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Biomedical subjects

A M Voda

Publications and source records attributed to A M Voda.

At least 19 recordsLinked to original sources
PubMed1998

Chinese midlife women's perceptions and attitudes about menopause.

OBJECTIVE: The purpose of this research was to discover and describe the meaning of and attitudes toward menopause in midlife Chinese women in Taiwan. How these women learned about menopause was also explored. DESIGN: Questionnaires were distributed to a convenience sample of 208 Chinese women aged 35 to 55 living in Taiwan; 168 responded. Qualitative data were analyzed using content analysis. Percentage and chi-square were used to examine the quantitative data. RESULTS: The findings revealed that 154 (91.7%) women perceived menopause as a natural phenomenon. No statistically significant differences in attitude toward menopause were found between women grouped by different menopausal levels, by use or not use of hormones, or by religious preference. Some women described menopause as, "no longer young, getting old." Others described menopause as, "wisdom and maturation," "a symbol of achievement," and "a time to start enjoying life." Sixty-eight (40.5%) of the sample indicated they obtained menopausal information from friends and printed materials such as books, newspapers, and magazines. CONCLUSIONS: Study findings indicate that Chinese women in Taiwan perceive menopause in a positive and holistic way. Culturally sensitized Western practitioners can utilize this study's findings to more appropriately individualize care for Chinese midlife women.

Adult↗
PubMed1994

Risks and benefits associated with hormonal and surgical therapies for healthy midlife women.

The view that menopause is a disease is dominant in Westernized societies, where menopause has long been considered an estrogen deficiency disease and, more recently, an endocrinopathy. The definition of menopause as disease has its origins in patriarchal views and beliefs about women as defective and imperfect, likened to machines that continually need to be fixed. This view of menopause has overshadowed the concept of menopause as a normal biological event, resulting in increased pressure to prescribe steroid sex hormones and perform surgical interventions on healthy women to prevent disease. Institutionalization of the "menopause as disease" ideology has legitimated, and thus condoned, the use of risk/benefit criteria normally used to assess risks versus harms in sick people. The use of these criteria assumes that acceptable risks for the sick are acceptable risks for healthy, well women.

Attitude to Health↗
PubMed1990

Seasonal characteristics of and age at menarche.

Data from approximately 600 U.S. women were analyzed for seasonality in menarche. Data were converted to the ratio of observed (O) to expected (E) cases, based on an equal distribution of events over the year, per considered time span of the year. The greatest O/E ratio in menarche (1.55) occurred during January, followed by August (1.43) and July (1.24). The lowest O/E ratio in menarche occurred in February and May (0.68). Seasonal patterns in menarche were detected for the separate cohorts of women born during the 1940s, 1950s, and 1960s, with a shift from a December-January peak in menarche for those born in the 1940s and 1950s to an August-September peak for those born in the 1960s. Girls who were younger (8-14 yrs) at menarche exhibited a seasonal difference in the peak number of menarches by about 6 months in comparison to the pattern for girls who were older (15-17 yrs). Girls who experienced menarche during August-October were statistically significantly younger (p less than 0.05) than those born during the other three seasons. Season of birth was not statistically significantly associated with season of menarche. Overall, no 12-month pattern was substantiated by cosinor analysis in the month of menarche. However, a 6-month rhythm was detected in menarche for women born between 1940 and 1960 (p = 0.004, A = 29% M, phi = January and July).

Adolescent↗
PubMed1990

Seasonal characteristics of and age at menarche.

Several patterns in menarche are evident over time and across populations which vary by ethnicity, socioeconomic status and altitude of residence: peak occurrence of menarche in January and August with a possible minor peak in April; troughs in the occurrence of menarche to either side of the peak months; and secular trends in season and age patterns of menarche. Contradictory patterns in season of menarche with respect to age at menarche and season of menarche with respect to season of birth are still unresolved. Further research is yet required to evaluate the role of the variety of endogenous and exogenous variables and their interactions on menarche in order to more fully develop an appropriate understanding of the chronobiology of developmental and reproductive phenomena in women and their dependence upon environmental quality and temporal cues.

Adolescent↗
PubMed1989

Circadian rhythms in hot flashes in natural and surgically-induced menopause.

The aim of this study was to investigate circadian and ultradian variations in menopausal hot flash. The number of hot flashes per 2-hr period was collected from 25 diurnally-active, perimenopausal women for 1 week in January or February of each year for 3 consecutive years. Fourteen women were experiencing natural menopause (NM) (mean age 51.9 years) and 11 were experiencing surgically-induced menopause (SIM) (mean age 52.0 years). The difference in the number of hot flashes between the two types of menopause at each clock time was not statistically significant; neither was the mean number of hot flashes per 24 hr different between the two groups (Student's t-test). Data when normalized for each woman and placed end-to-end revealed by cosinor analysis circadian rhythmicity in the SIM group (P = 0.02) but not in the NM group. A 12-hr periodicity was detected in both groups (P less than 0.001 for both). An 8-hr rhythm was detected only for the NM group (P = 0.04). Both groups combined exhibited statistically significant rhythmicities with periods of 24 hr (P = 0.003), 12 hr (P less than 0.001) and 8 hr (P = 0.005). Regardless of the type of menopause, the women could be separated into two groups based on the temporal pattern of hot flashes during the day. One group was defined by the occurrence of peak frequency of flashes during the morning (0400-0959), while the second group was defined by the occurrence of the peak in the evening (1600-2159).(ABSTRACT TRUNCATED AT 250 WORDS)

Activity Cycles↗
PubMed1982

Coping with the menopausal hot flash.

No data are available regarding alternatives to estrogens to help women cope with the menopausal hot flash, a condition labeled vasomotor instability of unknown etiology. This article answers questions most frequently asked by women about the hot flash, places the menopause and associated body changes within a normal growth and developmental framework, and describes methods other than estrogens that women use to cope with the hot flash.

Adaptation, Psychological↗
PubMed1981

Climacteric hot flash.

No data are available on either quantitative or qualitative aspects of the climacteric hot flash, yet the phenomenon is widely treated despite unknown aetiology. A basic assumption of this study was that a more complete understanding and description of women with hot flashes would identify alternatives to oestrogens used by women for relief of the hot-flash symptom. An exploratory study was undertaken to answer the question: Who is the woman who has hot flashes and what are the characteristics of the hot flashes? The methodology employed was daily self-report by subjects of hot-flash frequency, duration, trigger, origin, spread, intensity and method of coping with it. Analysis of 20 randomly-selected 2 wk self-report record cards revealed no hot-flash pattern among women. A total of 1041 hot flashes were reported. Mean duration of the hot flash was 3.31 min (range 5 sec to 60 min). Neither hot flash origin nor spread was restricted to the upper body in all subjects. Subjects ranked their hot flash as either mild, moderate or severe. Coping strategies used by subjects (external and internal cooling methods) appeared to be related to both duration and severity of the hot flash.

Adult↗
PubMed1980

Serum phosphorus during the menstrual cycle.

In the continuing search for a simple, noninvasive, reliable method to detect ovulation, phosphorus (P) levels have been measured in women across a menstrual cycle. Salivary P has been reported to increase significantly in women periovulatory. Reports of serum P show no such periovulatory peak. We measured serum P in nine ovulatory and two anovulatory women during one menstrual cycle. Indirect indicators of ovulation were biphasic BBT curve and luteal phase serum progesterone more than 3 ng/ml. No significant periovulatory change in serum P was found, only small fluctations ranging from 0.99--2.76 mg/dl. The absence of a periovulatory serum phosphorus peak in this and other investigations of serum P suggests that if there is altered P metabolism during the menstrual cycle, it is not reflected in the serum. Other mechanisms, such as urinary or salivary excretion, may be operating to maintain serum P within the physiological range. This hypothesis needs to be explored.

Body Temperature↗
PubMedDate not supplied

Eskimo women and a menstrual cycle study: some ethnographic notes.

This article examines ethnographic data collected from indigenous Alaskan women who participated in a menstrual cycle study conducted by The Tremin Trust Research Program, initially known as the Menstruation and Reproductive History Program (MRH). In the 1960s, the MRH program was expanded to Alaska to study non-Caucasian women's menstrual cycles. In addition, an ethnographer collected data through participation observation from some 345 women who participated in the MRH study. These data were recorded in field notebooks during site visits to Alaskan villages. Major themes and contextual information were identified in the data that described the daily lives of the women and their experiences as research participants. Eskimo women described the cultural conflicts that arose during the conduct of the menstrual studies and problems encountered when the investigators failed to account for the traditional gender roles in Eskimo society. Cultural differences were apparent when the women described the culturally inappropriate health education provided by the research team. The goals of the menstrual cycle study emphasized research progress rather than the health needs of the research participants; this emphasis accentuated the severity of health problems and the lack of health services experienced by Eskimo women.

Adolescent↗
PubMedDate not supplied

Woman-centered information on menopause for health care providers: findings from the Midlife Women's Health Survey.

Despite their growing numbers, midlife women continue to feel marginalized by a health care system that is unresponsive to their needs for current information about the perimenopausal experience and for egalitarian, woman-centered care. In this article, the authors call upon physicians, health educators, nurses, counselors, and other health providers to meet the consumer needs of this ever-growing clientele. To this end, they provide data-based information derived from the responses of more than 400 middle-aged women from across the United States to annual Midlife Women's Health Surveys from 1990 to 1993. The authors focus on enhancing the sensitivity of health care providers toward their midlife clients by offering data describing the normal menopausal transition and the feelings and concerns of this group.

Adult↗
PubMedDate not supplied

Menopause: the closure of menstrual life.

This paper discusses questions frequently asked by menopausal women regarding body and affective changes associated with the menopause. Menopause as disease is contrasted with menopause as normal. Common menopausal changes and ways in which to deal with them are presented. Answers to some of the questions and concerns that women have cannot be found in the research done to date because of lack of unbiased research on the normalcy of menopause. Thus, this paper illustrates the need for woman-centered research to answer women-related phenomena.

Adult↗