levitra;kamagra en ligne online pharmacy


July 30th, 2011

The flow of blood created by the rhythmic pumping of your heart exerts a natural pressure on your artery walls; this is what’s known as blood pressure. If your blood volume is within a normal range, and if the tension within the muscle surrounding the artery wall is normal, your pressure should likewise be safe (in fact, pressure that’s extremely low can be very serious or even life-threatening). But if your blood volume is increased beyond a safe level, as can happen if you consume too much salt, hypertension develops: The additional blood volume puts extra pressure on your arteries, and your blood pressure rises, possibly to a dangerous level.There are actually two types of high blood pressure: primary (or essential) hypertension, and secondary hypertension. The exact cause of the first is not known, but excessive salt – or possibly sodium – intake may be an important factor. Secondary hypertension, on the other hand, has its origins in an underlying disorder such as kidney disease or hyperthyroidism.In the vast majority of cases, hypertension is “primary,” and appears to be influenced largely by eating and life-style habits – especially by a diet high in salt as well as in fat (although obesity, alcohol consumption, and a sedentary life-style may also contribute to increased blood pressure).Other factors have an effect on blood pressure, too: Emotional or physical stress will make your blood pressure rise temporarily; in fact, it’s a normal reaction. However, if the source of the stress goes away and your blood pressure remains high, then you’ve got a problem. For people who fall into this group, salt may be a primary villain.How exactly can too much salt contribute to high blood pressure? While our kidneys are designed to dispose of excess sodium, when we overwork these natural filters with enormous amounts of sodium in the form of salt, they may become less efficient at their cleanup job over time. And because our bodies seek to maintain an unchanged concentration of sodium, if excess sodium is not excreted it will prompt the fluid retention necessary to keep this sodium concentration in balance. Blood volume then increases as one result of this additional fluid.*16/345/5*


July 17th, 2011

It’s important to recognize BDD in children and adolescents. As shown in Table 10, BDD can cause severe problems for children and adolescents. And in the inpatient study I’ve mentioned, adolescents with BDD had significantly greater anxiety, depression, and suicidal thinking than hospitalized adolescents without • BDD.Although the long-term consequences of BDD haven’t been well studied, it seems likely that when BDD develops during childhood or adolescence—rather than later in life—it may be particularly problematic. I’ve found that people who develop BDD before age 18 differ in some ways from those who develop it later. Indeed, we might expect that those with an earlier onset would be more impaired as a result of their symptoms because they’ve suffered for a longer time and during a developmentally critical period. Indeed, those with onset in childhood or adolescence are more likely to have been psychiatrically hospitalized (for any reason or because of BDD) and more likely to have attempted suicide.*156\204\8*


July 3rd, 2011

Aging alone does not diminish female sexual interest or the potential of the woman to be sexually responsive if her general health is good. Specific physiological changes do occur, however, in the sexual response cycle of postmenopausal women. These changes do not appear abruptly or in exactly the same fashion in each woman.Typically, there is little or no increase in breast size accompanying sexual arousal, although breast sensitivity to stimulation continues. The sex flush occurs less often and less extensively than at younger ages, but this change has absolutely no effect on sexual feelings or functioning. Less muscle tension develops during sexual arousal, particularly in the plateau phase, which is not surprising since this corresponds to the usual decrease in muscle size and strength that occurs with aging. This reduced muscular tension may account (at least in part) for the reduced intensity of orgasm that is sometimes experienced by women in late adulthood.While clitoral response is not affected by aging, vaginal function changes in two different ways. First, reduced elasticity in the walls of the vagina leads to less expansion during sexual arousal. Second, vaginal lubrication generally begins more slowly than at younger ages and vaginal dryness may create some problems as the quantities of lubrication are somewhat reduced. This condition can be overcome if it causes discomfort either by estrogen replacement therapy or by the use of an artificial lubricant such as K-Y Jelly.Recent research has shown that the decrease in vaginal lubrication in postmenopausal women is the direct result of diminished vaginal blood flow that, in turn, is caused by low estrogen. In another recent investigation, Leiblum and co-workers found that sexually active postmenopausal women had less shrinkage of the vagina and higher levels of androgens and pituitary gonadotropins (LH and FSH) than sexually inactive women. This suggests that regular sexual activity may provide at least some protection against the physiologic changes of aging in relation to female sexual anatomy.The normal pattern of reproductive aging in men is quite different from women because there is no definite end to male fertility. Although sperm production slows down after age forty, it continues into the eighties and nineties. Similarly, while testosterone production declines gradually from age fifty-five or sixty on, there is usually no major drop in sex hormone levels in men as there is in women.About 5 percent of men over sixty experience a condition called the male climacteric, which resembles the female menopause in some ways. (Using the term “male menopause” to describe the male climacteric is incorrect since men do not have menstrual periods.) This condition is marked by some or all of the following features: weakness, tiredness, poor appetite, decreased sexual desire, reduction or loss of potency, irritability, and impaired ability to concentrate. These changes occur because of low testosterone production, and they can be reversed or improved by testosterone injections. It should be stressed that most men do not have a recognizable climacteric as they age.The physiology of male sexual response is affected by aging in a number of ways. The following changes have been noted in men over fifty-five:It usually takes a longer time and more direct stimulation for the penis to become erect;Erections tend to be less firm, on average, than at earlier ages;The testes elevate only partway up to the perineum, and do so more slowly than in younger men;The amount of semen is reduced, and the intensity of ejaculation is lessened;There is usually less physical need to ejaculate;The refractory period — the time interval after ejaculation when the male is unable to ejaculate again — becomes longer.In addition, the sex flush usually does not occur in aging men, and muscle tension during sexual arousal is reduced, as in women, since muscle mass and strength generally decrease with aging.Although the changes in male sexual physiology described above do not usually occur abruptly or represent an impairment of function, men who are uninformed about these patterns may be frightened into thinking something is wrong with them. In other instances, a man’s partner may be the one to become alarmed. For example, while many men find that they enjoy sex in their later years without ejaculating at every opportunity, partners who don’t realize this may think it reflects poorly on their attractiveness or skill as lovers.Some men have completely unrealistic expectations about what their sex lives should be as they age. While they wouldn’t expect to run a mile as fast at age sixty-five as they did at age twenty-five (or to recuperate from their exertion as quickly), they expect to get rock-hard erections instantly in all sexual situations and are worried when they can’t make love twice in one evening. The aging male, by misinterpreting these changes, is particularly vulnerable to performance anxiety.*101\342\2*


June 28th, 2011

Q. If hard work can produce problems in old age, would it not be correct to give up active work altogether ? A. No, one should try and remain active as long as possible in order to maintain physical and mental health and one’s dignity. Inactivity is not conducive to good health, neither physical nor mental. Activity within one’s capacity should be undertaken. However, long hours of continuous work should be avoided; there should be adequate periods of rest in between.Q.   What about recreation ?A. Recreation is equally essential, but it also demands more physical effort or less depending upon its nature. Recreation should be such that it is not too much of a drain on the limited energy available. It has become fashionable these days to advocate almost unlimited physical activity for old people including those who have sustained a myocardial infraction. The pendulum has swung far too much from almost complete inertia to unlimited physical activity. It is time we realise that the physical activity is beneficial to a certain extent, but when the limits are exceeded it can prove really harmful. Therefore, too strenuous recreational activity, skiing for example, may be left to the younger people to enjoy. Cinema, theatre, television, reading and writing for pleasure, non-competitive games are the activities to indulge in. Holidaying should be comfortable and enjoyable. If in the hills, climbing steep heights should be avoided.*85\328\8*


June 19th, 2011

The progestational agents, medroxyprogesterone acetate and megestrol acetate, are claimed to be of benefit in relieving the pain related to metastatic disease in patients with breast, prostate, endometrial and renal cancer. Progestogen therapy may have an antitumour action in some patients with these diseases, but the co-analgesic action is claimed to occur in a significantly larger proportion of the patients. The mechanism by which progestogens might exert this effect is unknown.     The usual dose is 200-500 mg/d of medroxyprogesterone acetate or 160 mg/d of megestrol acetate. Side effects include nausea and vomiting, fluid retention leading to weight gain, oedema, cardiac failure and hypertension, and vaginal bleeding.     Neuroleptic-The neuroleptic drugs such as chlorpromazine and haloperidol have no analgesic action but are of benefit in treating patients with pain by reducing anxiety and improving night-time sedation. However, unless specifically indicated for the treatment of delirium or nausea, the same benefits can be obtained with a benzodiazepine which will not have anticholinergic and extrapyramidal side effects.*60\55\2*


June 9th, 2011

Green leafy vegetables are good source of vitamins. Seasonal green vegetables are good source of Vitamin B complex and minerals.Vegetable provides —Vitamins Minerals Antioxidants FibresLow calories (Carbohydrate) etc. PROTEINProtein are complex organic molecules which consist of amin’oacids. Protein allowance = 15 to 20% of total caloric consumption per day and an adult needs 0.8 per kgm body weight of protein per day. Sources:    1    First class proteins (Animal proteins)a.    Non-vegetarian – egg, mutton, chicken, fish, porkb    Vegetarian – milk, curd, paneer2. Second class proteinsSoyabeans, grams, dals, peas, nuts (dry fruits)30 Third class protein :Cereals – oats, barley, ragi, wheat and rice Meat has got high fat content while dal has got high protein content. Protein intake should be reduced in renal failure while increased during pregnancy stage.*30\329\8*


May 28th, 2011

If mental illnesses are caused by pathogens, what do we make of the associations between mental illnesses and pioneers of art? Depressive illnesses, for example, are more common in novelists, painters, playwrights, and poets than in the general population. If these illnesses are caused by infection, is it appropriate to conclude that some aspects of artistic talent are attributable to infection? Did Van Gogh owe his artistic genius as much to a pathogen as to his genes or upbringing?One might argue that the causation goes the other way around, that artistic lifestyle predisposes artists to infections like the Borna disease virus. But schizophrenia, at least, develops more frequently in people who are born in late winter, suggesting not only an infection, but an infection early in life. It is difficult to believe that one’s future career will predispose one to infection as a baby. Perhaps parents might become infected if they had artistic leanings; they might then pass on both the artistic predilection and the pathogen to their offspring. Though possible, this kind of rescue seems reminiscent of the epicycles that were needed to rescue the geocentric theory of the universe.This linkage between infection, mental illness, and creativity may seem premature, considering that psychiatrists still disagree over the boundaries between schizophrenia and depressive illnesses, and even whether there is a boundary, as opposed to an indistinct merging of each into the other. Sometimes understanding the causation of illnesses resolves confusion, as it has for the different kinds of hepatitis and pneumonia. The associations between bipolar disorder and Borna disease virus and between schizophrenia and Borna disease virus, for example, raise the possibility that parts of each of these two illnesses may be manifestations of a particular infectious process, much as rheumatic fever and sore throats may be two manifestations of a streptococcal infection. Finding a common infectious cause could help resolve some of the current disagreements, which are based on alternative groupings of disease symptoms. Common infectious causes might also reveal which, if any, infectious agents are responsible for the creative aspect of mental illnesses and perhaps suggest ways to modify infections to preferentially reduce the damaging aspects of the conditions.Symptoms like hallucinations need not be regarded as a cause of artistic achievement, any more than an athlete’s injury is assumed to be a cause of athletic achievement. But getting injured is almost always part of an athlete’s experience. Having said this, however, it is important to add that injury can sometimes contribute to recognition of someone as a great athlete—an athlete who has attained victory after coping with a major injury is generally viewed as having greater talent than one who has attained the same victory without having to overcome injury. Our knowledge of Van Gogh’s mental torment makes his paintings all the more arresting. Injuries may contribute something directly to athletic achievement as well, by building a sense of character— the athlete who has successfully overcome one difficulty may be better prepared to overcome a greater one. A tendency to hallucinate or be depressed might contribute in some way directly to creativity, but the argument for infectious causation of artistic creativity does not require it. It requires only that some effect of infection has allowed the artist’s mind to deviate from the norm, and has thereby contributed to the artist’s achievement, just as the athlete’s genetic makeup and training contributed to the athlete’s achievement. The interplay between art and science may take on new dimensions as our new century progresses.*49\225\2*


May 18th, 2011

The answer to that question is “probably not.” Considering the way most people eat, getting enough of the particular immune minerals needed can be a real problem. Much of the food we eat has been processed within an inch of its life. It may look, and sometimes even taste, like nourishing food, but the odds are that most of the original vitamin and mineral content has been lost along the path of heating, cooking, drying, preserving, steaming, canning, shipping, or storing.Most of us are in vitamin and mineral debt to our bodies. In some cases, it resembles the national debt—a perfect set-up for immune bankruptcy. What is needed is an infusion of “capital,” in the form of immune power nutrients, to put your immune accounts back in the black.MINERAL TEAMWORK AND YOUR HEALTHI don’t want to leave you with the idea that you have totally separate accounts for each vital mineral—one for iron, one for zinc, and so on. It’s much more complex than that. Each immune builder works with many others, chemically combining, enhancing, and balancing, because they must all work together to produce immune power.MINERAL SHOPPERS’ TIPWhen you buy mineral supplements, make sure and ask for chelated minerals. Chelated minerals are treated to make them much more available to your body. Non-chelated minerals may contain only one-half of the dose in a form that your body can use. Buying chelated minerals makes your health dollar go twice as far.*56\242\2*


May 3rd, 2011

Some may describe the feeling as of satisfaction, others as relaxation and closeness to a sexual partner. During intercourse couples bodies are totally involved. After the climax their bodies relax but mind may start working. He may start thinking about orgasm, may think about the sexual pleasure of the other partner.What can spoil the pleasure after sex?Even when love making has gone well the mood can be spoiled if one partner jumps with an expression of disgust and hurrying off to wash. After sex one should feel obliged and say 1 love you’.One should not go to sleep without noticing that the other person is happy and satisfied. By doing so woman may feel that she is not Important to him or that she is meant only for sex or she is being taken for granted. By doing so not only this but next sex act will also lose charm because female may not take deep interest.
What is expected after sex from both the partners?
Whether act was successful or not both the partners may need reassurance. Wife should assure his lover that he has really given the pleasure. Husband will be happier to hear it, Woman also needs this sort of assurance.
What Is expected from husband and wife who were married long ago?
Naturally well established couples who are confident of each others affection don’t expect to make great protestations of love every time. Squeezing of hand or a word or two after making love can express every thing in no time.
What happens after unsuccessful sexual act?
Successful love making results in pleasure for both partners but when it goes wrong something radical happens. A process of alienation starts which leaves him or her isolated and there will be ho relaxation afterwards.
Is balancing of sex drive useful?
Adjusting to a partner’s sexual need is an useful tool of loving relationship. Knowing each other is to work out the best way to fulfil each other’s desire.
At times one^ partner feels a mood for sex and other does not but with a little patience and understanding a happy balance can be found.
How timing plays a role in sex drive?Male who responds rapidly to sex may not realise that female’sslowness may be due to the fact that he is not stimulating herenough. Without proper foreplay she may not be aroused. Likewise,a women who complains that her partner takes too long to reachorgasm should realise that he probably needs more stimulation thanshe is giving.*96\301\2*


April 30th, 2011

One just cause for anger is the unfairness of the situation. In the first place, being singled out by the virus at all is unfair. No one, regardless of how he or she became infected, asked for or deserved this infection. Steven Charles, who became infected through sexual intercourse, said: “Why me? I didn’t do anything wrong, I never hurt anyone, I was doing what seemed right to me. I know people who are more promiscuous and they seem to be getting out without a scar.” Helen Parks had found a good job in the post office of the small town in which she lives; she had stopped using drugs intravenously before she found out she was infected: “I hadn’t been getting high any more. I was earning good money,” she said. “Why bother to work hard and do good now?”     In the second place, being sick when you are young is unfair. “I won’t get to fulfill my dreams,” said Dean Lombard, who had always wanted to develop his singing talent. “The world owed me better than that. I didn’t deserve that.” Alan Madison became infected with HIV just as he was beginning to reach success and stability in his accounting business, and now he feels he should change his long-range goals. June’s son, at age thirty-four, had just begun to practice medicine after long years of training and has had to discontinue his practice.     And finally, the social stigma, rejection, and even abandonment this particular virus seems to provoke are unfair. When Lisa Pratt’s friends and priest could not respond to her request for help, she said she was hurt and angry. Dean says he feels like a leper: “And I’m not. I’m not unclean. I didn’t ask for this virus.”     Besides unfairness, another reason for anger is frustration at losing control over your life. “As my husband got sicker,” said Lisa, “the more I did, the more he felt he was losing control. Sometimes he was grateful for help, sometimes he just screamed. He was so independent, and so full of life—he had no frame of reference for sickness and death.” Dean had spells of being sick during which he had to be cared for by his long-time partner: “Once I messed the bed like a baby. I got so frustrated and angry at not being able to do what I want to do, I cried.”