journal_title：Endocrinology and metabolism clinics of North America

authors： Boden G

更新日期：2001-12-01 00:00:00

abstract：:Osteoporosis and diabetes mellitus are chronic diseases with significant associated morbidity and mortality. Recent evidence suggests that both type 1 and type 2 diabetes are associated with an increased fracture risk. Fracture as a complication of diabetes must be considered when evaluating and treating patients with...

journal_title：Endocrinology and metabolism clinics of North America

authors： Kurra S,Fink DA,Siris ES

更新日期：2014-03-01 00:00:00

abstract：:A consensus conference of the American Association of Clinical Endocrinologists and American College of Endocrinology held in February 2016 advocated expanding the use of continuous glucose monitoring (CGM) in the management of diabetes. Based on the data described in this paper, CGM use is shown to improve glucose co...

journal_title：Endocrinology and metabolism clinics of North America

authors： Toschi E,Wolpert H

更新日期：2016-12-01 00:00:00