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    Cancer treatments may accelerate aging at a time when many women are already adjusting to typical midlife changes such as increased weight, diminished skin elasticity, or musculoskeletal buy viagra with overnight shipping problems. In fact, some women simply cannot tolerate the physical limitations or alterations in appearance imposed by cancer and/or aging, thus precipitating serious psychologic distress. Inadequate resolution dur- Gynecologic Oncology 405 ing this era results in despair about one’s achievements and disappointments. In a study of cancer patients’ spouses (Sabo et al.

    Sexual Functioning Anderson and deProsse , in a longitudinal study, found that although sexual functioning was significantly disrupted for women with gynecologic cancer, their marital and other social relationships remained satisfactory. Although midlife is often a stage of reflection and self-examination during which individuals redirect energies and replot life goals, cancer can trigger identity crises and distress in women who fear aging or for whom womanhood and/or feminine identity is linked to reproductive ability, sexual organs, and/or sexuality.

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    In the absence of pathology, buy viagra with overnight shipping what might drive a subject to adopt a particular navigation strategy, engaging one brain system rather than another?. They compared a group of men with a group of women who navigated a VR environment during fMRI. One factor that is often cited anecdotally in relation to navigation is sex differences. In recent years VR, among other methods, has been recruited to provide more controlled means of investigating this question.

    Do men and women differ in how they navigate?. Grön, Wunderlich, Spitzer, Tomczak, and Riepe (1997) suggested there might be a brain correlate of this difference. It would seem that women might be more reliant on landmarks within the environment when navigating, with men tending to focus on the Euclidean properties of the environment (Sandstrom, Kaufman, & Huettel, 1996). They reported that the men activated the hippocampus more than the women, while the women activated right parietal and prefrontal cortices.

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