To the Editor: In her Clinical Crossroads article about a 60-year-old woman trying to discontinue hormone replacement therapy (HRT), Dr Grady1 did not mention behavioral interventions. My colleagues and I have found that slow, deep, abdominal breathing reduces hot flash frequency by about 50% in symptomatic, postmenopausal women.2 - 4 The results of these studies were documented with physiological recordings of hot flashes, in addition to patient self-reports.
Hot flashes may be triggered by small elevations in core body temperature acting within a reduced thermoneutral zone.5 - 6 When core temperature reaches the thresholds for sweating and peripheral vasodilation, a hot flash occurs. Therefore, procedures that reduce core body temperature, such as lowering ambient temperature and drinking cold liquids, may also reduce the occurrence of hot flashes.
Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
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