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Women's health concerns extend beyond just reproductive health to include complete physical, mental, and social well-being. Issues like cardiovascular disease and osteoporosis pose great concerns for women, who often neglect their own health last. The Bright Futures for Women's Health and Wellness initiative sponsored by the US Department of Health aims to promote preventive healthcare for women through providing information, tools for practitioners, and materials for organizations, as well as stimulating research.
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Chapter 17Women’s HealthCopyright © 2015, 2011, 2007, 2001, .docx
Chapter 17
Women’s Health
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
Women’s Health
“… essential to the development of health care for women are the concepts of health promotion, disease and accident prevention, education for self-care and responsibility, health risk identification and coordination for illness care when needed.”
– Preamble to a New Paradigm for Women's Health,
Choi (1985)
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
2
Major Indicators of Health
Mortality rates
Cardiovascular disease (CVD) continues to be the number one overall killer of women.
Cancer rates are increasing because of lifestyle choices, environmental carcinogens, and increase in life expectancy.
Diabetes mellitus causes the premature death of many women and is a risk factor for CVD.
Gaps exist in the availability and quality of reproductive health care services globally.
Life expectancy for Americans is at an all-time high.
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
3
From http://ndep.nih.gov/partners-community-organization/campaigns/SmallStepsBigRewards.aspx
From http://www.nhlbi.nih.gov/educational/hearttruth/
Major Indicators of Health (Cont.)
Morbidity rates
More women than men are hospitalized each year in the United States.
Women are more likely than men to be disabled from chronic conditions.
Women are more likely than men to have surgery; many surgeries relate to reproductive health.
The most frequently occurring interruption in women’s mental health relates to depression.
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
4
Social Factors Affecting Women’s Health
Health care access
Education and work
Employment and wages
Working women and home life
Family configuration and marital status
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
5
Health Promotion Strategies for Women
Collaboration and an interdisciplinary approach are necessary to meet the health care needs of women.
Women should receive services that promote health and detect disease at an early stage.
Many women seek information that will allow them to be in control of their own health.
Women desire to become more knowledgeable about their own health.
Health promotion for low-income, underserved women may differ from that for middle-class women.
Knowledge deficits about one’s own health prevail among women regardless of socioeconomic or educational level.
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
6
Common Acute Illnesses in Women
Urinary tract infection and dysuria
Diseases of the reproductive tract
Vaginitis, vulvovaginitis, pelvic inflammatory disease (PID), and toxic shock syndrome (TSS)
Chronic diseases
Coronary vascular disease (CVD) and metabolic syndrome, hypertension, diabetes, arthritis, o ...
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Cellular respiration describes the series of steps that cells use to break down sugar and other chemicals to get the energy we need to function.
Energy is stored in the bonds of glucose and when glucose is broken down, much of that energy is released.
Cell utilize energy in the form of ATP.
The first step of respiration is called glycolysis. In a series of steps, glycolysis breaks glucose into two smaller molecules - a chemical called pyruvate. A small amount of ATP is formed during this process.
Most healthy cells continue the breakdown in a second process, called the Kreb's cycle. The Kreb's cycle allows cells to “burn” the pyruvates made in glycolysis to get more ATP.
The last step in the breakdown of glucose is called oxidative phosphorylation (Ox-Phos).
It takes place in specialized cell structures called mitochondria. This process produces a large amount of ATP. Importantly, cells need oxygen to complete oxidative phosphorylation.
If a cell completes only glycolysis, only 2 molecules of ATP are made per glucose. However, if the cell completes the entire respiration process (glycolysis - Kreb's - oxidative phosphorylation), about 36 molecules of ATP are created, giving it much more energy to use.
IN CANCER CELL:
Unlike healthy cells that "burn" the entire molecule of sugar to capture a large amount of energy as ATP, cancer cells are wasteful.
Cancer cells only partially break down sugar molecules. They overuse the first step of respiration, glycolysis. They frequently do not complete the second step, oxidative phosphorylation.
This results in only 2 molecules of ATP per each glucose molecule instead of the 36 or so ATPs healthy cells gain. As a result, cancer cells need to use a lot more sugar molecules to get enough energy to survive.
Unlike healthy cells that "burn" the entire molecule of sugar to capture a large amount of energy as ATP, cancer cells are wasteful.
Cancer cells only partially break down sugar molecules. They overuse the first step of respiration, glycolysis. They frequently do not complete the second step, oxidative phosphorylation.
This results in only 2 molecules of ATP per each glucose molecule instead of the 36 or so ATPs healthy cells gain. As a result, cancer cells need to use a lot more sugar molecules to get enough energy to survive.
introduction to WARBERG PHENOMENA:
WARBURG EFFECT Usually, cancer cells are highly glycolytic (glucose addiction) and take up more glucose than do normal cells from outside.
Otto Heinrich Warburg (; 8 October 1883 – 1 August 1970) In 1931 was awarded the Nobel Prize in Physiology for his "discovery of the nature and mode of action of the respiratory enzyme.
WARNBURG EFFECT : cancer cells under aerobic (well-oxygenated) conditions to metabolize glucose to lactate (aerobic glycolysis) is known as the Warburg effect. Warburg made the observation that tumor slices consume glucose and secrete lactate at a higher rate than normal tissues.
The ASGCT Annual Meeting was packed with exciting progress in the field advan...
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holes and slow-speed, highly variable, streams whose source regions are
under debate. A key goal of ESA/NASA’s Solar Orbiter mission is to identify
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heliosphere. By combining magnetic feld modelling and spectroscopic
techniques with high-resolution observations and measurements, we show
that the solar wind variability detected in situ by Solar Orbiter in March
2022 is driven by spatio-temporal changes in the magnetic connectivity to
multiple sources in the solar atmosphere. The magnetic feld footpoints
connected to the spacecraft moved from the boundaries of a coronal hole
to one active region (12961) and then across to another region (12957). This
is refected in the in situ measurements, which show the transition from fast
to highly Alfvénic then to slow solar wind that is disrupted by the arrival of
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but are applicable to near-Earth observatories.
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Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
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“… essential to the development of health care for women are the concepts of health promotion, disease and accident prevention, education for self-care and responsibility, health risk identification and coordination for illness care when needed.”
– Preamble to a New Paradigm for Women's Health,
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Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
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Major Indicators of Health
Mortality rates
Cardiovascular disease (CVD) continues to be the number one overall killer of women.
Cancer rates are increasing because of lifestyle choices, environmental carcinogens, and increase in life expectancy.
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Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
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From http://ndep.nih.gov/partners-community-organization/campaigns/SmallStepsBigRewards.aspx
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Women are more likely than men to be disabled from chronic conditions.
Women are more likely than men to have surgery; many surgeries relate to reproductive health.
The most frequently occurring interruption in women’s mental health relates to depression.
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
4
Social Factors Affecting Women’s Health
Health care access
Education and work
Employment and wages
Working women and home life
Family configuration and marital status
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
5
Health Promotion Strategies for Women
Collaboration and an interdisciplinary approach are necessary to meet the health care needs of women.
Women should receive services that promote health and detect disease at an early stage.
Many women seek information that will allow them to be in control of their own health.
Women desire to become more knowledgeable about their own health.
Health promotion for low-income, underserved women may differ from that for middle-class women.
Knowledge deficits about one’s own health prevail among women regardless of socioeconomic or educational level.
Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.
6
Common Acute Illnesses in Women
Urinary tract infection and dysuria
Diseases of the reproductive tract
Vaginitis, vulvovaginitis, pelvic inflammatory disease (PID), and toxic shock syndrome (TSS)
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Cellular respiration describes the series of steps that cells use to break down sugar and other chemicals to get the energy we need to function.
Energy is stored in the bonds of glucose and when glucose is broken down, much of that energy is released.
Cell utilize energy in the form of ATP.
The first step of respiration is called glycolysis. In a series of steps, glycolysis breaks glucose into two smaller molecules - a chemical called pyruvate. A small amount of ATP is formed during this process.
Most healthy cells continue the breakdown in a second process, called the Kreb's cycle. The Kreb's cycle allows cells to “burn” the pyruvates made in glycolysis to get more ATP.
The last step in the breakdown of glucose is called oxidative phosphorylation (Ox-Phos).
It takes place in specialized cell structures called mitochondria. This process produces a large amount of ATP. Importantly, cells need oxygen to complete oxidative phosphorylation.
If a cell completes only glycolysis, only 2 molecules of ATP are made per glucose. However, if the cell completes the entire respiration process (glycolysis - Kreb's - oxidative phosphorylation), about 36 molecules of ATP are created, giving it much more energy to use.
IN CANCER CELL:
Unlike healthy cells that "burn" the entire molecule of sugar to capture a large amount of energy as ATP, cancer cells are wasteful.
Cancer cells only partially break down sugar molecules. They overuse the first step of respiration, glycolysis. They frequently do not complete the second step, oxidative phosphorylation.
This results in only 2 molecules of ATP per each glucose molecule instead of the 36 or so ATPs healthy cells gain. As a result, cancer cells need to use a lot more sugar molecules to get enough energy to survive.
Unlike healthy cells that "burn" the entire molecule of sugar to capture a large amount of energy as ATP, cancer cells are wasteful.
Cancer cells only partially break down sugar molecules. They overuse the first step of respiration, glycolysis. They frequently do not complete the second step, oxidative phosphorylation.
This results in only 2 molecules of ATP per each glucose molecule instead of the 36 or so ATPs healthy cells gain. As a result, cancer cells need to use a lot more sugar molecules to get enough energy to survive.
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Otto Heinrich Warburg (; 8 October 1883 – 1 August 1970) In 1931 was awarded the Nobel Prize in Physiology for his "discovery of the nature and mode of action of the respiratory enzyme.
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under debate. A key goal of ESA/NASA’s Solar Orbiter mission is to identify
solar wind sources and understand what drives the complexity seen in the
heliosphere. By combining magnetic feld modelling and spectroscopic
techniques with high-resolution observations and measurements, we show
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Women,s health_124029.pptx
- 2. Women ,s Health Women's health is the example of population health where health is defined as a state of complete physical, mental and social well being not merely the absence of disease(Defined by WHO). It is often treated as simply women's reproductive health.
- 4. Women,s health concerns Women face various health issues because the last area women attend to are their own health. The various medical condition are of great concern such as cardiovbascular diseases,osteoporesis and reproductive health issues.
- 18. Women,s health and wellness initiatives Bright futures for Women,s health and wellness initiatives(BFWHW) sponsored by the US department of Health and Human services is one of the new programme to promote preventive healthcare for women. The objectives of BFWHW are the following: 1. Provide information to women on recommended preventive health services 2. Provide tools for practitioners to use in making healthcare visits an oppurtunity to offer preventive care 3. Provide material for community organisations 4. Stimulate a research and data collection agenda