Nonestrogen management of menopausal symptoms.

Abstract:

:Women who cannot or choose not to take estrogens do have alternatives; however, the options are few and unproven in longterm clinical trials with respect to safety and efficacy. Many available alternative treatments may alleviate the symptoms of the menopause, but do not convey long-term protection against osteoporosis and cardiovascular disease. This article reviews treatment alternatives to estrogen replacement therapy for symptomatic relief.

authors

Hendrix SL

doi

10.1016/s0889-8529(05)70253-x

subject

Has Abstract

pub_date

1997-06-01 00:00:00

pages

379-90

issue

2

eissn

0889-8529

issn

1558-4410

pii

S0889-8529(05)70253-X

journal_volume

26

pub_type

杂志文章,评审
  • Lipoprotein physiology.

    abstract::Lipoproteins are spherical macromolecular complexes in which hydrophobic molecules of triglyceride and cholesteryl ester are enveloped within a monolayer of amphipathic molecules of phospholipids, free cholesterol, and apoproteins. The major lipoprotein classes include intestinally derived chylomicrons that transport ...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8529(05)70023-2

    authors: Ginsberg HN

    更新日期:1998-09-01 00:00:00

  • Bone cell physiology.

    abstract::Physiologic regulation of bone cell function is achieved by the combined actions of some circulating hormones and several locally produced cytokines. Interactions among these agents are important, and the regulated generation of proteolytic activities is likely to play a major role in determining net effects on bone c...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Martin TJ,Ng KW,Suda T

    更新日期:1989-12-01 00:00:00

  • Genetics of Adrenocortical Development and Tumors.

    abstract::This article links the understanding of developmental physiology of the adrenal cortex to adrenocortical tumor formation. Many molecular mechanisms that lead to formation of adrenocortical tumors have been discovered via next-generation sequencing approaches. The most frequently mutated genes in adrenocortical tumors ...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2017.01.007

    authors: Lodish M

    更新日期:2017-06-01 00:00:00

  • Regulation of peripheral metabolism by substrate partitioning in the brain.

    abstract::All organisms must adapt to changing nutrient availability, with nutrient surplus promoting glucose metabolism and nutrient deficit promoting alternative fuels (in mammals, mainly free fatty acids). A major function of glucose-sensing neurons in the hypothalamus is to regulate blood glucose. When these neurons sense g...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2012.11.007

    authors: Moreno C,Yang L,Dacks P,Isoda F,Poplawski M,Mobbs CV

    更新日期:2013-03-01 00:00:00

  • The cellular and molecular mechanisms of diabetic complications.

    abstract::In this article, the cellular and molecular mechanisms of diabetic complications have been reviewed. Hyperglycemia-induced mechanisms that may induce vascular dysfunction in specific sites of diabetic microvascular damage include increased polyol pathway flux, altered cellular redox state, increased formation of diacy...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8529(05)70324-8

    authors: King GL,Brownlee M

    更新日期:1996-06-01 00:00:00

  • Pheochromocytoma.

    abstract::Pheochromocytomas cause the most dramatic life-threatening crises in all of endocrinology. Pheochromocytoma is an explosive clinical syndrome that may be characterized by either severe hypertension associated with cerebral, cardiac, and renal complications or hypotension, or even shock and sudden death. Other emergenc...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Bravo EL,Gifford RW Jr

    更新日期:1993-06-01 00:00:00

  • Dietary Vitamin D Intake for the Elderly Population: Update on the Recommended Dietary Allowance for Vitamin D.

    abstract::Vitamin D insufficiency and deficiency can be diagnosed with measurements of serum 25-hydroxyvitamin D (25OHD). Most vitamin D is derived from sunlight (80%), so serum 25OHD levels are lowest in late winter and early spring. Dietary vitamin D in North America is small, about 100 to 200 IU daily. A recent review of the...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2017.07.003

    authors: Smith LM,Gallagher JC

    更新日期:2017-12-01 00:00:00

  • Lipid management in patients who have HIV and are receiving HIV therapy.

    abstract::Dyslipidemia now is recognized as a significant potential adverse event in HIV-infected patients who are receiving antiretroviral therapy. HIV-infected persons who have hyperlipidemia should be managed similarly to those without HIV infection in accordance with the National Cholesterol Education Program. Providers mus...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2008.11.009

    authors: Aberg JA

    更新日期:2009-03-01 00:00:00

  • Extraskeletal effects of vitamin D.

    abstract::The presence of vitamin D receptors in diverse tissues like immune cells, beta-cells in the pancreas, and cardiac myocytes has prompted research to evaluate the impact of vitamin D deficiency on the occurrence of immune diseases, diabetes, and cardiovascular disease (CVD). The expression of receptors not only in norma...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2012.05.004

    authors: Wolden-Kirk H,Gysemans C,Verstuyf A,Mathieu C

    更新日期:2012-09-01 00:00:00

  • Cryptorchidism and Fertility.

    abstract::Congenital cryptorchidism, that is, undescended testis, is one of the most common urogenital abnormalities observed in newborn boys. In addition to the congenital form, there is also acquired form of cryptorchidism. Fertility potential of patients with cryptorchidism has been evaluated by testicular histology and volu...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2015.07.013

    authors: Virtanen HE,Toppari J

    更新日期:2015-12-01 00:00:00

  • Post-transplantation osteoporosis.

    abstract::Osteoporosis is prevalent in transplant recipients and is related to pre- and post-transplantation factors. Low bone density and fractures may antedate transplantation, related to traditional risk factors for osteoporosis, effects of chronic illness, and end-stage organ failure and its therapy, on the skeleton. Bone l...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2007.07.008

    authors: Stein E,Ebeling P,Shane E

    更新日期:2007-12-01 00:00:00

  • Blood Pressure Control and Cardiovascular/Renal Outcomes.

    abstract::Hypertension is an important and modifiable risk factor for the macrovascular and microvascular complications of diabetes. Prior literature outlines the significance of lowering blood pressure and subsequent cardiovascular and microvascular benefits. Blood pressure targets of less than 140/90 mm Hg are recommended in ...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2017.10.008

    authors: Dojki FK,Bakris GL

    更新日期:2018-03-01 00:00:00

  • Genetic basis and pancreatic biology of Johanson-Blizzard syndrome.

    abstract::The most recent elucidation of an inherited disorder of the pancreas concerns the Johanson-Blizzard syndrome (JBS). Positional cloning identified loss-of-function mutations in the UBRI gene on the long arm of chromosome 15 to be the cause of JBS in more than a dozen patients. In patients with JBS the absence of UBRI r...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2006.02.013

    authors: Zenker M,Mayerle J,Reis A,Lerch MM

    更新日期:2006-06-01 00:00:00

  • Surgical Approaches to the Management of Neuroendocrine Liver Metastases.

    abstract::Surgical approaches to hepatic metastases occupy an important role in the management of patients with neuroendocrine neoplasms and may have curative or palliative intentions. Resection of hepatic disease with curative intent is the only modality offering potential cure for patients with liver metastases; however, only...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2018.04.001

    authors: Frilling A,Clift AK

    更新日期:2018-09-01 00:00:00

  • Epidemiologic trends in overweight and obesity.

    abstract::Obesity in adults is associated with excess mortality and excess risk of coronary heart disease, hypertension, hyperlipidemia, diabetes, gallbladder disease, certain cancers, and osteoarthritis. Overweight children often become overweight adults, and overweight in adulthood is a health risk. Although childhood overwei...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8529(03)00074-4

    authors: Ogden CL,Carroll MD,Flegal KM

    更新日期:2003-12-01 00:00:00

  • Localization and identification of the multiple endocrine neoplasia type 1 disease gene.

    abstract::The familial and genetic nature of multiple endocrine neoplasia type 1 (MEN 1) syndrome was first pointed out by Wermer in 1954, who suggested that an autosomal dominant gene with high penetrance controls the trait. The clinical picture is variable, depending mainly on which glands are involved and whether the tumors ...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Larsson C,Friedman E

    更新日期:1994-03-01 00:00:00

  • Conventional Treatment of Hypoparathyroidism.

    abstract::Conventional therapy of hypoparathyroidism consists of oral calcium and either activated vitamin D or vitamin D supplements at varying doses. Although adjusting dosing of calcium and/or activated vitamin D or vitamin D itself, the serum calcium should be obtained weekly or monthly depending on the clinical situation. ...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2018.07.012

    authors: Babey M,Brandi ML,Shoback D

    更新日期:2018-12-01 00:00:00

  • Insulin as a growth factor.

    abstract::Various clinical syndromes illustrate the essential role of insulin in modulating somatic growth both in utero and after birth. The effect of insulin on growth is a consequence of direct effects transduced via its homologous receptor and post-receptor signaling pathways and indirect effects on other modulators of grow...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8529(05)70344-3

    authors: Menon RK,Sperling MA

    更新日期:1996-09-01 00:00:00

  • Tactics for type I diabetes.

    abstract::This article discusses the evolution of therapy for type I diabetes and considers how physicians should be thinking about the disease in the late 1990s. The biases herein are that management strategy has evolved such that contemporary practice should routinely entail a system of "flexible intensive therapy" directed a...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8529(05)70272-3

    authors: Skyler JS

    更新日期:1997-09-01 00:00:00

  • Renovascular hypertension.

    abstract::Renal artery stenosis, particularly related to advancing atherosclerotic disease, is a common concern to internists seeing patients with worsening hypertension and deteriorating renal function. Understanding the hormonal and hemodynamic consequences of critical vascular lesions allows better selection of antihypertens...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Textor SC

    更新日期:1994-06-01 00:00:00

  • Role of Commercial Weight-Loss Programs in Medical Management of Obesity.

    abstract::Rates of obesity counseling are low among physicians because of the lack of time and training in this area. In recognition of this challenge, recent national guidelines encourage physicians to refer patients with obesity to intensive, comprehensive lifestyle programs to lose weight. Some commercial weight-loss program...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2020.02.006

    authors: Gudzune KA,Clark JM

    更新日期:2020-06-01 00:00:00

  • The role of molecular genetics in screening for multiple endocrine neoplasia type 1.

    abstract::The gene causing MEN 1 has been localized to chromosome 11, band 11q13, by tumor deletion mapping studies and by family linkage studies. Molecular genetic markers flanking the MEN 1 gene have been defined, and they are of use in identifying disease gene carriers in a family. These individuals, who are at a high risk o...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:

    authors: Thakker RV

    更新日期:1994-03-01 00:00:00

  • Insulin therapy in type 2 diabetes mellitus.

    abstract::Health care providers and patients have lots of choice to treat type 2 diabetes, but the blood glucose improvement is limited. The one therapy with unlimited potential (at least theoretically) is insulin. Many studies show that glucose control is achievable with insulin safely in most patients with type 2 diabetes. Ef...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2012.03.004

    authors: Leahy JL

    更新日期:2012-03-01 00:00:00

  • Neuropsychiatric manifestations of thyroid disease.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2013.05.005

    authors: Feldman AZ,Shrestha RT,Hennessey JV

    更新日期:2013-09-01 00:00:00

  • Body composition and childhood obesity.

    abstract::Underwater weighing has been the gold standard for the measurement of body composition in humans; however, the two formulas widely used, the Siri and Bronze, were developed using young adult white males. The development of newer techniques in the past 20 years has greatly expanded the accuracy and ease of measuring bo...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8529(05)70359-5

    authors: Harsha DW,Bray GA

    更新日期:1996-12-01 00:00:00

  • Management of the adult onset diabetic with sulfonylurea drug failure.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Genuth S

    更新日期:1992-06-01 00:00:00

  • Neuroendocrine aspects of polycystic ovary syndrome.

    abstract::A series of investigations have emphasized the heterogeneous nature of the clinical condition known as PCOS and have delineated several factors that may contribute to the hyperandrogenemia and anovulation in this condition. Currently, it remains unclear whether intrinsic abnormalities of ovarian steroidogenesis, the e...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8529(05)70071-2

    authors: Marshall JC,Eagleson CA

    更新日期:1999-06-01 00:00:00

  • Immunomodulatory vaccination in autoimmune disease.

    abstract::The development of vaccines is arguably the most significant achievement in medicine to date. The practice of innoculation with the fluid from a sore to protect from a disease actually dates back to ancient China; however, with the introduction of Jenner's smallpox vaccine, and greater understanding of the immune syst...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8529(01)00021-4

    authors: Urbanek-Ruiz I,Ruiz PJ,Steinman L,Fathman CG

    更新日期:2002-06-01 00:00:00

  • Osteoporosis-associated fracture and diabetes.

    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

    pub_type: 杂志文章,评审

    doi:10.1016/j.ecl.2013.09.004

    authors: Kurra S,Fink DA,Siris ES

    更新日期:2014-03-01 00:00:00

  • Medical therapy for acromegaly.

    abstract::Both somatostatin analogues, which bind to the somatostatin receptor subtypes 2 and 5, and dopamine agonists, which are specific for the D2 receptor, have been used to treat acromegaly. Each of these classes of drugs contains several compounds that vary in duration of action, efficacy, and side effect profile. Althoug...

    journal_title:Endocrinology and metabolism clinics of North America

    pub_type: 杂志文章,评审

    doi:10.1016/s0889-8529(05)70062-1

    authors: Newman CB

    更新日期:1999-03-01 00:00:00