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Schulkin, Jay

Medical Decisions, Estrogen and Aging

€ 151.75

The decision making process that underlies ovarian hormone therapy (HT) is fallible. Thus, the decision for women to go on HT remains controversial. At a time when confusion s


Taal / Language : English

Inhoudsopgave:
Foreword vii
Preface xi
Introduction 1
Chapter 1 Hormone Therapy: Biological, Social, and Medical Context 5
1.1 What are Hormones?
6
1.2 History of HT
9
1.3 Unreasonable Expectations about Aging and Menopause: The Lofty Promise of a Magic Bullet
11
1.4 Continuing Concerns
12
1.5 Medical Decisions, Conflicts, and the Marketing of HT
14
1.6 Recurrent Controversy and Confusion
19
1.7 Is this the Demise of Hormone Therapy?
21
Chapter 2 Demythologized Human Decision-Making 25
2.1 Medical Education and the Culture of Scientific Decision-Making
26
2.2 Decision Sciences and Medical Decision-Making
27
2.3 Physicians, Decisions, and Hormone Therapy
29
2.4 Bias and Medical Decision-Making
32
2.5 Evidence-Based Medicine and Medical Decision-Making
36
2.6 Evidence-Based Medicine, Practice Guidelines, and Hormone Therapy
38
2.7 Integration of Decision Sciences and Evidence-Based Medicine
41
2.8 Patient Rights and Informed Consent
42
2.9 Conclusion: The Importance of Being Earnest about Evidence
46
Chapter 3 Autonomic Regulation, Heart, and Strokes 49
3.1 Introduction
49
3.2 Menopause and Autonomic Changes
50
3.3 Heart Disease and Women
55
3.4 Strokes and Thrombosis
63
3.5 Urinary Incontinence
65
3.6 Conclusion
66
Chapter 4 Bad News Good News: Cancers and Bone 69
4.1 Introduction
69
4.2 Breast Cancer
69
4.3 Ovarian, Endometrial, and Colorectal Cancer
77
4.4 Bone
79
4.5 Teeth and Skin
83
4.6 Conclusion
85
Chapter 5 Brain, Mood, and Cognition 87
5.1 Introduction
87
5.2 Estrogen and the Brain
88
5.3 Hormone Therapy, Mood, and Mental Health
92
5.4 HT`s Effects on Memory and Cognition.
95
5.5 HT and Alzheimer`s Disease
98
5.6 Conclusion
102
Chapter 6 Physicians` and Women`s Responses to HT Findings: Implications for Continuous Learning and Self-Corrective Inquiry for Physicians 105
6.1 Introduction
105
6.2 Learning and the Physician
106
6.3 Placed in Context: Physicians` Beliefs about HT and Responses to the WHI
107
6.4 Women`s Beliefs about HT and Their Responses to the WHI
112
6.5 Hormone Therapy and Continuing Medical Education
118
6.6 Conclusion
121
Conclusion: Hormones and Resonable Expectations of Aging 125
Bibliography 137
Index 177
Extra informatie: 
Diversen
Januari 2008
431 gram
235 x 165 x 19 mm
Springer-Verlag GmbH gb

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