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Game and Pizza Night Saturday, Feb 9 begins at 5:30 pm
Join fellow parishioners for an evening of games, cards and conversation and pizza. All are welcome. RSVP by calling 763-588-9466
Cana Dinner~ Saturday, February 23 ~ 6:00 pm
A Celebration of Marriage
Catered Dinner, Community and Fun!
Open to all Married couples (need not be parishioners)
St. Margaret Mary Visitation Hall
$35 per couple, RSVP by February 10
Click here to RSVP https://docs.google.com/forms/d/e/1FAIpQLSe0FHeKt1VkICx_414ZWboL83n3-hYex9oh8UqN33uUi81Kjw/viewform?usp=sf_link
Weekend Mass is on Saturdays at 4:30 pm
and Sunday Mass is at 10:00 am.
There will not be Mass during the week from Jan. 8 thru Feb 18.


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Bob's Playscape Gray Sectional Sofa
Purchase multiple items from the same seller. You may qualify for a reduced delivery fee for extra items.
Bob's Playscape Gray Sectional Sofa
$350.00 per item
Estimated Retail Price:
$800.00 56 % off
Have a similar item? Sell yours now
Brand : Bob's Discount Furniture
Collection : Playscape Left Arm Facing Gray Sectional
Dimensions : Width: 94 inch(es), Height: 37 inch(es), Depth: 65 inch(es)
Color : Light Grey / Silver
Material : Other
Condition : Good: Minor blemishes that most people won't notice
Cushions are less firm than when we bought it
Years Old : 1+
Category : 2 Piece Sectionals
Environment : Pet free home. Smoke free home
Manufacturer / Retailer Link : https://www.mybobs.com/furniture/living-room/sofas-and-sectionals/playscape-right-arm-facing-sectional/p/playscape-right-arm-facing-sectional
Unfortunately, the new apartment we're moving into has the opposite layout so we need to get a couch with the "L" on the opposite side. We've had this couch a little over a year and have kept it in perfect condition. We are a pet-free and smoke-free home.
Remember that AptDeco handles the pickup and delivery so you don't have to!
Shipping Policy: We work with professional delivery teams to pick up and deliver your products to the room of your choice. Learn more about our delivery
Return Policy : All sales are final. We will issue a full refund for items purchased that fall within these categories:
- Wrong item,
- Missing item
- Item received is not as described
Please contact us within 24 hours of receipt of your item(s) at email@example.com and we'll work with you to resolve the issue immediately. Learn about our refund and return policy
Purchase multiple items from the same seller. You may qualify for a reduced delivery fee for extra items.
You may also like
Bob's Dawson 2-Piece Chaise Sectional Sofa
$1,000.0070 % off
Bob's Alex Grey Chaise Sectional Sofa
$800.0063 % off


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The Horse:Your Guide To Equine Health Care provides monthly equine health care information to horse owners, breeders, veterinarians, barn/farm managers, trainer/riding instructors, and others involved in the hands-on care of the horse.
Issue link: https://thehorse.epubxp.com/i/1038491
WHAT'SONLINE CURRENTLY ON 6 November 2018 The Horse | TheHorse.com Daniela Luethy, DVM, Dipl. ACVIM, of the University of Pennsylvania, outlines the signs of a horse with botulism, including muscle weakness, lethargy, and the inability to eat. Sponsored by BotVax B. TheHorse.com/ 160040. Regenerative therapies can help horses recover following injury. Learn more about stem cell, IRAP, and PRP therapy use in horses. Sponsored by Advanced Regenerative Therapy and Biovision Veterinary Endoscopy. TheHorse.com/ 160623. Send your equine nutrition questions to firstname.lastname@example.com. Sponsored by LMF Feeds. ■ Feeding Honey to Horses, TheHorse.com/160523 ■ Pelleted vs. Textured Horse Feed, TheHorse.com/160824 Core Vaccines: Protect Your Horse From 5 Deadly Diseases Listen: Equine Boarding Barns and Biosecurity Vaccinating could save your horse's life. Find out what veterinarians recommend for your horse. Sponsored by Core EQ Innovator TheHorse.com/CoreDiseases What can boarders do when a barn is lax about biosecurity? Get tips to keep your horse healthy. Sponsored by Neogen. TheHorse.com/160845. Ask: Questions About Equine Nutrition Listen: Signs of Botulism in Adult Horses Read: Regenerative Medicine Use in Horses ISTOCK.COM ISTOCK.COM ■ HORSE HEALTH This award-winning e-newsletter offers news on diseases, veterinary research, and health events, along with in-depth articles on common equine health conditions. Supported by Zoetis. ■ HORSE WELFARE AND INDUSTRY Get the latest news on equine welfare, industry happenings, and horse-related business. E-NEWSLETTERS Get Horse Health News Delivered To You! ■ SPECIALTY WEEKLY E-NEWSLETTERS ■ Nutrition ■ Soundness & Lameness ■ Reader Favorites MONTHLY E-NEWSLETTERS ■ Behavior ■ Breeding ■ Farm & Barn ■ Older Horse Care ■ Sports Medicine Fill Out: Horse Identification Form Keep track of your horse's distinguishing characteristics and record emergency contact information on this one- page form. Sponsored by BotVax B. TheHorse.com/138000. AVAILABLE AT OWNER _______________________________________ OWNER'S ADDRESS __________________________________ CITY ______________________ STATE ________ ZIP ________ WORK PHONE _______________________________________ CELL _____________________________________________ E-MAIL ____________________________________________ HORSE'S REGISTERED NAME ______________________ REGISTERED NAME ___________________________________ BARN NAME ________________________________________ AGE _________ BREED ________________ COLOR _________ SEX ¨ STALLION ¨ MARE ¨ GELDING ¨ COLT ¨ FILLY REGISTRATION ORGANIZATION ___________________________ MICROCHIP NO. _____________________________________ OTHER IDENTIFYING FEATURES, EQUIPMENT, OR BEHAVIORS ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ADDITIONAL REMARKS ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ MANAGEMENT INFORMATION KNOWN ALLERGIES ___________________________________ KNOWN HEALTH CONDITIONS ___________________________ _________________________________________________ NORMAL DIET INCLUDING SUPPLEMENTS AND PASTURE _________________________________________________ _________________________________________________ MEDICATIONS/SCHEDULE ______________________________ _________________________________________________ HORSE IS USUALLY KEPT (Please check one) ¨ AT PASTURE FULL-TIME ¨ STALLED FULL-TIME ¨ TURNED OUT PART OF MOST DAYS LAST NEGATIVE COGGINS TEST (EIA) _______________________ VACCINATIONS DISEASE(S) DATE ROUTE (IM/IN) ANTHRAX ____________ ____________ BOTULISM ____________ ____________ EEE/WEE/VEE ____________ ____________ WNV ____________ ____________ FLU/RHINO ____________ ____________ INFLUENZA ____________ ____________ POTOMAC HORSE FEVER ____________ ____________ RABIES ____________ ____________ RHINOPNEUMONITIS ____________ ____________ ROTAVIRUS ____________ ____________ STRANGLES ____________ ____________ TETANUS ____________ ____________ VETERINARIAN _________________________________ VET'S ADDRESS _____________________________________ CITY ______________________ STATE ________ ZIP ________ WORK PHONE _______________________________________ CELL _____________________________________________ E-MAIL ____________________________________________ ALTERNATE CONTACT ____________________________ ADDRESS __________________________________________ CITY ______________________ STATE ________ ZIP ________ HOME PHONE _______________________________________ CELL _____________________________________________ E-MAIL ____________________________________________ INSURANCE CO. _______________ PHONE ________________ Horse Identification Form HORSE'S NAME _________________________ DESCRIPTION / REMARKS DESCRIPTION / REMARKS Keep copies of this form for each horse at the barn and with your alternate contact in case of emergency. Veterinarian-approved articles and a FREE weekly Horse Health E-Newsletter at TheHorse.com! SPONSORED BY Thursday, Nov. 8, 2018 ❙ 8 p.m. EST Podotrochlosis (aka Navicular Syndrome) This painful foot condition involves much more than the small bone that used to be its namesake. Confused? Now's your chance to get answers. Sponsored by Bimeda ASK THE HORSE LIVE! Visit TheHorse.com/AskTheHorseLive 1 Creating and properly maintain- ing arena and racetrack footing is important not only for equine injury prevention but also for rider safety. In recent years it's been a growing research focus for scientists around the world. One of those researchers, Mick Peterson, PhD, is the director of the University of Kentucky (UK) Ag Equine Programs, a faculty member within UK's Biosystems and Agricul- tural Engineering Department, and ex- ecutive director of the Racing Surfaces Testing Laboratory (RSTL). The RSTL, founded by Peterson and Wayne McIlwraith, BVSc, PhD, DSc, FRCVS, Dipl. ACVS, a professor at Colorado State University's College of Veterinary Medicine and Biomedical Sciences, has a more than 10-year his- tory of examining surfaces at race- tracks and equestrian sports venues worldwide, developing protocols and standards, and offering recommenda- tions. Peterson is considered one of the world's premiere experts in testing of high-level competition surfaces. Regardless of whether the RSTL team is working on a track (dirt, turf, or synthetic) or arena, its objective of surface testing remains the same. Here, we'll focus on racetrack surface testing; a later article will address arenas. "The goal (of surface testing) is to create a consistent surface and to meet the needs of the event," Peterson said. Ensuring racetrack surfaces meet the established criteria is fairly straightforward, he said. One param- eter the surface testing team can use to determine if the surface is doing its job well is race times for a particular day. However, it is critical on those occasions when a horse is injured and/ or safety questions arise that complete data is available to ensure the safest possible surface is provided for racing. Testing track surfaces involves examining its composition, as well as how the footing performs during use. Once investigators perform these tests, they can make recommendations for improvement, whether it be the foot- ing's contents or how it's maintained. Surface testing isn't a one-time event; rather, its a regular part of track maintenance. Part of their goal is to ensure proper long-term surface maintenance. The Maintenance Qual- ity System (MQS), which Peterson and the RSTL developed, involves a methodical approach of assessing and maintaining the surface prior to every event; it also assists track maintenance workers in enhancing the maintenance protocols already in place. This is the fi rst in a series of articles looking at the testing and maintenance of equine competition surfaces worldwide. N o matter the discipline—be it a horse race, show jumping competition, dressage test, reining pattern, or any other equine events that take place every year—all have one singular requirement they need to take place: appropriate and safe footing. In is Issue Feeding Healthy Senior Horses 02 Cold Spells Stress Livestock 05 Dr. Uneeda Bryant Recognized 07 Mineral of the Month: Zinc 10 Engineers inspect tracks prior to a race meet or before a change in season, depending on how long the venue operates each year, to ensure it is fully prepared for a safe competition. ANNE M. EBERHARDT/THE HORSE CA.UKY.EDU/EQUINE ❙ THEHORSE.COM ❙ JANUARY 2018 B R O U G H T T O Y O U B Y PART ONE: AN INTRODUCTION TO SURFACE TESTING Surface Testing: Keeping Horse and Rider Safety in Mind ■ Bluegrass Equine Digest is published monthly in partnership with UK Ag Equine and the Gluck Equine Research Center and is supported by Zoetis. Stem cells from adipose tissue can be concentrated and separated from other tissue components before being injected back into the patient. While this approach results in only a very small percentage of actual stem cells being administered, they can often be injected very soon after an injury has been diagnosed. Mesenchymal stem cells (MSCs), derived from bone marrow, can also be collected, concentrated, and injected relatively rapidly; however, researchers recommend using stem cells obtained from bone marrow (or even fat) that have been sent to a laboratory and grown in cultures to produce millions of cells. Those culture-enhanced stem cells take two to four weeks to prepare. Once they've been produced, veterinarians can inject about 10 million cells into the lesion under ultrasonic guidance. Injections can be repeated every four weeks for three to four treatments. That said, optimal dosing and treatment intervals remain unknown. 3 Researchers have found that the stifl e appears to be the joint most amenable to stem cell therapy, especially for cases associated with meniscal and soft-tissue injuries. Veterinarians can inject approximately 10-20 million stem cells per joint. Again, exact dosing has not been fully established. 4 IRAP THERAPY IRAP continues to gain traction in the realm of joint disease treatments. 4 This regenerative therapy, also called autologous conditioned serum (ACS, autologous means self-derived), can be produced using samples from the horse's own body. Veterinarians collect a small volume of blood from the patient and allow it to clot. Then, they mix the serum—the liquid portion of blood that separates from red blood cells—with special borosilicate glass beads included in commercial ACS kits. This produces anti-infl ammatory molecules called interleukin-1 receptor protein agonists, which block the action of interleukin-1, a very potent pro-infl ammatory molecule. Veterinarians inject the "conditioned" serum directly into the affected joint(s) to exert this anti-infl ammatory effect. Additional growth factors produced during the incubation process that can help with healing include interleukin-10, fi broblast growth factor, vascular endothelial growth factor, and platelet-derived growth factor, among others. 3 The conditioned serum takes about 24 hours to produce. One recent review confi rmed that horses with experimentally induced osteoarthritis treated with IRAP had a signifi cant improvement in lameness and healing. Treatment protocols vary, but injecting 2-10 mL of conditioned serum (depending on the size/volume of the joint) into the affected joint every three to 10 days, for a total of three treatments, appears effective. 4 For long-term maintenance of chronic joint disease, a single injection of IRAP administered on an as-needed basis appears effective. IRAP/ACS injections can, like any REGENERATIVE MEDICINE FACTSHEET SPONSORED BY REGENERATIVE MEDICINE USE IN HORSES Scienti c advances culminating in the birth of regenerative therapies can help horses recover following injury BY STACEY OKE, DVM, MSC; REVIEWED BY ASHLEE WATTS, DVM, PHD, DIPL. ACVS A t one point or another, most athletic horses suffer some type of musculoskeletal injury, regardless of their performance level. Joints, tendons, and ligaments are among the most commonly affected structures. In joint injury/disease for example, once the joint becomes infl amed, a series of events results in continued infl ammation, culminating in pain, swelling, decreased range of motion, and a progressive deterioration of the articular cartilage lining the ends of long bones. Tendons and ligaments, on the other hand, do attempt to heal, but instead of simply repairing or replacing injured fi bers, the body produces scar tissue. Scar tissue has far less strength and elasticity than normal, healthy tendon and ligament fi bers, which explains why tendon and ligament reinjury rates are so high despite prolonged recovery times (six to nine months or more). Veterinarians use a variety of diagnostic tools to identify these injuries, including but not limited to physical exams and fl exion tests, needle arthroscopy, MRI, X ray, and ultrasound. An accurate diagnosis can help veterinarians identify an appropriate treatment plan. Treatment options vary greatly and can include rehabilitation, medical, shoeing, and surgical techniques. 1 Of the many available treatment options, three — stem cell therapy, interleukin-1 receptor antagonist protein therapy (IRAP), and platelet-rich plasma (PRP) — fall into a unique class of therapies called "regenerative medicine." As defi ned by the National Institutes of Health, "regenerative medicine is the process of creating living, functional tissues to repair or replace tissue or organ function lost due to age, disease, damage, or congenital defects." 2 The concept is to help the body repair injured tissues with its own cells to maximize healing. STEM CELL THERAPY Stem cell therapy appears to be a highly valuable tool for managing musculoskeletal injuries. Stem cells can be "coaxed" into becoming tissue-specifi c cell types, such as tendons and ligaments. Common stem cell sources include adipose (fat) tissue, bone marrow, fetal tissues, and even dental pulp. DUSTY PERIN Veterinarians use stem cell injections to treat a variety of musculoskeletal ailments in horses. ISTOCK.COM


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Better bus services will help increase patronage on Coast
IT IS gratifying that Sunshine Coast state parliamentarian Fiona Simpson is obtaining signatures for a petition to lobby for better public transport services.
The loss of 120,000 passengers over the past year is a death knell of bus transport since the setting up of the Aerodrome Road terminal which has been proven by de-personalised and passenger unfriendly platform positions.
When the two-sided terminal was proposed I objected, along with others, to them and pointed out that successful terminals here and abroad are much more passenger friendly with information desks manned by bus employees (like the previous Plaza terminal), clean toilets, a cafe selling hot coffee and food, and assistance for disabled and tourists.
But no, the planners and bureaucrats decided on austerity and no support (other than cold and mute machines and the amiability of time driven bus drivers).
To get people to use public transport the services must be supportive and people friendly.
The waste of time and costs in small cash transactions should cease and services should be paid out of general revenue just like roads and highways.
The current GPS tracking system must be scrapped to not only save money but allow people to conduct their lives in as simple or complex manner of their choice.
We either believe in freedom of movement or we worship Orwellian controls.


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Friends of the preschool, join us in celebrating
Agudas Achim Preschool's
B'nai Mitzvah
Saturday, February 23rd, 7 pm – 10 pm
Agudas Achim Congregation
2908 Valley Drive, Alexandria 22302
Dinner, Drinks, Dancing, and Raffle Prizes!
Tickets available for purchase on Eventbrite or by sending a check to the preschool office. Donations welcome!
All proceeds benefit the preschool's capital improvements campaign.
click here for information on the 36 items we are raffling off totallling over $18,000!
Click here to enter the Preschool Tuition Raffle!
What are we celebrating?
The preschool, founded in 2005, turned 13 this school year!
Is this really a b'nai mitzvah party?
It is, with a twist! This is an adults-only event. Enjoy a fun-filled evening including a Jewish deli menu, drinks (wine, beer, and a signature cocktail), dancing, and a raffle. Prizes include (but are not limited to) baskets filled with babysitting services and restaurant gift certificates, electronics, premium sporting event tickets, artwork, and free preschool tuition for three months. All proceeds raised by the raffle and ticket sales will benefit the preschool's capital improvements campaign. Festive attire recommended!
What is the preschool's capital improvements campaign?
The preschool's capital improvements campaign is raising funds for crucial repairs and improvements to the synagogue's education wing which serves not only the preschool students but the religious school and several Shabbat programs. Those enhancements include separate, child-friendly bathroom facilities in the education wing, additional roof repairs, HVAC updates, security upgrades, and overall improvements to facility decor. Additionally, funds may be used to enhance common areas used by both the preschool and the congregation and to expand the growing preschool program. Our goal is to raise $10,000 for these improvements.
What does an event ticket include?
A ticket includes a kosher meat buffet dinner, drinks, and activities. There isn't reserved seating, but there will be designated seating areas and dining tables throughout the venue for everyone to use.
How do I get tickets? How can I make a donation?
To order online or make a donation, go to: https://agudasachimpreschoolsbnaimitzvah.eventbrite.com/. To pay or donate by check, complete and return the form below to the preschool by mail or in person. Only a limited number of tickets are available. RSVP soon! The deadline is Thursday, February 14.
How can I participate in the raffle?
Tickets will be available for purchase the night of the party (cash only). You may also purchase tickets ahead of time – check the synagogue website and look for a table in the lobby for more details. You do not need to be present to win! Do you have something to donate to the raffle? See next question.
How can I contact the organizers if I have questions or want to contribute?
Contact Jen Halpern, preschool director, at email@example.com or 703-998-7076 with questions about the party, or Stefanie Byrne, volunteer event coordinator, at email@example.com with questions about donations and sponsorships.
Thank you to our kind and generous donors and sponsors (to date) for making this event happen:


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Reuben Langdon, the voice actor for Satan Would possibly Cry's Dante, Boulevard Fighter's Ken, and fashion for Resident Evil's Chris Redfield, has survived a capturing strive in Guatamela. Langdon is unhurt and used to be no longer hit right through the capturing. The actor used to be in Guatemala filming …Read More »
Far Cry New Dawn Review Discussion
Percentage. Plus, why Sony is skipping E3. Via Daemon Hatfield Welcome again to Recreation Scoop!, IGN's weekly online game communicate display. This week we are discussing Apex Legends, Metroidvanias, and extra. Watch the video above or obtain the podcast under. Obtain Recreation Scoop! Episode 517 Or subscribe in iTunes and …Read More »
Best TV streaming service: YouTube TV vs. SlingTV vs. Hulu vs. PlayStation Vue, and all the rest
It's nice what just a little festival will do. Ever since twine chopping was a real pattern, TV networks and pay TV suppliers have scrambled to carry their channel bundles to the web. However with extra festival comes extra confusion. Between Sling TV, PlayStation Vue, DirecTV Now, Hulu with Reside …Read More »
See how Ubisoft tested The Division with automated players at GDC 2019!
Lately's video games are larger and broader than ever, however they are able to develop so huge they turn into nigh-impossible to entirely check. The parents at Ubisoft know one thing about making giant open-world video games, advert at the 2019 Recreation Builders Convention subsequent month they are presenting a promising communicate all about …Read More »
Fortnite Live's organisers are being sued by Epic Games
The organisers of remaining weekend's Fortnite Are living tournament are being sued by means of Epic Video games. The development in Norwich, which wasn't an authentic Fortnite tournament, charged attendees as much as £15/$20 for the privilege of using one in all 4 go-karts, hiking a wall or enjoying some …Read More »
The Yoshi's Crafted World demo is really really really good
"Yoshi's Crafted International is solely across the nook. The sport is about to free up on March 29. On the other hand, you'll be able to play a slice of the sport at this time. All over ultimate week's Nintendo Direct, it was once introduced demo could be made to …Read More »
Anthem Day One Update Detailed, Read The Patch Notes
Anthem is already are living for the ones with early get right of entry to, however its reputable release for all gamers will come later this week. It's going to be accompanied through a large day-one patch, set to mend a wide selection of problems throughout all platforms simply as …Read More »
Combat Gameplay And Relationship-Building Are The Focus Of The Latest One Piece: World Seeker Trailer
The most recent trailer for the approaching open global One Piece sport, Global Seeker, displays off a good bit of the struggle gameplay, and it additionally main points how you are going to achieve and entire sidequests, and the way that can have an effect on your relationships along with …Read More »
Anthem: Day One Patch Will Improve Loading Times
Percentage. Sound the fanfare. By way of Joe Skrebels For the reason that international is atypical and complicated, Anthem's day one patch will arrive every week after hundreds of other folks started enjoying it. Fortunately, it must support one of the vital not unusual lawsuits concerning the early model – …Read More »
Do your taxes for cheap! H&R Block Tax Software Deluxe is on sale for just $18
This isn't one thing many of us love to take into consideration in February, however tax time is rapid coming near. Although your plan is to procrastinate till only a few hours ahead of the closing date on Monday, April 15 nowadays's deal is definitely price selecting up. Amazon is …Read More »


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In patients who either fail to respond to first or second-line therapy, or are not interested in the conservative therapies, penile prosthesis implantation is available. Malleable and rigid implants were available for many years, but in 1973 the world of penile prosthetics took a giant leap forward with the advent of the inflatable penile implant. Most implants done nowadays are of the inflatable variety. Adverse events including malfunction and infection are rare, and patient satisfaction is very high.45
With the pumps, erections last until the user hits the deflate button, which Kohler says "doesn't happen" accidentally. He adds that pump prostheses "are locker-room proof: Nobody can see that you have one." (Obviously, this is not the case with the always-on malleable rod option.) Implanted pumps are reliable, experts say, with more than 90 percent of the devices working for 12 to 15 years.
Under normal circumstances, when a man is sexually stimulated, his brain sends a message down the spinal cord and into the nerves of the penis. The nerve endings in the penis release chemical messengers, called neurotransmitters, that signal the corpora cavernosa (the two spongy rods of tissue that span the length of the penis) to relax and fill with blood. As they expand, the corpora cavernosa close off other veins that would normally drain blood from the penis. As the penis becomes engorged with blood, it enlarges and stiffens, causing an erection. Problems with blood vessels, nerves, or tissues of the penis can interfere with an erection.
Psychological factors — Psychological issues such as depression, anxiety, guilt or fear can sometimes cause sexual problems. At one time, these factors were thought to be the major cause of impotence. Doctors now know that physical factors cause impotence in most men with the problem. However, embarrassment or "performance anxiety" can make a physical problem worse.
You've probably heard of Viagra, but it's not the only pill for ED. This class of drugs also includes Cialis, Levitra, Staxyn, and Stendra. All work by improving blood flow to the penis during arousal. They're generally taken 30-60 minutes before sexual activity and should not be used more than once a day. Cialis can be taken up to 36 hours before sexual activity and also comes in a lower, daily dose. Staxyn dissolves in the mouth. All require an OK from your doctor first for safety.
Monitoring erections that occur during sleep (nocturnal penile tumescence) can help you and your doctor to understand if the erectile dysfunction is due to psychological or physical causes. The nocturnal penile tumescence test is a study to evaluate erections at night. Normally men have three to five erections per eight hours of sleep. The test can be performed at home or in a sleep lab. The most accurate way to perform the test involves a special device that is connected to two rings. The rings are placed around the penis, one at the tip of the penis and the other at the bottom (base) of the penis. The device records how many erections occur, how long they last, and how rigid they are. The test is limited in that it does not assess the ability to penetrate.
2 inability of the adult male to achieve or sustain a penile erection or, less commonly, to ejaculate after achieving an erection. Several forms are recognized. Functional impotence has a psychological basis. Organic impotence includes vasculogenic, neurogenic, endocrinic, and anatomical factors. Anatomical impotence results from physically defective genitalia. Atonic impotence involves disturbed neuromuscular function. Poor health, old or advancing age, drugs, smoking, trauma, and fatigue can induce impotence. Also called erectile dysfunction, impotency. impotent, adj.
PDE 5 inhibitors are broken down primarily by enzyme, cytochrome P450enzyme CYP3A4. Medications that decrease or increase the activity of CYP3A4 may affect levels and effectiveness of PDE 5 inhibitors. Such drugs include medications for the treatment of HIV (protease inhibitors) and the antifungal medications ketoconazole and itraconazole. Thus caution is recommended.
Penile injection therapy, intracavernous injection, involves the injection of a vasodilator (a chemical that relaxes arteries to increase blood flow) into the penis. Penile injected therapy is recognized as the most effective nonsurgical treatment for erectile dysfunction. However, due to the invasive nature, it is often used in men who have failed or have contraindications to other treatments such as oral therapies.
Are there side effects to masturbation? Masturbation is a normal and healthy sexual activity enjoyed by a large proportion of people. But it is surrounded by mystery and false information about whether it is harmful or not. Learn some real facts about masturbation here, as well as information on the benefits and potential side effects in this article. Read now
These oral medications reversibly inhibit penile-specific PDE5 and enhance the nitric oxide–cGMP pathways of cavernous smooth muscle relaxation; that is, all prevent the breakdown of cGMP by PDE5. It is important to emphasize to patients that these drugs augment the body's natural erectile mechanisms, therefore the neural and psychoemotional stimuli typically needed for arousal still need to be activated for the drugs to be efficacious.
Erectile dysfunction or ED (It used to be called impotence) is the inability to achieve or sustain an erection suitable for sexual intercourse. Problems with erections may stem from medications, chronic illnesses, poor blood flow to the penis, drinking too much alcohol, or being too tired. Erectile dysfunction can occur at any age, but it is more common in men older than 75.
Using a tiny needle and syringe, the man injects a small amount of medicine into the side of his penis. The medicine relaxes the blood vessels, allowing blood to flow into the penis. This treatment has been widely used and accepted since the early 1980s. The three most common medicines are prostaglandin E1 (alprostadil), papaverine (Papacon®), and phentolamine (Regitine®).
Suppositories "were developed so men wouldn't have to use needles," Bivalacqua says. They contain the drug alprostadil (also known as prostaglandin E1) and are sold under the brand name Muse. If they are going to work, it takes about five to 10 minutes. However, Muse produces erections in only 30 to 40 percent of patients, usually those with mild ED, because some of the drug is absorbed systemically and diverted from its function of opening penile arteries to allow more blood to flow in. The out-of-pocket cost is around $20 to $30 per suppository.
As blood flows into the penis, the corpora cavernosa swell, and this swelling compresses the veins (blood vessels that drain the blood out of the penis) against the tunica albuginea. Compression of the veins prevents blood from leaving the penis. This creates a hard erection. When the amount of cGMP decreases by the action of a chemical called phosphodiesterase type 5 (PDE5), the muscles in the penis tighten, and the blood flow into the penis decreases. With less blood coming into the penis, the veins are not compressed, allowing blood to drain out of the penis, and the erection goes down.
The vascular processes that produce an erection are controlled by the nervous system and certain prescription medications may have the side effect of interfering with necessary nerve signals. Among the possible culprits are a variety of stimulants, sedatives, diuretics, antihistamines, and drugs to treat high blood pressure, cancer, or depression. But never stop a medication unless your doctor tells you to. In addition, alcohol, tobacco, and illegal drugs, such as marijuana, may contribute to the dysfunction.
Once implanted, the pumps become "part of their body," Montague explains. "No out-of-pocket cost per use. Predictable response. Works every time." Pills, even when they work, might be less effective if you've had more than a couple drinks or are out of sorts for other reasons. Injections are slightly more reliable than pills but, Montague says, are still subject to variability.
Injections: Injections are a reliable way to restore testosterone levels, but this therapy requires periodic injections (usually every two weeks) to sustain an effective level. It also causes high hormone levels right after the injection and low hormone levels just before the next shot. This is thought to be slightly more risky than other methods that maintain a moderate hormone level throughout the treatment period.
Normal erectile function depends on the release of NO and endothelial-dependent vasodilation of the penile arteries. The 'artery size' hypothesis, first described by Dr Montorsi, offers an explanation why men are more likely to develop ED before a myocardial infacrtion. It is believed that atherosclerosis affects all vascular beds equally but smaller arteries are more likely to become occluded than larger arteries.31 32 The penile arteries are 1–2 mm while the coronary arteries are 3–4 mm. Thus, the same degree of endothelial dysfunction and atherosclerosis is more likely to occlude blood flow in the penile arteries compared with the coronary arteries. The penile arteries therefore serve as a sensitive indicator for subsequent CVD. This theory is supported by the fact that ED occurs approximately 3 years prior to cardiac symptoms in virtually all patients with chronic coronary syndrome whereas patients with acute coronary syndrome have a much lower prevalence of sexual dysfunction.32
Another study compared the response of surgically and medically castrated rabbits to vardenafil with that of control rabbits. [22] Castrated rabbits did not respond to vardenafil, whereas noncastrated rabbits did respond appropriately. This result suggests that a minimum amount of testosterone is necessary for PDE5 inhibitors to produce an erection.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Instead of injecting a medicine, some men insert a suppository of alprostadil into the urethra. A suppository is a solid piece of medicine that you insert into your body where it dissolves. A health care professional will prescribe a prefilled applicator for you to insert the pellet about an inch into your urethra. An erection will begin within 8 to 10 minutes and may last 30 to 60 minutes.
The obvious risks are the same that accompany any surgery: infection, pain, bleeding, and scarring. If for some reason the prosthesis or parts become damaged or dislocated, surgical removal may be necessary. With a general success rate of about 90 percent, any of the devices will restore erections, but they will not affect sexual desire, ejaculation, or orgasm.
Metabolism (breakdown) of vardenafil can be slowed by aging, liver disease, and concurrent use of certain medications (such as erythromycin [an antibiotic], ketoconazole [Nizoral, a medication for fungal/yeast infections], and protease inhibitors [medications used to treat AIDS]). Slowed breakdown allows vardenafil to accumulate in the body and potentially increase the risk for side effects. Therefore, in men over 65 years of age with liver disease, or who are also taking medication(s) that can slow the breakdown of vardenafil, the doctor will initiate vardenafil at low doses to avoid its accumulation. For example,
All of these medicines work by relaxing smooth muscles and increasing blood flow in the penis during sexual stimulation. You should not take any of these medicines to treat ED if you are taking nitrates to treat a heart condition. Nitrates widen and relax your blood vessels. The combination can lead to a sudden drop in blood pressure, which may cause you to become faint or dizzy, or fall, leading to possible injuries.
Other factors leading to erectile dysfunction are diabetes mellitus, which is a well-known cause of neuropathy).[2] ED is also related to generally poor physical health, poor dietary habits, obesity, and most specifically cardiovascular disease, such as coronary artery disease and peripheral vascular disease.[2] Screening for cardiovascular risk factors, such as smoking, dyslipidemia, hypertension, and alcoholism is helpful.[2]
The development of an erection is a complex event involving integration of psychologic, neurologic, endocrine, vascular, and local anatomic systems. Positron emission tomography scanning studies have suggested that sexual arousal is activated in higher cortical centers that then stimulate the medial preoptic and paraventricular nuclei of the hypothalamus.5 These signals ultimately descend through a complex neural network involving the parasympathetic nervous system and eventually activate parasympathetic nerves in the sacral area (S2 to S4).
What you need to know about delayed ejaculation Delayed ejaculation is a sexual disorder that can be distressing for a man and his partner and may disrupt a relationship. There are many reasons why delayed ejaculation occurs, including tissue damage, age, drugs, and the side effects of medication. They may be physiological or psychological. Find out how to get help. Read now
Dr Kenny du Toit is a urologist practicing in Rondebosch, Cape Town. He is also consultant at Tygerberg hospital, where he is a senior lecturer at Stellenbosch University. He is a member of the South African Urological Association, Colleges of Medicine South Africa and Société Internationale d'Urologie. Board registered with both the HPCSA (Health professions council of South Africa) and GMC (General medical council UK). He has a keen interest in oncology, kidney stones and erectile dysfunction.http://www.dutoiturology.co.za
I would think the 25% is just an average. Some men never have a problem with erections. Some healthy men in their 60's never have a problem with their erections -- no Viagra needed at all, thank you. And, no, it is NOT completely associated with age. In fact, many men in their 40's and even younger, are already dealing with ED, especially if they smoke, are obese, don't exercise, or are addicted to porn, among other things. In fact, even men in their 20's and 30's can have these problems.
On the horizon is gene therapy that would deliver genes that produce products or proteins that may not be functioning properly in the penile tissue of men with ED. Replacement of these proteins may result in improvement in erectile function. Experimental animal models have demonstrated improvement in erectile function with gene therapy. Human studies may also demonstrate success with this therapy. Gene therapy may take a long time for regulatory approval and public acceptance.
There's no one cure that works for every case of erectile dysfunction, but there are many options that can successfully treat the condition. If ED is caused by an underlying medical condition, sometimes treating that condition will get rid of the symptoms of erectile dysfunction. This may include psychological counseling for problems like stress or relationship issues. Other times, a variety of medications - either taken by mouth or injected or inserted into the penis - can successfully treat erectile dysfunction. Surgical procedures may get rid of symptoms permanently, while constrictive devices and penis pumps can be temporary solutions. Talk to your doctor to find a treatment method that's most effective for you.
Ejaculatory incompetence, erectile difficulty, erectile dysfunction, erectile failure, frigidity–female Medtalk The inability to achieve or maintain a penile erection adequate for the successful completion of intercourse, terminating in ejaculation; penile erection is mediated by nitric oxide Epidemiology Prevalence of minimal, moderate, and complete impotence in the Massachusetts Male Aging Study was 52%; age is the most important factor; complete impotence ↑ from 5%–age 40 to 15%–age 70; for an erection to achieve a successful outcome, it requires
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The inflatable type of device consists of cylinders that are implanted in the corpora cavernosa, a fluid reservoir implanted in the abdomen, and a pump placed in the scrotum. The man squeezes the pump to move fluid into the cylinders and cause them to become rigid. (He reverses the process by squeezing the pump again.) While these devices allow for intermittent erections, they have a slightly higher malfunction rate than the silicon rods.
Melanocortin receptor agonists were found to induce erections serendipitously. A study investigating the dermatologic use of Melanotan-II (MT-II) was found to generate erections unexpectedly leading to the development of MTII derivatives for ED treatment (120). MT-II was initially used to induce pigment changes in the skin for artificial tanning but has been suspected to induce melanoma, however (121).
Although vardenafil does not seem to produce significant clinical QT prolongation, it has been suggested that it be avoided in patients who have congenital QT prolongation abnormalities and in patients using class I antiarrhythmic drugs, such as quinidine and procainamide. It is also best to avoid the use of vardenafil with class III antiarrhythmic drugs, such as amiodarone or sotalol.
The Food and Drug Administration (FDA) does not recommend alternative therapies to treat sexual dysfunction.[27] Many products are advertised as "herbal viagra" or "natural" sexual enhancement products, but no clinical trials or scientific studies support the effectiveness of these products for the treatment of ED, and synthetic chemical compounds similar to sildenafil have been found as adulterants in many of these products.[28][29][30][31][32] The FDA has warned consumers that any sexual enhancement product that claims to work as well as prescription products is likely to contain such a contaminant.[33]
Surgery to repair arteries (penile arterial reconstructive surgery) can reduce impotence caused by obstructions that block the flow of blood to the penis. The best candidates for such surgery are young men with discrete blockage of an artery because of a physical injury to the pubic area or a fracture of the pelvis. The procedure is less successful in older men with widespread blockage of arteries.
Patients receiving penile prostheses should be instructed in the operation of the prosthesis before surgery and again in the postoperative period. The prosthesis usually is not activated until approximately 6 weeks after surgery, so as to allow the edema and pain to subside. The prosthesis is checked in the office before the patient begins to use it.
ED can also occur among younger men. A 2013 study found that one in four men seeking their first treatment for ED were under the age of 40. The researchers found a stronger correlation between smoking and illicit drug use and ED in men under 40 than among older men. That suggests that lifestyle choices may be a main contributing factor for ED in younger men.
A number of herbs have been promoted for treating impotence. The most widely touted herbs for this purpose are Coryanthe yohimbe (available by prescription as yohimbine, with the trade name Yocon) and gingko (Gingko biloba), although neither has been conclusively shown to help the condition in controlled studies. In addition, gingko carries some risk of abnormal blood clotting and should be avoided by men taking blood thinners such as coumadin. Other herbs promoted for treating impotence include true unicorn root (Aletrius farinosa), saw palmetto (Serenoa repens), ginseng (Panax ginseng), and Siberian ginseng (Eleuthrococcus senticosus). Strychnos Nux vomica has been recommended, especially when impotence is caused by excessive alcohol, cigarettes, or dietary indiscretions, but it can be very toxic if taken improperly, so it should be used only under the strict supervision of a physician trained in its use.
Aging, liver and kidney problems, and concurrent use of certain medications (such as erythromycin [an antibiotic] and protease inhibitors for HIV) slows the metabolism (breakdown) of sildenafil. Slowed breakdown allows sildenafil to accumulate in the body and potentially may increase the risk of side effects. Therefore, in men over 65 years of age, in men with significant kidney and liver disease, and in men who also are taking medications called protease inhibitors, the doctor will initiate sildenafil at a lower dose (25 mg) to avoid accumulation of sildenafil in the body. A protease inhibitor ritonavir (Norvir) is especially potent in increasing the accumulation of sildenafil, thus men who are taking Norvir should not take sildenafil doses higher than 25 mg and at a frequency of no greater than once in 48 hours. Other medications that may affect the level of sildenafil include erythromycin and ketoconazole.
• Blood Vessels: Diabetes damages blood vessels, especially the smallest blood vessels such as those in the penis. Diabetes can also cause heart disease and other circulatory problems. Proper blood flow is absolutely crucial to achieving erection. "Erection is a hydraulic phenomenon that occurs involuntarily," says Arturo Rolla, MD, of Harvard University School of Medicine. "Nobody can will an erection!" Anything that limits or impairs blood flow can interfere with the ability to achieve an erection, no matter how strong one's sexual desire.
The role of the endothelium in erectile function became clearer with the observation that the phosphodiesterase type 5 (PDE5) inhibitor, sildenafil, enhanced erectile function. Erection occurs with the release of nitric oxide (NO) from the vascular endothelial cells.17 The reduction in endothelial cell production of NO results in the negative impact on the smooth muscles in the corporal bodies and results in less relaxation of the smooth muscle cells with decrease in blood supply and resulting ED. A similar phenomenon is well known to impact the coronary arterial system resulting in CVD.
One of the first steps is to distinguish between physiological and psychological ED. Determining whether involuntary erections are present is important in eliminating the possibility of psychogenic causes for ED.[2] Obtaining full erections occasionally, such as nocturnal penile tumescence when asleep (that is, when the mind and psychological issues, if any, are less present), tends to suggest that the physical structures are functionally working.[19][20] Similarly, performance with manual stimulation, as well as any performance anxiety or acute situational ED, may indicate a psychogenic component to ED.[2]
When lifestyle changes alone don't work, drug therapy (Viagra®, Cialis®, Levitra®, etc.) is normally the next step. Most of these medications work similarly to enhance a natural chemical in your body that relaxes the muscles in your penis. The goal of this medication is to increase your response to sexual stimulation by increasing the blood flow in your penis allowing you to get an erection.22
What you need to know about STDs Sexually transmitted diseases (STDs) are infections that are passed on from one person to another through sexual contact. There are many STDs, including chlamydia, genital warts, syphilis, and trich. This article looks at some of the most common STDs, the symptoms, and how to avoid getting or passing an STD one on. Read now
You've probably heard of Viagra, but it's not the only pill for ED. This class of drugs also includes Cialis, Levitra, Staxyn, and Stendra. All work by improving blood flow to the penis during arousal. They're generally taken 30-60 minutes before sexual activity and should not be used more than once a day. Cialis can be taken up to 36 hours before sexual activity and also comes in a lower, daily dose. Staxyn dissolves in the mouth. All require an OK from your doctor first for safety.


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Home > Int'l
The world has given us a slap in the face, and then what?2017-12-25 00:27:15 292 ℃
UN General Assembly 21 to ignore the U.S. pressure "" warning, overwhelmingly passed a resolution that declared that any decision and action to change the status of Jerusalem "invalid".
analysts believe that this result shows that the United States announced that Jerusalem is the capital of Israel is not enjoy popular support. On the 21 th day of the
, the UN General Assembly passed a resolution by majority vote. It decided that any decision or action that claimed to change the status of Jerusalem was invalid. Xinhua News Agency reporter Wang Ying photo
. However, the Jerusalem issue is complicated. The United States will continue to pry the Middle East as its starting point, and the game of all sides will continue.
128's threat did not work for us to say "no"
General Assembly of the United Nations Day held an emergency special session, will vote on the draft resolution on the issue of Jerusalem's status, and by 128 votes, 9 votes, 35 votes against the resolution abstained.
was the result of a vote taken at the emergency special session of the United Nations Headquarters UN General Assembly in New York in December 21st. The Xinhua News Agency / new
resolution calls for a negotiation between Israel and Palestine to determine Jerusalem's status.
, according to the resolution, any decision or action that attempts to change the characteristics, current situation and population structure of the old city of Jerusalem is not legally effective, and should be abolished in accordance with relevant resolutions of the Council.
12 21, New York, United Nations Headquarters, the permanent observer of Palestine to the United Nations Mansoor arrived before the vote. In addition to the 4 other permanent members of the Security Council outside the United States, 128 other countries, including Afghanistan, Egypt and Jordan, have voted in favour of the Xinhua News Agency /
9 countries, such as the United States, Israel, Guatemala and Honduras, voted against them. The United States will not abandon
continue to leverage
and the Security Council resolution compared to the Middle East, General Assembly resolution is not legally binding, but overwhelmingly in favor of fully reflect the will of the international community, its political influence should not be underestimated.
12 21 July, the United Nations Headquarters in New York, the permanent representative of the United States Haley speech before the vote. Xinhua News Agency / AFP
analysts believe that despite the "usual suspects" threat did not succeed, but the United States will not stop, but will continue to use the Jerusalem issue move across the Middle East relations.
the United States is very aware of the importance of this problem in the Middle East, taking this issue as a grip and easily touching the nerves of the people of the Middle East.
5 23, in Jerusalem Israeli Museum, the visiting US President Trump shook hands with Israeli Prime Minister Netanyahu. At the same time, the Xinhua News Agency / new Jerusalem
reflected that the Middle East countries all agreed against the US's practice on the issue, but they were not consistent in terms of strength, angle and even goal. These countries have different considerations on the issue of Jerusalem and on the relationship between the United States and the United States.
12 21 July, New York United Nations Headquarters, Turkey's foreign minister cavusoglu speech before the vote. Xinhua News Agency / new Arabia
is worth noting that some of the Arabia countries are wary of Turkey's recent efforts to improve its image and expand its influence in the Middle East, which may affect the resultant force of all parties.
fair and comfortable
unity is the power of
in the heart of the heart. The United States announced that Jerusalem is the capital of Israel's practices in the international community has become a target for all morally not enjoy popular support.
12, 10, a small boy wears a dress with Palestinian flag outside Damascus, Jerusalem. The union of the Xinhua News Agency / the United States union
is the strength. The National Union of Arabia and Islamic organizations, many members have long received American aid, but not as "the usual suspects" threat. The legitimate rights and interests of the Palestinian people have been supported by the overwhelming majority of countries. The role of the United Nations in resolving the Israeli Palestinian issue has also been affirmed by most countries.
12 month 10, in East Jerusalem, Israeli military and police patrol in the Arabian settlements. In the final analysis of the Xinhua News Agency /
, the "two countries program" is the right way out for the political settlement of the Palestinian problem.
, the international community should adhere to the relevant United Nations resolutions and the principle of "land for peace" and "Arabia peace initiative" as the foundation, strengthen the promotion of the resumption of negotiations to solve the key issues through dialogue and consultation including the final status of Jerusalem, as soon as possible to solve the Palestinian problem a comprehensive, just and lasting.
background link
12 6, the US President Trump announced that he recognized Jerusalem as the capital of Israel, and will start the process of moving the United States to Tel Aviv from the embassy. The move was universally opposed by the international community.
12 month 18, United Nations Headquarters, New York, USA
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Did you know?
You can now shop for food and treats, collars and leashes, bed and toys, and more on Shop Vanillapup. Our products and suppliers are carefully chosen to ensure that our pets grow up happy and healthy.
You can now shop for food and treats, collars and leashes, bed and toys, and more on Shop Vanillapup. Our products and suppliers are carefully chosen to ensure that our pets grow up happy and healthy.
A dog crate is a small enclosed kennel with a door, where your dog can be safely confined in unsupervised, whenever necessary.
Dogs naturally like dark, cozy and safe areas. Hence, a plastic crate would feel more like a den than a cage to them.
This type of crates can be also used for plane travel and are great for car travel, as it rattles less and helps to contain hair and dirt. It is sometimes used in place of an outdoor kennel (by taking the door out) when the dog is older and no longer needs to be confined indoors.
Most importantly, smooth plastic (not wire or steel) material creates a lower possibility of injury inside the crate.
The issues you may face with plastic crates are that they are a bit more cumbersome to store, are generally more expensive, and larger ones are often harder to find in shops.
Tip: When choosing an air travel crate, ensure that it is of good build quality and is approved by airlines.
A wire crate looks more like a traditional cage and doesn't generally give a den feeling.
If you have it, we recommend covering the crate with a blanket or a crate cover to make it more appealing to your dog. They can usually be folded to go flat for easy storage.
Usually, we do not recommend fabric crates for puppies or dogs who would be using their crate unsupervised.
They generally don't last. And as your puppy grows older, his teeth will be stronger and if he's a chewer, the zippers and seams will probably be destroyed.
Now that you have decided on the type of crate, it's time to choose the correct size!
It is important that your dog feels comfortable in the crate. The following diagram shows the requirements for airplane travel, accepted by most airlines. This sizing method is useful in determining the minimum size of the crate for your dog.
The length of your pet (L) should be taken from the tip of the nose to the base of the tail, and the height of your pet (H) should be taken from the top of the head to the ground.
If your pet has ears that are erect (e.g. German Shepherd), you need to measure from the tip of ears to the ground (especially when entering the UK).
Both measurements must be taken when your pet is standing erect. Add 5cm to both (L) and (H) measurements to get the length and height that your dog's travel crate needs to be.
With a puppy, it can be complicated to know what crate size you will need when he is grown up. If you are determined to get a crate that will hopefully last for the rest of his life, it is best to ask the breeder for the sizes of his parents and calculate your puppy's crate size based on that.
There are benefits in starting off with a smaller crate and then upgrading it as your puppy grows:
Successful crate training involves your puppy being happy to hold his pee and poo and to feel safe and relaxed in the crate. To achieve this, the crate should only be large enough for him to stand up freely and turn around in. If your crate is too big, we recommend you to block off a part of it by putting a cardboard box inside.
1: What is crate training and why you should do it
3: Getting prepared for crate training
4: Crate training your dog the right way
Your dog should never be confined for many hours at once. Slowly increase the amount of time your dog spends in a crate to a maximum of 5-6 hours a day.
All dogs need mental and physical stimulation and companionship. If you are teaching your dog to be in a crate at certain times of the day, you need to make sure he also gets daily walks, playtime, time to run free and time with you.
When using a confinement area for long-term management, it is important that this area is close to the family – exposing the dog to experiences with us. Confinement training involves including your dog in family life and not excluding him from social companionship.
Confinement always needs to be fun (give things for entertainment), never punishment.
The aim of confinement training early on in training is to prevent your dog from learning bad habits and to teach him to be comfortable being confined when necessary. As your dog's behaviour gets more trustworthy you can then allow him more freedom.
Featured image credit: _tar0_ via Foter.com / CC BY
Barbara Wright is the founder of Positive Puppies, Sydney's premier dog training, walking, and boarding company. She is an honours graduate of the Academy for Dog Trainers at San Francisco SPCA with Jean Donaldson. Barbara is a mother of five - two children, a Border Collie called Ace and two free-flying Cockatiels.
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By Gary DeNeal,Jim Ballowe
Drawing from the colourful forged of the residing, the useless, and the soon-to-be-dead—a nation shared through many linked to Birger and his enemies, the Shelton gang—DeNeal re-creates Prohibition-era southern Illinois. He depicts the deadly shootout among S. Glenn younger and Ora Thomas, the conflict at the Herrin Masonic Temple garden during which six have been slain and the Ku Klux Klan overwhelmed, and the wounding of Williamson County state's lawyer Arlie O. Boswell. because the gang wars escalated and the roster of corpses lengthened, the gangsters embraced expertise. The Sheltons bombed Birger's roadhouse, Shady relaxation, from a single-engine aircraft. either Birger and the Sheltons used armored autos to intimidate their enemies, and the chatter of desktop gun hearth grew universal.
The gang wars ended with large arrests, trials, and convictions of gangsters who as soon as had appeared invincible. Charlie Birger used to be convicted of the homicide of West urban mayor Joe Adams and sentenced to loss of life. On April 19, 1928, he stood at the gallows taking a look down at the huge crowd that had come to determine him die. "It's a gorgeous world," Birger stated softly as he ready to depart it.
Read Online or Download A Knight of Another Sort: Prohibition Days and Charlie Birger, Second Edition (Shawnee Classics) PDF
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Additional info for A Knight of Another Sort: Prohibition Days and Charlie Birger, Second Edition (Shawnee Classics)
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A Knight of Another Sort: Prohibition Days and Charlie Birger, Second Edition (Shawnee Classics) by Gary DeNeal,Jim Ballowe
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When you're eating the foods that get you there (more on that in a minute), your body can enter a state of ketosis in one to three days, she adds. During the diet, the majority of calories you consume come from fat, with a little protein and very little carbohydrates. Ketosis also happens if you eat a very low-calorie diet — think doctor-supervised, only when medically recommended diets of 600 to 800 total calories.
This week we're getting stricter with our fasting. We had a full week of intermittent fasting and now we're going to skip breakfast and lunch. Water is our BEST friend here! Don't forget that you can drink coffee, tea, flavored water, and the like to get your liquids in. Keep drinking to make sure you're not thinking about your stomach. It MIGHT start growling, just ignore it – your body will adjust with time.
A metabolic process called ketogenesis and a body state called ketosis are responsible. Ketosis is simply a normal metabolic pathway in which body and brain cells utilize ketones to make energy, instead of relying on only sugar (i.e., carbohydrate). In fact, humans developed an evolutionary ability to burn ketones as an adaptation to periods of food scarcity.
The ketogenic diet is usually initiated in combination with the patient's existing anticonvulsant regimen, though patients may be weaned off anticonvulsants if the diet is successful. There is some evidence of synergistic benefits when the diet is combined with the vagus nerve stimulator or with the drug zonisamide, and that the diet may be less successful in children receiving phenobarbital.[3]
Ketosis is a state of physical being and energy utilization when the body is running on ketones instead of glucose. Ketones are a clean fuel the body and brain absolutely loves. Ketones are an alternative fuel for the body that is not sugar or glucose. Running on ketones is like running a car on electricity rather than diesel fuel. Ketones are a cleaner fuel source - an alternative fuel source that gives a person way more energy than glucose. Even professional athletes can outrun and outperform any other athlete on ketosis than carb loading. By lowering your insulin, your sugars and refined carbohydrates, way down there close to zero to 5% of your daily calories or lower, you will burn fat as opposed to glucose for diet purposes or because you want to run on this clean fuel that many people find can help them perform better in all areas of life, mentally and physically. When you're running on glucose and insulin is spiked, you're not dipping down into your fat stores for energy. You're burning up your muscles, not fat. When you're in ketosis, you're no longer spiking your blood sugar and you begin running on your own fat for fuel, which is idea for losing weight—the right kind of weight—fat.
Con: Results can vary depending on how much fluid you drink. By drinking more water, you dilute the concentration of ketones in the urine and thus a lower level of ketones will be detected on the strips. The strips don't show a precise ketone level. Finally, and most importantly, as you become increasingly keto-adapted and your body reabsorbs ketones from the urine, urine strips may become unreliable, even if you're in ketosis.
^ Jump up to: a b c d e f g h i j k l m n o p q r s Kossoff EH, Zupec-Kania BA, Amark PE, Ballaban-Gil KR, Bergqvist AG, Blackford R, et al. Optimal clinical management of children receiving the ketogenic diet: recommendations of the International Ketogenic Diet Study Group. Epilepsia. 2009 Feb;50(2):304–17. doi:10.1111/j.1528-1167.2008.01765.x. PMID 18823325
These nachos use the trendy Fat Head pizza crust as the "nachos" with a Tex-Mex twist, substituting cilantro, cumin and chili for the rosemary and garlic in the pizza base. After you cut them into tortilla shapes, you'll load them with a meaty sauce and finish off the nachos with your favorite toppings, like guacamole, jalapeños and salsa. They're the perfect snack to enjoy with family on movie night.
A survey in 2005 of 88 paediatric neurologists in the US found that 36% regularly prescribed the diet after three or more drugs had failed; 24% occasionally prescribed the diet as a last resort; 24% had only prescribed the diet in a few rare cases; and 16% had never prescribed the diet. There are several possible explanations for this gap between evidence and clinical practice.[33] One major factor may be the lack of adequately trained dietitians, who are needed to administer a ketogenic diet programme.[30]
Bulletproof Coffee is coffee with added grass-fed butter and a fat called MCT oil, which is extracted from coconut oil. It's alright to consider it as a meal but remember that it can slightly trigger insulin. However, I think it is good to do in the beginning, as it reduces hunger. For some people, it could slow progress so it's good to experiment.
The main proposed benefit of the keto diet is losing weight, though there is some research showing it may help with certain health conditions. The weight loss comes because the body burns fat and because the fat you're taking in is filling, which can lead you to eat fewer calories overall, says Abby Langer, RD, founder of Abby Langer Nutrition, who is based in Toronto, Canada.
Since successfully losing 100lbs by changing her relationship with food and her body, Sarah has taken her passion for food and balanced it between cucumbers and cupcakes. When she's not bustling her way around a kitchen, you can find her working out or winding down at home with her 3 kids and pug. Follow Sarah's journey on Instagram @TheBirdsPapaya.
Chocolate and avocados are a strangely fantastic combination. Adding avocado to dessert-type recipes gives them a smooth, silky texture without a pronounced flavor. That's certainly the case with this pudding, which is crazy easy to make. Just add cocoa powder, avocado, stevia, vanilla extract and salt to a bowl and mix. Easy? Yes. Tasty? Also yes.
The ketogenic diet has been studied in at least 14 rodent animal models of seizures. It is protective in many of these models and has a different protection profile than any known anticonvulsant. Conversely, fenofibrate, not used clinically as an antiepileptic, exhibits experimental anticonvulsant properties in adult rats comparable to the ketogenic diet.[57] This, together with studies showing its efficacy in patients who have failed to achieve seizure control on half a dozen drugs, suggests a unique mechanism of action.[55]
Hi Stacey, I can't give medical advice and definitely recommend following your doctor's recommendations. You can ask him/her if low carb would be better suited for you. Also, you may want to double check with him/her if the kidney concern was related to high protein, because that is a common misconception about keto – it is not a high protein diet/lifestyle.
When you lose weight, fat cells shrink. In a fat cell, there are triglycerides and cholesterol. Now, as that fat cell shrinks, you can burn triglycerides, but you cannot burn cholesterol. So it will go into the blood, go to the liver, and come out through the bile. But you'll be totally fine as long as your triglycerides are low. (If you're not using those as fuel, then you're eating too much sugar.)
I should note that I fully believe the key to success on a keto diet is to be prepared. If you precook your meals, you are setting yourself up for success. You are only choosing to do keto once a week when you prepare your food. If you have no keto food at your house and its 9 pm on a Wednesday, then you are just asking to revert back to something easy like chinese food or pizza. However, if all you need to do is pull a premade meal out of the fridge and microwave it, you are much better off. Make sure to pick up some rugged, microwaveable containers to store your food. Now then, lets get started!
Lots of apps and website offer keto diet challenges—basically, a blueprint for the keto diet with a fixed starting and ending point (they typically last for a week to a month, though some may be longer). Speaking of apps, plenty of keto-centric ones are right at your fingertips (a.k.a., your smartphone), like the KetoDiet app, which can help you calculate your macros and track your keto diet effectively.
Another common mistake that she sees is that people focus too much on macronutrients: "Micronutrients are really important too as ketosis is metabolically demanding and the diet is not nutritionally adequate most of the time." She says that most of her clients take multivitamins, carnitine supplements, calcium supplements and sometimes selenium or zinc.
This doesn't mean that you can never have some of your favorite foods again. Once you get past the adaptation phase and you have tested that you are in Ketosis, you can start experimenting with Keto versions of the foods you don't want to give up. Here are a few simple Keto recipes to start with. If you're looking for ready-to-eat Keto-friendly options, check out Country Archer Meat Sticks, Cuvee Coffee and FBOMB nut butters.
When you eat a ketogenic diet, you switch your body's fuel source to fat rather than the body's usual source, glucose (1). From this fuel source switch, the hunger hormone, Ghrelin, is reduced which causes your appetite to decrease (1). Because of the reduction in appetite, it is easier to adopt an intermittent fasting approach or an approach that lessons unwanted eating behavior outside your desired hours (AKA curbs the late night munchies). Therefore, I recommend eating 4 bigger meals rather than 6 small meals on a Ketogenic Meal Plan.
Many ketogenic dieters also swear by MCT oil. (MCT simply stands for medium chain triglycerides.) MCT's energy-sustaining powers can be explained as follows: When MCT oil is metabolized in the body, it behaves more like a carbohydrate than a fat. Unlike other fats, MCT oil does not go through the lymphatic system. Instead, it is transported directly to the liver where it is metabolized so it releases energy like a carbohydrate and creates lots of ketones (which can be used for fuel) in the process.
Hi Tammy, I still have to try the muffin tin method to ive you a better response. Why don't you make the recipe using exact ingredients for one bread multiplied x 9-10 and divide between 12 muffin tin slots? I think this will work better. This way we are not changing the amount of eggs. If you use less eggs, the bread will be more dry, since it is gluten-free.


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