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Posts for tag: fluoride
Since the discovery a century ago of its beneficial effect on tooth enamel, fluoride has become an important part of tooth decay prevention. It's routinely added to toothpaste and other hygiene products, and many water utilities add minute amounts of it to their drinking water supplies. Although there have been questions about its safety, multiple studies over the last few decades have eased those concerns.
Children especially benefit from fluoride during their teeth's developing years. Some children are at high risk for decay, especially an aggressive form known as Early Childhood Caries (ECC). ECC can destroy primary (baby) teeth and cause children to lose them prematurely. This can have an adverse effect on incoming permanent teeth, causing them to erupt in the wrong positions creating a bad bite (malocclusion).
For children at high risk for decay, dentists often recommend applying topical fluoride directly to the teeth as added protection against disease. These concentrations of fluoride are much higher than in toothpaste and remain on the teeth for much longer. Topical applications have been shown not only to reduce the risk of new cavities, but to also stop and reverse early decay.
Children usually receive these applications during an office visit after their regular dental cleaning. There are three different ways to apply it: gel, foam or varnish. To prevent swallowing some of the solution (which could induce vomiting, headache or stomach pain) the dentist will often insert a tray similar to a mouth guard to catch any excess solution. Varnishes and a few gels are actually painted on the teeth.
The American Dental Association has intensely studied the use of topical fluoride and found its application can result in substantial decreases in cavities and lost teeth. They've concluded this benefit far outweighs the side effects from ingesting the solution in children six years and older. With proper precautions and waiting to eat for thirty minutes after an application, the possibility of ingestion can be reduced even further.
While topical fluoride can be effective, it's only one part of a good dental care strategy for your child. Consistent daily brushing and flossing, a nutritious diet low in added sugar, and regular dental visits still remain the backbone of preventive care.
If you would like more information on fluoride applications for your child, please contact us or schedule an appointment for a consultation.
Like many other families, you may use formula instead of breast milk as a safe and healthy alternative to feed your infant. But, if you use a powdered form that you mix with water your child may be taking in more fluoride than they require.
Fluoride is a natural chemical that can strengthen tooth enamel and help prevent decay. After decades of study it's also been shown to pose no serious health risks. Because of fluoride's benefits and safety, many water utilities add tiny amounts to their drinking water supply.
But it can have one side effect called enamel fluorosis. If a child ingests too much fluoride during early development it can cause discoloring mottled spots or streaking in permanent teeth. Although it doesn't affect their health, the teeth can be unattractive and require cosmetic attention.
That's why it's best to keep fluoride consumption to a healthy minimum for children. That, however, is often easier said than done, since we can encounter hidden fluoride in a variety of places. Besides hygiene products and fluoridated drinking water, you may find fluoride in prepared juices and other beverages, bottled water or in foods processed with fluoridated water. There are no labeling requirements for fluoride, so you'll have to research to find out if a product contains fluoride.
There are, however, some things you can do to control your child's fluoride intake. First, know as much as you can about known sources your child may encounter like your water supply. You can find out if your utility adds fluoride and by how much by contacting them or visiting My Water's Fluoride online at https://nccd.cdc.gov/DOH_MWF/.
If you use fluoride toothpaste apply only a "smear" on the end of the brush for children under two and a pea-sized amount for older children. If you have fluoridated drinking water, consider breastfeeding your infant, use ready-to-feed formula or mix powdered formula with bottled water labeled "de-ionized," "purified," "demineralized" or "distilled."
And, do feel free to discuss your concerns with us during your child's regular checkup. We'll help you adjust their diet, water intake and hygiene habits to be sure they're receiving the right amount they need for developing strong teeth — and no more.
If you would like more information on appropriate fluoride levels for children, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article "Tooth Development and Infant Formula."
Fluoride has been proven to strengthen tooth enamel against decay. That's why it's not only added to toothpaste and other dental products, but also to drinking water — in nearly three-quarters of U.S. water systems.
While research has eased most serious health questions about fluoride, there remains one moderate concern. Too much fluoride over time, especially in infants and young children, could lead to "enamel fluorosis," an excess of fluoride in the tooth structure that can cause spotting or streaking in the enamel. While often barely noticeable, some cases of fluorosis can produce dark staining and a pitted appearance. Although not a symptom of disease, fluorosis can create a long-term cosmetic concern for the person.
To minimize its occurrence, children under the age of 9 shouldn't regularly ingest fluoride above of the recommended level of 0.70 ppm (parts per million). In practical terms, you as a parent should monitor two primary sources of fluoride intake: toothpaste and drinking water.
Young children tend to swallow toothpaste rather than spit it out after brushing, which could result in too much fluoride ingestion if the amount is too great. The American Academy of Pediatric Dentistry therefore recommends a small "smear" of toothpaste for children under two, and a pea-sized amount for children up to age six. Brushing should also be limited to no more than two times a day.
Your child or infant could also take in too much fluoride through fluoridated drinking water, especially if you're using it to mix infant formula. You should first find out the fluoride levels in your local water system by contacting the utility or the health department. If your system is part of the U.S. Centers for Disease Control and Prevention's (CDC) "My Water's Fluoride" program, you may be able to access that information on line at http://apps.nccd.cdc.gov/MWF/Index.asp.
If the risk for developing fluorosis in your area is high, you can minimize your infant's intake with a few recommendations: breastfeed rather than use formula; use "ready-to-feed" formula that doesn't need mixing and contains lower fluoride levels; and use bottled water specifically labeled "de-ionized," "purified," "de-mineralized," or "distilled."
Fluoride can be a wonderful adjunct to dental care in reducing risk for tooth decay. Keeping an eye on how much fluoride your child takes in can also minimize the chance of future appearance problems.
If you would like more information on the possible effects of fluoride on young children, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article "Tooth Development and Infant Formula."


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There is an art to being persistent. You need to know when to back off, when to follow up and what to follow up with.
My client Cheryl who runs a company focused on lead generation and client loyalty, I believe is one of the best sales people on the planet. She tells the story of how she worked for 2 yrs before landing BP as her client. 2YRS!! How many of you are working for more than 3 months to land a client.
Continue reading "Persistence in Sales"

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The plans are offered in a selection of distinct styles. Besides having free bird house plans, in addition, there are a good deal of great tips here on how best to choose and modify a program. All the DIY Wooden Bookshelves Plans are in a number of unique styles making it simple to find the most suitable style for your house.
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Bubbles are for Celebrating!
December 2nd – 3PM
Join us for a Bubbles wine class just in time for the holidays! We will sample 6 different styles of Champagne and sparkling wines and talk through the differences between each. As we're gearing up for the holidays, you'll leave equipped to enjoy those upcoming celebrations in a whole new light! We'll hope to see you there!
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For rent by Abena Properties MEMBER20 Feb 10:39 amEast Legon, Accra
Fully furnished 3 bedrooms with 4 washrooms,
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It's a Sunday morning. Your toilet is backed up and won't flush. It's your day off and all you want to do is watch the game and relax. You try jiggling the handle and flush it a few times. Before
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Local Search Directories: Getting Your Name Out There
Google today can be a valuable tool when searching for something on the internet. However, we often don't scroll past the first page of results. That's were the benefit of local search directories come in to play. It's just as


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Com Do any of these scenarios sound familiar to you? Five tips to get kids to focus on homework - The Washington Post. Over the last 20 years as a teacher, I' ve heard all sorts of excuses about why homework hasn' t been done. 31 Things Your Kids Should Be Doing Instead of Homework.
Helping with homework is part of everyday life once your kid hits school age. Homework can help you become a better student in several different ways.
Do homework phrase. The nagging the battles the lost papers— do you dread school work as much as the kids do? It' s hard to get kids excited about things they don' t want to do eating their veggies, yes, like going to sleep doing their homework.
Video: The Best Place to Do Homework | How to Create a. Furthermore they may have soccer practice, music lessons family. Set a time of the day aside for homework and don' t stray ( often). Administrators explained their decision by pointing to the large majority of students who lacked at- home resources to help them.
Make sure you have everything you need before you start. Here' s how to help them hit the books and develop good study habits. I' m talking close to 200 studies, conducted over decades.
So a common set of questions we often get from parents is: " Are there any best places to do homework? What to do with homework. Expert writers are here to.
Why Do We Have Homework? You tell yourself to get down to work.
Yes, there is a limit to how much homework your child should do. Homework Hacks: 8 Tips to Get It Done Faster | OFY Education blog.
But when parents feel it' s their responsibility to get their kids to achieve they now need something from their children— they need them to do their homework be a success. Archived: Learning Partners - - Let' s Do Homework! Homework can be a tough job for both kids and parents.
Research has repeatedly demonstrated in no uncertain terms there is no benefit to homework at the elementary school level. Read More: Why You Shouldn' t Do Your Child' s Homework. Students don' t seem to take the assignments.
You were a teen once which is why you know firsthand that it may not be fun for your teenage son to do his homework but as soon as he' s done. Education Matters spoke to experts in the field to answer these questions.How To Do Homework - YouTube 21 Maymin - Uploaded by HowToBasicToday I show you how to quickly complete homework. This booklet helps answer these family members , others who care for children in elementary , other questions that parents middle school often ask about homework. What to do with homework. Very few students like to do homework and almost everyone seems to put it off. Education researcher author Alfie Cohen writes " No research has ever found a benefit to assigning homework ( of any. Any parent familiar with the nightly homework struggle knows that where homework gets done can become just a much of an issue as when homework gets done. Six Ways To Make Homework Less Painful for Students | Time.
I' m a mum to two daughters now aged so I' ve had my fair share of experience when it comes to homework. Doing homework when you' re tired can feel impossible.
And it takes so long to get through it. Sep 14 · Over the last decade Japanese schools have been scrapping homework while American elementary schools have been assigning more of it. So how much is too much what can parents do about it? How to Get Children to Do Homework | Empowering Parents The nagging the battles the lost papers— do you dread school work as much as the kids do?
For the first couple years it isn' t hard stuff but you know that one day your kid will have an assignment that stumps them you. Reasons Why Students Don' t Do Their Homework | A Useful Site for.
How to Find Motivation to Do Homework. What to do with homework. You might also get nervous about your kids succeeding in life— and homework often becomes the focus of that concern. When Is The Best Time To Do Homework?
WASHINGTON — Kids in Maryland and D. 20 AugminHow can you and your child create a good homework space in your house?
After all, why start your work now when you can. Listen to the presentation about using colours to organise homework do the exercises to practise improve your listening skills. Kids do not enjoy sitting studying at least not after. 17 Ways to Get Your Students to Actually Do Their Work | Teach 4.
Tips For Helping Kids & Teens With Homework and Study Habits. Homework reinforces the things your child learns at school help their long- term understanding of the topic , giving them an opportunity to work through learning tasks activity. Homework | Definition of homework in English by Oxford Dictionaries.As your child moves from primary to secondary school homework will become more frequent may. Now it' s the ubiquitous ' faulty printer' that.
If you want them to enjoy their homework, incorporate what they know. The best multimedia instruction on the web to help you with your homework and study.
Monitor them as they do this. Check out my channel for all things. MY SCHOOL HOMEWORK ROUTINE | How To Do Your Homework.
Does your child hates doing homework and always makes a fuss for completing homework? You have three tests to study for.9 Ways to Finish Homework in College Even When You Don' t Feel. We have the best homework prices for a company based in the USA!
ADHD and Homework Time - Getting Your Child with ADD to Finish. But anyway you ARE good!
You only have a little bit of time and a little bit of energy. This isn' t very shocking news, but most kids do not like doing homework. We are ready to do your homework 24 hours a day. End homework distractions.
Should Schools Be Done With Homework? The booklet also includes practical ideas for helping children to complete homework. Getting students to do homework. Here are tips to help your child focus and get it done - - well.
See the full list of tips! How to Do Homework ( with Pictures) - wikiHow Part 2. Looking for a professional writing service? What to do with homework.
Lakeview High School Ranks 67th in State Cleveland. How to Motivate Your Kids to Do Homework | POPSUGAR Australia.
And usually, once your child has it in their mind that. Images for what to do with homework Here you will find the three laws of homework along with eight homework tips that — if implemented in your home with consistency and an open heart — will reduce study time hassles significantly.
I' ve heard from countless friends about their daily battles with their elementary- aged kids struggling to do homework the way it' s negatively affected their relationships. My Daughter' s Homework Is Killing Me - The Atlantic. Find out how to motivate students by taking a poll. ツ Assignments made easy with our expert writing help.
Here are some facts about homework tips for encouraging your child to complete his her homework without making any fuss. Jun 01 · In a tough employment market for new graduates interview preparation is especially important. What to do with homework. Should you bribe your Kids to do Homework? We just don' t get why it' s such a problem. But going to YouTube after homework would definitely calm you down and get rid of your bad mood. Homework and study.
What to Do When Your Kid' s Homework Is Too Hard - Lifehacker. So we tend to ignore it and focus on something more fun instead.
What to do: Insist the fun stuff can' t happen until the homework is completed. Doing your homework ( the right way) - StudyRight The key to homework success is simple; make it fun interesting relevant. In truth, we' ve all experienced how difficult it feels just to start. ) Find out what you can do when that happens in your home.
Why Students Don' t Do Their Homework- - And What You Can Do. Why Students May Not Complete Homework - Teachingcom Definition of homework - schoolwork that a pupil is required to do at home paid work carried out in one' s own home especially low- paid piecework.
One of the most common complaints I hear from parents of school- age children is that frequent homework battles are driving them nuts! You try to read and get distracted by Snapchat. More than likely, there is some underlying problem( s) contributing to the issue. What does do homework expression mean?
Has your child shed tears over the amount of homework he has?
Has he stayed up until 10 p. working on assignments? Have you sacrificed your weekends for homework?


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10/10/2018 12:39
Municipality specialists ready to work in new conditions may continue serving Yerevan residents: mayor
The first issue to be solved is the garbage removal issue, mayor Hayk Marutyan told the reporters today after the first sitting of the newly elected Yerevan City Council. He said it is number one issue with the rest to be solved in turn as presented in the election program.
As to the staff changes in the municipality, Marutyan stressed that all those professionals who want and are ready to work with new Armenia's rules and are ready to serve Yerevan residents may continue their work.
The mayor said individual approach will be displayed to each employee and his decision will be based on the principle whether the employees are able to work in new conditions or not.
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21/02/2019 20:09
Situation on border calm, no incidents registered: Chief of Staff
Referring to the information about downing of Armenian drone by Azerbaijan, Davtyan said, "Artsakh Republic Defense Army will come up with a statement as it refers to them. As the Chief of the cooperating Staff of the Armed Forces, I have no information about downing of Artsakh drone."
21/02/2019 17:00
Ucom will Provide Safe Internet Access in Schools
"We emphasize the importance of accessibility and safe use of online educational resources. The pilot program was launched at 20 and will be finally implemented in 1,400 schools of the country," said Arayik Harutyunyan, the RA Minister of Education and Science.


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When you are renting a 5, 10, 15, 20, 30 or 40 yard dumpster, you want a company you can trust with prices that make you smile. Give us a call today and see the difference we can make in your next construction or clean out project.
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Most cities or municipalities do not have many regulations regarding dumpster rental as long as you keep the dumpster entirely on your own property during the rental period. If you need to place your container on the street in any way, you will likely have to obtain a permit from the appropriate building permit office in your town. You can check with your local public works department to be sure.
Most Latham dumpster rental companies will take care of securing this permit for you if you rent from them. Make sure that if you're planning to put the dumpster on the street, the company has made the appropriate arrangements. You should also ensure that you get the permit in a timely manner and at the correct cost. If you thought the dumpster company was getting a permit and they did not, you will be the one who will have to pay the fine that is issued by the authorities.
They may be held onto the truck using a cable but when the bed elevates up that they sort of move off the pickup truck so that is how they got his or her name. Dumpsters could be a great thing for anyone who is busy and do not want to cart off your trash. You can rent the dumpsters and they will come vacant them after they get total. It sounds pretty good to never require your own trash away once again doesn't it? It's simple to organize any devices and leave the worry of discarding that kitten to some corporations offering removal bin as well as Dumpster for Rent in Latham, KS services. All those big heaps of trash have become out of your house in a few minutes only.
Dumpster often aims at selling cleanliness with it's encircling. Dumpster hire for all you waste managing needs may bless you while using clean way of living. Cleanliness is actually next to godliness, when you have clean way of living then is obvious that you have a sound body and a sound body is greatest asset that anyone would want to preserve in their life.
Dumpsters are often of two sorts trash dumpsters as well as roll off dumpsters. Trash dumpster cover anything from 2 yard to 8 yard are compatible with small jobs like eating place trash removal and departmental clean fedex. Roll off dumpsters come in significant sizes that range between 10 backyard to Forty five yard, these kind of roll off dumpsters are the best suits for large projects similar to construction, home rehabilitation, yard clean up and professional clean fedex.
Let's say you've opted to finally clean out the garage, cellar, or crawl space and get gone all that things you don't need ever again. It may seem as being a manageable process, but once you have all those containers, papers, bobs of older furniture from their hiding places, they can genuinely pile up. Yet, if you rent a new dumpster, you can simply eliminate everything in just one central spot. You don't have to journey anywhere as well as load anything into automobiles. You just said in the dumpster as well as wait for the idea to get picked up.
These companies offering Dumpster for Rent in Latham, KS and rubbish bin rental services take the rubbish and recycle it. For this reason you not just get rid of the trash but also undertake it in an eco-friendly method for which you will be proud of yourself. The particular bin as well as dumpster that they provide is a significant bin. You've got seen these kinds of on the development sites. Based on different size and shapes and can have the rubbish accordingly. You can choose a major one for more trash and also a smaller just one for smaller garbage. Just about every company presents fee differently. Some cost flat fee to get a service as well as others often provide bins to get a week as well as less could be. Some other corporations may offer more affordable rates. Yet there may be a number of hidden charges like they can charge you also for dropping the rubbish after number of the same. To avoid any undesirable surprises, one must read the conditions and terms of the corporation they are employing for the job.
Arlington, VA is in the region of Arlington. Arlington Local is just south of Buenos aires, DC. The particular Potomac River is actually across from Arlington County likewise. On Walk 16, 1920, Alexandria County evolved into known as Arlington Local. The population is actually 210,000 respectively.
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Renting some sort of dumpster makes a home remodeling project far less difficult and speedier and it does not have to cost you a lot of cash. There are tiny differences among markets thus ask some sort of waste operations professional using specific issues you might have of your project ahead of deciding on the Dumpster for Rent in Latham company that's right for you.
Finding a dumpster service to assist you to to clean out that big, previous garage loaded with who-knows-what is a good idea. Though many people don't realize it, it's not necassary to use a regular garage pickup truck as a way to eliminate the debris and old things you've saved in this space. You may encounter fines as well as limitations dependant upon what you have included in the item. Rather, it's a good idea to find a person to drop off dumpsters in the home to be able to work through the actual mess that you need to and chuck away what you require to as you go. There are many of benefits to carrying this out.
Finally, from the crew can easily put on the actual finishing details of your brand new baseboards and molding through the entire entire property. Your home is planning to look like some sort of showplace once things are all completed. Not merely is your brand new living room and home gorgeous, yet it is clean and incredibly comfortable for you and your family. You've made your dreams come true in the home you want to reside in.
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The dumpster is a significant steel throw away receptacle created to empty rubbish into waste trucks. The definition of is a most of the time trademark on the Dumpster brand.
Employing a small measurement dumpster for rubbish disposal demands of a large task will make a last bill heavy because there can continues age group of rubbish in the significant projects such as construction and also commercial clean up ups and home renovations. Employing a small measurement dumpster will persuade you to get rid of the trash about daily basis, and you will probably end up in running into an extra charge in terms of move from work location to land fill.
You will need to engage a contractor or perhaps do it yourself to discover the old flooring, baseboards and then any other items you no longer require ripped out of the house. You will need to rent some sort of dumpster to easily eliminate it. Keep your home seeking neat and organized even while remodeling is going on.
Solution (a) is usually a bust, for obvious reasons. By the time pick up rolls around per week those dumpsters are usually overflowing anyway. What are the chances they'll be miraculously bare just for anyone? Having to cease what you're doing every couple of hours to go to the land fill is a pain, and it's going to dramatically boost the amount of time it will take to finish the pain you are doing-especially if the most adjacent landfill offers some distance aside. That just leaves option (g).
So be mindful when the selling price seems especially low. You can be positive they want to add on a lot of extra prices afterwards. Numerous first time dumpster renters just wouldn't consider the alternative fees could apply.
This is where doing one time roll off Dumpster for Rent in Latham, KS can rapidly and financially solve your complaint. You can call up and rent one from a corporation that handles roll down containers making it easy to remove those outdated lawn mower parts or of which pile connected with sheet rock and two by simply four leftovers left over from your last making project. This makes your tidy up project extremely easy since you can get a dumpster you can throw just about all type of materials and bits and bobs in to.
Some local experts will require visitors to apply for a enable before they've any rent some sort of dumpster units affixed to their property. Most likely this will just apply in the event the dumpster is going to be affixed to or close to the street, however, you should always check with the local making permit company regarding the prerequisites in your specific instance, while failing to buy a permit can lead to hefty fees.
Concrete is not to be trashed into the dumpster since this can dried out and close to it and also cause throw away of place in the dumpster for some individuals who want to rent the idea in the future.
Renting some sort of dumpster makes it easy to clear out the great quantities of backyard debris left by a surprise. Whereas almost all commercial rubbish removal organizations have rigorous rules with regards to lawn dirt, Dumpster for Rent in Latham, KS companies do not possess such restrictions and will consider whatever significant limbs or even tree trunks your community needs eliminated. With several neighbors chipping in about the cost, it is additionally less expensive than paying off the fees of which commercial rubbish removal organizations can charge to clear out excessive backyard detritus.
Please use the form below to contact us. We look forward to working with you and will get back to you as soon as possible. All fields are required


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Bedroom, Marvelous Teenage Girl Room Accessories Room Decorations Ideas Pink Three Bed Set And Cupboard: awesome teenage girl room accessories
Published at May 28th, 2017 16:01:09 PM by Chantal
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For the record, I am absolutely, 100% pro-choice. Even if that means a late term abortion at 37 weeks. I don't understand it, it's nothing something that I would do, and I wish that it didn't happen and I do find it abhorrent. However, I cannot be pro-choice but... I cannot start to place conditions on when an abortion is okay and when it is not. I just can't.
I admit, it's confusing, it makes perfect sense in my mind, I'm just not conveying it very well due to illness and tiredness!
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26-11-2013 22:01 #321
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26-11-2013 22:01 #322
...yes, I think what the bible has to say is irrelevant in this conversation.
A whole other thread could be made about the interpretation of that one verse.
But unless you are going to stick with the "eye for an eye, life for a life" ...then ofcourse there is no relevance to this thread, let alone current laws.
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26-11-2013 22:03 #323
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26-11-2013 22:04 #324
26-11-2013 22:08 #325
26-11-2013 22:09 #326
26-11-2013 22:10 #327
26-11-2013 22:13 #328
I was once pro-life, to the point that I would have cut-off family members if ever they had a termination to my knowledge. But even then, rape was my exception. I figured that forcing a woman to go through a pregnancy she didn't want that resulted in sexual activity she didn't want either is just all kinds of wrong.
So while I *get* pro-lifers (even though I strongly disagree with their viewpoints), I will NEVER understand a pro-lifer who doesn't even consider rape as an exception.
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26-11-2013 22:13 #329
SoThisIsLove... Go back a few more posts, and see who brought "the bible/god etc" into the conversation.
I can tell you it wasn't me.
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26-11-2013 22:14 #330
Eta all I initially said was my religious views and belief in God have shaped my beliefs. Another poster bought the bible into it if we want to get technical!
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Last edited by SoThisIsLove; 26-11-2013 at 22:18.
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Product DetailsAll ten episodes from the first series of the US drama starring Jennifer Love Hewitt as a single mother living a dangerous double life. Riley Parks (Hewitt) begins working at a local massage parlour after her husband abandons her and their two children. In desperate need of money to support her family, Riley is vulnerable to the demands of clients who have come to expect more than massages at the parlour, but will she be able to cope with the pressures of living a dual existence? The episodes are: 'The Rub of Sugarland', 'Turn the Page', 'Tough Love', 'Ring True', 'Try, Try Again', 'The Cold Hard Truth', 'Life of Riley', 'Games People Play', 'Acting Up' and 'Past Is Prologue'.
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She looks grrreeat! Rita Ora arrives in Vancouver wearing a gorgeous animal print coat and furry snood
When singer, Rita Ora arrived at Vancouver airport in Canada on Tuesday, she wanted to look the part, despite enduring a long and tiring day.
The singer is currently in the country where she will begin filming her new role as Mia, Christian Grey's sister in the forthcoming film adaptation of Fifty Shades Of Grey.
The 23-year-old stepped on the plane wearing a floral kimono over a black mini dress, but when she arrived around two hours later, she had changed into a completely new outfit.
Furry nice: Rita Ora looked a little eccentric as she arrived at Vancouver airport on Tuesday where she is set to begin filming her role as Mia Grey in new movie Fifty Shades...
Grin and bear it: Despite having a hectic day, Rita smiled for the cameras as she made her way through the airport
The star looked wore a fabulous animal print coat which she wore over black leather trousers and a silky black top.
She giggled as she put on a furry cream snood which she wore over her head, but soon thought better of the eccentric number as she quickly took it off and put her hood up instead.
Rita carried wads of paper with her which may have contained the script she will have to learn for her exciting new role.
She's done well: Rita had packed relatively light for her trip and only had two suitcases with her
Straighten up: Ora straightened up her collar as she prepared to make her way outside
Hood to go: Rita covered up her hair despite visiting the salon only hours before
Grrrrrowl! The model looked fabulous in her outdoor wear
Rita looked a little sleepy, but she brightened up her look with a slick of her favourite bright red lipstick and she also had her nails painted the same shade of scarlet.
The singer seemed to have packed relatively light for celebrity standards and had just two suitcases with her, which she pushed herself on a trolley.
When Rita stepped on the plane in Beverly Hills earlier in the day, she looked like she was already getting into the spirit of the highly-anticipated E.L.James's literary phenomenon.
She chose an outfit which made her look as if she was ready for bed.
Looking good: Rita Ora looked happy and excited on Tuesday as she prepared to fly to Vancouver to start filming
Sexy lady: Dressed in a kimono and with red lipstick on, the singer looked like she had been inspired by the raunchy novel
Rita wore a floral kimono over a black mini dress which had high splits at the side and showed off her toned pins and she carried a black trilby hat with her.
She teamed the look with black ankle boots which were unzipped and she draped her animal print coat over her red suitcase. She also carried a neon tribal-inspired shoulder bag.
As she made her way to the departure lounge, a happy-looking Rita cheekily stuck her tongue out at photographers.
Rita chatted to a pal as she checked-in to her flight
Bye-bye: The model gives her pal a kiss on the cheek before heading off
That's cheeky! A cheerful looking Rita stuck her tongue out at photographers
Exciting adventures: No doubt Rita is nervous about making a good impression on the movie set
Earlier in the day, the pretty blonde made sure she fit in a spot of pampering as she headed to the exclusive Neil George salon in Beverly Hills to get her hair into tip-top shape.
As she arrived, her 'do looked like she had just got out of bed as she tied it half-up into a top knot, before emerging with her hair looking blow-dried to perfection.
Perhaps 23-year-old Rita had the 'red room' in mind, a famous room from the novel, as she had applied a bright red slick of lipstick.
She's no diva: The star helped to get all of her belongings out of the car
Living it up: The singer looked ready to get stuck into her latest venture
No wonder Ora was looking so happy, as before getting her hair done, she had spent her last day in Los Angeles lounging by the pool with friends, wearing a pink bikini and mirrored sunglasses.
The singer's star is currently on the rise. She's just been unveiled as the new face of sports brand Adidas Originals.
The Hot Right Now singer confirmed her appointment at the time by posting an official announcement on her Instagram account.
Alright for some: The singer popped to the exclusive Neil George salon in the 90210 area
Watch how you go: The Adidas star nearly flashed too much flesh as she bent over by the car
Hair she goes: Earlier in the day, the pretty blonde headed to a hair salon in Beverly Hills to get her dishevelled tresses tended to
Salon time: The star made the most of her last day in Beverly Hills by spoiling herself rotten
Tressed to impress: She emerges out of the hair salon a different woman
She accompanied it with the caption: 'We're coming for you world!! The @adidasoriginals family HELLO! #designerlife#icantwait #excited #RitaBotsUniform.'
Ora also confirmed her 50 Shades role in early December, tweeting: 'It's official! I've been cast in @FiftyShades of Grey as Christian's sister Mia.'
The singer had acting training while studying at the Sylvia Young Theatre School in her youth, and in the past has appeared in the 2004 film Spivs, as well as last year's Fast & Furious 6, where she played a racer.
And relax! The singer had earlier spent the day lounging by the pool with her friends and wore a black mini dress over a pink bikini
Hand on heart: Looks like someone is getting butterflies as it's nearly time for her big moment
She's also been busy recording new music tracks.
However, it sounds like not all is well in Rita's world as she unfollowed her DJ boyfriend Calvin Harris on Instagram recently, sparking speculation there could be trouble in paradise.
MailOnline has contacted a spokesperson for Rita Ora for comment.
Making the most of it: She pulled her kimono up while by the pool to make sure she got as much sunshine as possible
Who can blame her? The blonde looked a little downcast when it was time to leave the pool
Daydreaming: The star looked like she had quite a bit on her mind
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Something else to consider is your porn use. If you are masturbating to very stimulating porn on a regular basis then it might be difficult to get as aroused in the bedroom with your partner. Watching video pornography is very stimulating and often men have difficulty creating that same level of arousal or stimulation with their partners. Consider masturbating without technology as visual images in your head are less stimulating then watching something live. Try this for two weeks and see if your erection quality improves.
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.
Impotence, also known as erectile dysfunction or ED, is a condition in which a man is unable to get or hold an erection long enough to have a satisfactory sex life. Impotence is a common problem, affecting up to half of Australian men between the ages of 40 and 70 years. The risk of developing erectile dysfunction increases as you get older.In the past, doctors considered impotence to be a mainly psychological problem, caused by performance anxiety or stress. Now, doctors know that many cases of impotence have a physical cause, which usually can be treated. Often, a combination of physical and psychological factors contributes to erectile dysfunction.Physical causes of impotencePhysical causes of impotence can include:problems with blood to flow into and out of the penis;damage to the nerves that send signals from the body's central nervous system to the penis; and, more rarely,a deficiency in testosterone or other hormones.Some medicines can contribute to impotence, as can some types of surgery and radiotherapy treatments.Blocked blood vessels to the penisA very common cause of impotence is when blood flow into the penis is reduced. This can be due to atherosclerosis, also known as hardening of the arteries. In atherosclerosis, the arteries are clogged and narrowed, resulting in reduced blood flow.Risk factors for atherosclerosis include:high cholesterol;high blood pressure;obesity;sleep apnoea;diabetes; andsmoking.If your erection problems are caused by atherosclerosis, there is a chance that the arteries in other parts of your body (e.g. the coronary arteries that supply your heart) are also affected by atherosclerosis. In fact, erection problems may be the first sign that you are at risk of coronary heart disease.Because the arteries to the penis are narrower than those to the heart, you may develop symptoms of erectile dysfunction before you experience any symptoms of heart disease, such as angina. So seeing your doctor about erection problems may be important for your overall physical health.Impotence can also be caused by a blood clot that prevents enough blood from flowing into the penis to cause an erection.Venous leakageIn some men, blood can flow in to the penis easily, but the problem is that it leaks out again, so an erection cannot be sustained. This is called venous leakage. Doctors aren't certain of the cause of venous leakage, but they can perform surgery to help repair it.Medicines that can cause impotenceMany medicines can cause erection problems as a side effect, including:diuretics (sometimes known as 'water tablets' - often used for high blood pressure);high blood pressure medications;cholesterol-lowering medicines (including statins);some types of antipsychotics;antidepressants;cancer treatments;some medicines used to treat heartburn and stomach ulcers;antihistamines;some pain medicines; andcertain epilepsy medications.If you experience impotence after starting a new medication, tell your doctor, who may be able to prescribe a different medicine for you. Don't stop taking a medicine without first consulting your doctor. You should also tell your doctor about any over-the-counter medicines or complementary remedies you may be taking.The following table contains a list of specific medicines that may cause or contribute to erectile dysfunction. This list may not cover all types of medicines that can cause erectile dysfunction, so always ask your doctor if you are in doubt. Also, for some of these medicines ED is a very rare side effect. Most men taking these medicines do not experience erectile dysfunction.Medicines that may cause erectile dysfunctionType of medicineExamplesACE inhibitorscaptopril (Capoten), enalapril (Renitec), perindopril (Perindo), ramipril (Tritace), and othersAntidepressantsamitriptyline (Endep), clomipramine (Anafranil), desvenlafaxine (Pristiq), fluoxetine (Prozac), paroxetine (Aropax), sertraline (Zoloft), venlafaxine (Altven, Efexor), and othersAnti-epilepticsclonazepam (Rivotril), pregabalin (Lyrica)Antifungalsitraconazole (Sporanox)Anti-ulcer drugscimetidine (Magicul), nizatidine (Tazac), ranitidine (Zantac), and othersBeta-blockerspropranolol (Inderal), metoprolol (Betaloc, Lopresor), and othersOther blood pressure-lowering medicinesclonidine (Catapres), lercanidipine/enalapril (Zan-Extra), losartan (Cozaar), perindopril/amlodipine (Coveram), olmesartan/amlodipine (Sevikar), telmisartan/amlodipine (Twynsta), valsartan/hydrochlorothiazide (Co-Diovan)Calcium-channel blockersdiltiazem (Cardizem), felodipine (Plendil), nifedipine (Adalat)Cholesterol-lowering drugsatorvastatin (Lipitor), ezetimibe/simvastatin (Vytorin), fluvastatin (Lescol, Vastin), gemfibrozil (Ausgem), pravastatin (Pravachol), simvastatin (APO-simvastatin, Lipex, Zocor), and othersDiuretics ('water tablets')bumetanide (Burinex), chlorthalidone (Hygroton), spironolactone (Aldactone), and othersSchizophrenia drugsamisulpride (Solian, Sulprix), haloperidol (Haldol, Serenace), olanzapine (Lanzek, Ozin, Zypine, Zyprexa), paliperidone (Invega), risperidone (Rispa, Risperdal), ziprasidone (Zeldox)Combination cholesterol-lowering and anti-hypertensiveamlodipine/atorvastatin (Caduet, Cadatin)Pain medicinesfentanyl (Denpax, Durogesic), hydromorphone (Jurnista), morphine (Momex SR, MS Contin), oxycodone (OxyContin, OxyNorm, Targin), tramadolMiscellaneousoestrogens, antiandrogens, anticancer drugs and some chemotherapy treatments, baclofen (Clofen, Lioresal); cyproterone (Androcur, Cyprohexal, Cyprostat), degarelix (Firmagon), etoricoxib (Arcoxia), finasteride (Proscar and Propecia), flutamide (Flutamin), rotigotine (Neupro), triptorelin (Diphereline)*The names in brackets are just some examples of the trade names each specific medicine is marketed under in Australia. The medicine may also be known by other trade names.Diabetes and erectile dysfunctionMen who have diabetes have a higher risk of developing impotence than other men. Diabetes contributes to impotence because it can damage blood vessels and cause a type of nerve damage known as peripheral neuropathy.Hormones and impotenceLow levels of the male hormone, testosterone, are more commonly linked to a lowered sex drive, rather than impotence itself. Only a small percentage of cases of impotence are caused by hormone deficiency.Low testosterone levels may be the result of a condition called hypogonadism, in which the testicles don't produce enough testosterone. More rarely, low testosterone can be caused by the pituitary (a small gland at the base of the brain) not secreting sufficient hormones to stimulate the testes to produce testosterone. The pituitary is also sometimes affected by small benign (non-cancerous) tumours that secrete prolactin, another hormone that can cause impotence.Mildly decreased levels of testosterone are often not due to specific testicular or pituitary problems, but rather stress or depression. In this situation, testosterone replacement is rarely of any benefit.Other hormone problems, including thyroid disease, can also cause impotence.Prostate cancer and erectile dysfunctionThe advanced stages of prostate cancer can affect the nerves and arteries that are vital for an erection.Radiation treatment for prostate cancer can harm the erectile tissues of the penis, and prostate cancer surgery can cause nerve or artery damage to the penis.Treatment for advanced prostate cancer often includes medicines that counteract testosterone, and commonly cause erectile dysfunction as well as loss of sexual interest.Peyronie's diseasePeyronie's disease is an uncommon condition that affects a man's sex life because his penis curves abnormally and causes pain when he has an erection. He might also be unable to have a hard erection. The curvature of the penis is caused by a scar, called a plaque, that forms in the penis.Other physical causes of impotenceSeveral other factors and conditions can contribute to erectile dysfunction, including the following.Depression. Many men find that when they're suffering from depression, they lose interest in sex and can't get or keep an erection. Asking your doctor for treatments for depression may help alleviate your erection problems as well.Smoking contributes to vascular disease (disease of the blood vessels), so it can contribute to erectile dysfunction by affecting blood flow to the penis. Giving up smoking often has a beneficial effect on erectile function.Excessive alcohol use. Alcoholism can cause permanent nerve damage, resulting in impotence. This nerve damage is called peripheral neuropathy. Long-term alcohol use can impair the liver's ability to function, resulting in a hormone imbalance in which a man has too much of the female sex hormone, oestrogen. On a day-to-day level, alcohol dulls the central nervous system, adversely affecting sexual response.Illicit drug use. Illicit drugs such as marijuana, cocaine, heroin, barbiturates, and amphetamines act on the central nervous system, impairing the body's ability to respond sexually.Certain exercises. Nerve and artery damage can be caused by prolonged cycling, rodeo riding, or use of a rowing machine, resulting in the inability to get an erection. Often, minimising the use of hard bicycle seats and exercise machine seats, as well as correct positioning of the seat, will help restore sexual function.Surgery to organs near the nerve pathways of the penis, such as the bladder, rectum and prostate, can cause nerve or artery damage to the penis, resulting in the inability to have an erection.Injuries. Impotence can be caused by spinal cord injury; injury to your sex organs; or a pelvic fracture, which can cause damage to the nerves of the penis, or damage the blood vessels, resulting in reduced blood flow to the penis.Conditions affecting the nervous system. Multiple sclerosis (MS) and other degenerative diseases of the nervous system, such as Parkinson's disease, can damage the nerves involved in erections.Psychological causes of impotenceMost cases of impotence have physical causes, but, in some men, psychological factors are the main contributors to impotence.Impotence that's triggered by psychological factors is more common in men who are sexually inexperienced. Psychological erectile dysfunction may only occur when you're with just one particular person. You're also more likely to have morning erections, and be able to have an erection when you masturbate, than men whose impotence has a physical cause.Here are some psychological factors that can have an impact on your erections.Stress and anxietyWhen you're stressed and focusing on other issues apart from sex, you might find that you don't want to have sex as often and there might be a drop in your ability to perform when you do try. You might find that tackling the source of your stress can have benefits in the bedroom as well.Fear of failureAnxiety about your sexual prowess (commonly called performance anxiety) can, in itself, contribute to failure. By putting pressure on yourself, you become too anxious to get an adequate erection.Most men experience isolated episodes of erectile failure. Even when the transient physical cause has passed, anxiety that it may recur is sufficient to prevent erection. Anxiety, whether about something specifically sexual or part of a wider anxiety syndrome, is never helpful to good sexual function.Problems with your relationship and impotenceImpotence may be a manifestation of a poor relationship, or a problematic time in a relationship. Sexual boredom, tension or anger among partners, and lack of intimacy and communication are all possible triggers of erectile dysfunction. In these cases, seeing a counsellor may help.It's worth remembering that impotence is a complex medical condition, which may have more than one cause. For example, if impotence is the result of a side effect of medicine or an underlying disease, the anxiety caused by lack of performance may perpetuate the erectile dysfunction even after the physical cause has been dealt with.Almost any chronic (ongoing) physical or mental health disorder, including those with no direct effect on penile nerves or blood supply, can have a powerful effect on sexuality, sexual self-image and erectile function.If you're worried about your sexual response or the quality of your erections, don't be afraid to talk to your doctor, who has access to treatments that can help. Last Reviewed: 16 December 2016
The following products are considered to be alternative treatments or natural remedies for Erectile Dysfunction. Their efficacy may not have been scientifically tested to the same degree as the drugs listed in the table above. However there may be historical, cultural or anecdotal evidence linking their use to the treatment of Erectile Dysfunction.
3. Testosterone replacement. Before oral medications like Viagra, testosterone was routinely used to treat erectile dysfunction as it is central in the male sexual response, including the desire for sex and the process of getting an erection. Testosterone can be administered in a number of ways, for example orally, by means of an injection, skin patch, or subcutaneous (under the skin) pellet.
Centrally active compounds such as apomorphine have been used in men with ED whose cardiovascular comorbidity may prohibit PDE5i use, or in men who have concurrent apomorphine use for its anti-parkinsonian properties. Unfortunately, its side effect profile and poor effectiveness compared to other ED treatments have impaired its mainstream utilization (118). It is suspected that the side effects of apomorphine relate to its D2 receptor affinity. D4 receptor agonists, such as ABT-724 and azulenylmethylpiperazines, may not have the same associated side effects and show potent pro-erectile effects in animal models compared to apomorphine (32,119).
Guilt is a painful and gut-wrenching emotion. It is identified in this article as one of the possible causes of psychological impotence. If your guilt is strong enough, it interrupts the signals between your brain and body, stopping you from getting an erection. It's almost as if the unconscious mind punishes you by denying you pleasure in response to the guilt that you feel.
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First, medical conditions need to be ruled out. Let's assume that you have never been diagnosed with a medical condition that is physically linked to erectile dysfunction, such as type 2 diabetes, obesity or heart disease. In this case you're probably looking at a case of psychological impotence, given that there are no physical explanations for your difficulties.
Exercise and lifestyle modifications may improve erectile function. Weight loss may help by decreasing inflammation, increasing testosterone, and improving self-esteem. Patients should be educated to increase activity, reduce weight, and stop smoking, as these efforts can improve or restore erectile function in men without comorbidities. Precise glycemic control in diabetic patients and pharmacologic treatment of hypertension may be important in preventing or reducing sexual dysfunction. [49]
The American Urological Association Guideline on the Management of ED states oral PDE5i are considered first line therapy for the treatment of ED, unless contraindicated (57). Sildenafil, the first oral PDE5i, was introduced in 1998 and has revolutionized ED therapy due to its broad applicability, effectiveness and safety profile. PDE5i work by preventing hydrolysis of cGMP by the PDE5 enzyme in the smooth muscle of the corpora cavernosa. cGMP degradation typically leads to smooth muscle contraction and detumescence prevented by PDE5i administration. Two other PDE5i, vardenafil and tadalafil are other PDE5i with different pharmacokinetics, PDE receptor selectivity and side effect profiles.
Pay attention to your vascular health. High blood pressure, high blood sugar, high cholesterol, and high triglycerides can all damage arteries in the heart (causing heart attack), in the brain (causing stroke), and leading to the penis (causing ED). An expanding waistline also contributes. Check with your doctor to find out whether your vascular system — and thus your heart, brain, and penis — is in good shape or needs a tune-up through lifestyle changes and, if necessary, medications.
Something else to consider is your porn use. If you are masturbating to very stimulating porn on a regular basis then it might be difficult to get as aroused in the bedroom with your partner. Watching video pornography is very stimulating and often men have difficulty creating that same level of arousal or stimulation with their partners. Consider masturbating without technology as visual images in your head are less stimulating then watching something live. Try this for two weeks and see if your erection quality improves.
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Erectile dysfunction (ED) related to compromise of the nervous system is an increasingly common occurrence. This may be due to the multifactorial nature of ED, the myriad of disorders affecting the neurotransmission of erectogenic signals, and improved awareness and diagnosis of ED. Nevertheless, neurogenic ED remains poorly understood and characterized. Disease related factors such as depression, decreased physical and mental function, the burden of chronic illness, and loss of independence may preclude sexual intimacy and lead to ED as well. The amount of data regarding treatment options in subpopulations of differing neurologic disorders remains scarce except for men with spinal cord injury. The treatment options including phosphodiesterase inhibitors, intracavernosal or intraurethral vasoactive agents, vacuum erection devices (VED) and penile prosthetic implantation remain constant. This review discusses the options in specific neurologic conditions, and briefly provides insight into new and future developments that may reshape the management of neurogenic ED.
4. National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Erectile dysfunction (updated Nov 2015). https://www.niddk.nih.gov/health-information/health-topics/urologic-disease/erectile-dysfunction/Pages/facts.aspx (accessed Nov 2016). myDr myDr provides comprehensive Australian health and medical information, images and tools covering symptoms, diseases, tests, medicines and treatments, and nutrition and fitness.Related ArticlesImpotence causesFind out the physical and psychological causes of impotence, also called erectile dysfunction or ED.Erectile dysfunction: visiting your doctorFind out what questions a doctor may ask when discussing erectile dysfunction (ED, or impotence8 Surprising causes of erectile dysfunctionOccasional erectile dysfunction is not uncommon, but if it's persistent, erectile dysfunction caAdvertisement
Iatrogenic hypotension can occur in men in neurodegenerative disease using sildenafil (49). Hussain et al. placed men with PD and MSA on sildenafil and recorded blood pressure before and after. Half of the 12 MSA patients developed postural hypotension, while none of the twelve PD patients did. Since MSA can be difficult to distinguished diagnostically from PD, baseline blood pressure measurements prior to prescribing the medication and seeking medical assistance if symptomatic hypotension occurred was recommended for all patients with PD, and MSA. Of note, none of the men with MSA who developed hypotension discontinued sildenafil use due to its effectiveness at improving their erections.
Associated morbidity may include various other male sexual dysfunctions, such as premature (early) ejaculation and male hypoactive sexual desire disorder. The NHSLS found that 28.5% of men aged 18-59 years reported premature ejaculation, and 15.8% lacked sexual interest during the past year. An additional 17% reported anxiety about sexual performance, and 8.1% had a lack of pleasure in sex. [51]
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
Phosphodiesterase type V inhibitors (PDE-5 inhibitors) are the most commonly used therapy for erectile dysfunction. These medications work by preventing the breakdown of chemicals that stimulate increased blood flow into the penis. Several different PDE-5 inhibitors are available, which differ slightly in how to use them and their side effects. They appear to be equally effective in the treatment of erectile dysfunction in general, but some individuals may respond to one of these medications more effectively than another.
ED occurs in up to 70% of men with MS, and MS is one of the most prevalent neurological disorders that affect the younger adult population worldwide (33-35). The mean time for SD and ED to develop is about 9 years and is rarely a presenting symptom of MS (36). Men with MS and ED may continue to have nocturnal erections, and psychogenic erections; however, this does not mean they have psychogenic ED but could be an indicator that MS involves the spinal cord (37).
Communication is key: don't try to hide your erectile dysfunction from your partner, or to avoid discussing it out of embarrassment or shame. Sometimes just admitting that you are concerned can reduce the stress and anxiety you're feeling. Remember, your partner may be just as confused and upset by this as you are, so try initiating a frank and open discussion on the issue.
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
Erectile dysfunction (ED) affects 50% of men older than 40 years, [4] exerting substantial effects on quality of life. [5] This common problem is complex and involves multiple pathways. Penile erections are produced by an integration of physiologic processes involving the central nervous, peripheral nervous, hormonal, and vascular systems. Any abnormality in these systems, whether from medication or disease, has a significant impact on the ability to develop and sustain an erection, ejaculate, and experience orgasm.
Take an ED drug. Such drugs can help men maintain erections for several hours at a time. They work by enhancing the effect of nitric oxide, which the body produces naturally to relax and increase blood flow to the penis.[9] If you're interested in taking a drug specifically geared toward treating ED, talk with your doctor about getting a prescription.
Many factors can contribute to sexual dysfunction in older men, including physical and psychological conditions, comorbidities and the medications used to treat them. Aspects of an ageing man's lifestyle and behaviour and androgen deficiency, most often decreasing testosterone levels, may affect sexual function as well. A study of men between the ages of 30 and 79 years showed that 24% had testosterone levels below 300 ng/dL and 5.6% had symptomatic androgen deficiency.2
This is similar to magnetic resonance imaging. Magnetic resonance angiography uses magnetic fields and radio waves to provide detailed images of the blood vessels. Doctors may inject a "contrast agent" into the person's bloodstream that causes vascular tissues to stand out against other tissues. The contrast agent provides for enhanced information regarding blood supply and vascular anomalies.
Alprostadil self-injection. With this method, you use a fine needle to inject alprostadil (Caverject Impulse, Edex) into the base or side of your penis. In some cases, medications generally used for other conditions are used for penile injections on their own or in combination. Examples include papaverine, alprostadil and phentolamine. Often these combination medications are known as bimix (if two medications are included) or trimix (if three are included).
The art of acupuncture has become the new treatment for everything from back pain, depression, and even ED. Impotence could be more of a state of mind, and acupuncture may help. Through this alternative therapy, fine needles are placed in various parts of the body to relieve pain or stress. Although there are many mixed studies for acupuncture and ED, many tend to confirm positive results. A 1999 study found acupuncture improved the quality of erection and even restored sexual activity in 39 percent of participants.
Cialis is available in three strengths: 5mg, 10 mg, and 20 mg. Cialis can work in 30 minutes, but peak results usually take longer. Cialis has the advantage of a much longer period (24-36 hours) during which sexual ability is increased. The newest formulation of Cialis is the 5 mg dosage for daily use. The major advantage of daily dosing is that it allows for spontaneous sexual activity.
Many factors can contribute to sexual dysfunction in older men, including physical and psychological conditions, comorbidities and the medications used to treat them. Aspects of an ageing man's lifestyle and behaviour and androgen deficiency, most often decreasing testosterone levels, may affect sexual function as well. A study of men between the ages of 30 and 79 years showed that 24% had testosterone levels below 300 ng/dL and 5.6% had symptomatic androgen deficiency.2
Before taking any medication for erectile dysfunction, including over-the-counter supplements and herbal remedies, get your doctor's OK. Medications for erectile dysfunction do not work in all men and might be less effective in certain conditions, such as after prostate surgery or if you have diabetes. Some medications might also be dangerous if you:
Stanley A Brosman, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Pediatrics, American Association for the Advancement of Science, American Association for Cancer Research, American College of Surgeons, American Medical Association, American Urological Association, Society for Basic Urologic Research, Society of Surgical Oncology, Society of Urologic Oncology, Western Section of the American Urological Association, Association of Clinical Research Professionals, American Society of Clinical Oncology, International Society of Urology, International Society of Urological Pathology
This penile tumescence monitor is placed at the base and near the corona of the penis. It is connected to a monitor that records a continuous graph depicting the force and duration of erections that occur during sleep. The monitor is strapped to the leg. The nocturnal penile tumescence test is conducted on several nights to obtain an accurate indication of erections that normally occur during the alpha phase of sleep.
A meta-analysis of 36 744 men with ED in 12 prospective cohort studies found that the presence of ED significantly increased the risk of CVD, CAD, stroke and all-cause mortality, and the presence of ED was an independent risk factor for CVD. Ponholzer et al found that men with moderate to severe ED had a 65% increased relative risk for developing symptomatic CAD compared with men who did not have ED.26
In fact, one study showed that men who use these medications recreationally, when they're not really needed, were more likely to develop psychological impotence! Therefore, instead of wasting money, risking one's physical health and worsening one's erectile function, men with psychological impotence should opt for treatment strategies that truly address the root of the trouble.
The Prostate Cancer Prevention Trial was a landmark study by Thompson et al that prospectively assessed the time to developing CVD after the diagnosis of ED. There were 4247 men with no ED at study entry; 2420 developed incident ED (defined as the first report of ED of any grade) over 5 years. Those men that developed ED had a 1.45-fold higher probability of experiencing a CV event compared with men who did not develop ED.27
Conditions that may be associated with ED include diabetes, [25, 26, 27] hypertension, [28] , and CAD, as well as neurologic disorders, endocrinopathies, benign prostatic hyperplasia, [29] , sleep apnea [30] , COPD, [31] and depression (see Table 1 below). [32, 33, 34, 35] In fact, almost any disease may affect erectile function by altering the nervous, vascular, or hormonal systems. Various diseases may produce changes in the smooth muscle tissue of the corpora cavernosa or influence the patient's psychological mood and behavior.
Finally, gene therapy and stem cell research has widened the frontier of ED treatment proposed as possibility to even reverse ED. Specifically, gene therapy pertains to repairing the cause of ED by restoring defective gene function and/or altering the expression of the mutant gene (32). Most of the available data on gene therapy are in the animal model. However, a phase I clinical trial in men with ED undergoing intracavernous injection with a DNA plasmid carrying the alpha-subunit of the corporal smooth muscle Maxi-K channel showed promise in increased erectile function based on IIEF assessment sustained throughout the 3-month study period (122).
"Sexual relations are not only an important part of people's wellbeing. From a clinical point of view, the inability of some men to perform sexually can also be linked to a range of other health problems, many of which can be debilitating or potentially fatal," says Professor Gary Wittert, Head of the Discipline of Medicine at the University of Adelaide and Director of the University's Freemasons Foundation Centre for Men's Health.
Something else to consider is your porn use. If you are masturbating to very stimulating porn on a regular basis then it might be difficult to get as aroused in the bedroom with your partner. Watching video pornography is very stimulating and often men have difficulty creating that same level of arousal or stimulation with their partners. Consider masturbating without technology as visual images in your head are less stimulating then watching something live. Try this for two weeks and see if your erection quality improves.
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.
ED occurs in up to 70% of men with MS, and MS is one of the most prevalent neurological disorders that affect the younger adult population worldwide (33-35). The mean time for SD and ED to develop is about 9 years and is rarely a presenting symptom of MS (36). Men with MS and ED may continue to have nocturnal erections, and psychogenic erections; however, this does not mean they have psychogenic ED but could be an indicator that MS involves the spinal cord (37).
The somatosensory pathways for erections originate in the penile skin, glans and urethra. Glans afferent sensory free nerve endings are 10-fold more than their corpuscular receptors, and are derived from Aδ and unmyelinated C fibers. The nerve endings coalesce to form the dorsal penile nerve along with other sensory nerve fibers. Through the pudendal nerve they enter the S2-4 nerve roots to terminate on spinal neurons and interneurons. The dorsal nerve is not purely somatic, however. Nerve bundles within the dorsal nerve contain nitric oxide (NO) synthase, found typically in autonomic nerves, and stimulation of the sympathetic chain can leak to evoked potentials from the dorsal nerve and vice versa (10-12).
The bad news: Men with diabetes are three times more likely to report having problems with sex than non-diabetic men. The most common sexual problem is Erectile Dysfunction, or ED, sometimes called impotence. Even worse, because ED is such a private issue, many men feel embarrassed to discuss the problem with their doctor, or even their partner, so the problem is never addressed.
Erectile dysfunction (previously called impotence) is the inability to get or maintain an erection that is sufficient to ensure satisfactory sex for both partners. This problem can cause significant distress for couples. Fortunately more and more men of all ages are seeking help, and treatment for ED has advanced rapidly. The enormous demand for "anti-impotence" drugs suggests that erection problems may be more common than was previously thought. Find out more about the causes and treatment of erectile dysfunction here.
The use of injection therapy requires being taught how to properly inject the medication, determination of the best dose, and monitoring for side effects. It is recommended that one inject on the side of the penis at the base and to alternate sides. Injection therapy should be used no more frequently than once every 24 hours. Individuals on blood thinners must be careful with use of injection therapy.
An occasional problem achieving an erection is nothing to worry about. But failure to do so more than 50% of the time at any age may indicate a condition that needs treatment. About 40% of men in their 40s report at least occasional problems getting and maintaining erections. So do more than half (52%) of men aged 40 to 70, and about 70% of men in their 70s.
There are so many potential reasons a man might develop erectile dysfunction (ED), it's nearly impossible to generalize the best ways to treat it. What works for one man may not work for another simply because they are having problems for different reasons. That said, it may encouraging to hear that there are a variety of options that may be considered, from psychological counseling to lifestyle changes, medications to treatments and devices.
ED exists in approximately 75% of men with SB and is dependent upon the level of the neurologic lesion (54). The level of the neurologic lesions usually corresponds to sensation and penile sensation indicates pudendal nerve signaling. With absent sacral reflexes ED is variable. Furthermore, Diamond et al. reported that 64% of men with lesions below T10 obtained erections versus 14% with a lesion above T10 (55). It has also been suggested that ED may be underreported due to lack of sexual education even in men without associated cognitive impairment (56).
Adverse effects related to PDE5i use with mild-moderate and transient (58). Furthermore, side effects usually attenuate if use is not discontinued. Autonomic dysreflexia, a life-threatening phenomenon characterized by bradycardia, hypertension, facial flushing and headaches associated with SCI lesions above T6, has not been reported with use. However, hypotension leading to dizziness in individuals treated with sildenafil has been noted with high thoracic and cervical levels of injury (72). No adverse events were noted within the study; however, the dizziness was reported by use of sildenafil 50 mg in the cervical LOI and 100 mg in the thoracic LOI patients. Headache is the most reported side effect of all PDE5i, followed by dyspepsia and flushing. Priapism, and death have not been reported after use of PDE5i by SCI patients.
Are you having trouble sustaining an erection during sexual intercourse? As many as 50 percent of men over 40 have been there, too. As millions will attest, erectile dysfunction can be deeply frustrating and have a negative impact on both relationships and self-confidence. The good news is that there are many ways to treat erectile dysfunction, from simple lifestyle changes to medication to herbal remedies. If you want to know how to overcome erectile dysfunction so you can feel happy in the bedroom again, keep reading.
While millions of men, along with their loved ones, suffer from many similar and frustrating symptoms of erectile dysfunction, we understand no two cases are alike. And that's why your private consultation with one of NuMale Medical Center's caring medical providers is completely tailored to you and your partner's wants and needs. We'll carefully listen to your unique situation to create an impotence treatment plan that's best for you, taking into account your full medical history.
Oral PDE5i remains the first line treatment for NED from SCI. Three of the four PDE5i currently available in the U.S., avanafil excluded, have been investigated in the SCI, and all of the more recent studies have shown improvements in erectile function based on IIEF score compared to placebo when included (59-63). Other studies have also shown significant improvements in the IIEF score when compared to baseline (64-69). Furthermore, treatment efficacy when compared to placebo occurs despite LOI or American Spinal Injury Association (ASIA) score characterizing impairment related to the injury (59,61).
Hello everyone my name is john Scott,i was heartbroken because i had very small penis, not nice to satisfy a woman, i had so many relationship called off because of my situation, i have used so many product which i found online but none could offer me the help i searched for. i saw some few comments about this specialist called Dr Austin and decided to email him on DRaustinenlargementhome
All studies demonstrate a strong association with age, even when data are adjusted for the confounding effects of other risk factors. The independent association with aging suggests that vascular changes in the arteries and sinusoids of the corpora cavernosa, similar to those found elsewhere in the body, are contributing factors. Other risk factors associated with aging include depression, sleep apnea, and low HDL levels.
Erections occur in response to tactile, olfactory, and visual stimuli. The ability to achieve and maintain a full erection depends not only on the penile portion of the process but also on the status of the peripheral nerves, the integrity of the vascular supply, and biochemical events within the corpora. The autonomic nervous system is involved in erection, orgasm, and tumescence. The parasympathetic nervous system is primarily involved in sustaining and maintaining an erection, which is derived from S2-S4 nerve roots.
There are many different treatment options for erectile dysfunction but your individual diagnosis will determine which treatment option is right for you. It is important to realize that not all treatment options will work for everyone. A doctor who has specialized in men's sexual health (typically a urologist) will be the most qualified to discuss all of your treatment options with you. Many specialists will often encourage you to schedule additional follow up appointments to review how your treatment is working for you or if a different option may be more beneficial.
According to a review of all randomized controlled trials evaluating sildenafil by the American Urological Association (AUA) Consensus Panel on Erectile Dysfunction, 36% to 76% of patients receiving the drug were "able to achieve intercourse" during treatment. For tadalafil, four randomized controlled trials revealed that 11% to 47% of patients were "able to achieve intercourse." Similar efficacy has been observed with vardenafil, although studies are fewer.19 A meta-analysis published in 2013 clearly demonstrated increased efficacy over placebo for all PDE5 inhibitors.24 Head-to-head comparison suggested that tadalafil outperforms sildenafil on validated measures of erectile dysfunction, including the international index of erectile function and sexual encounter profile-2 and -3.
Talk with your doctor before trying supplements for ED. They can contain 10 or more ingredients and may complicate other health conditions. Asian ginseng and ginkgo biloba (seen here) are popular, but there isn't a lot of good research on their effectiveness. Some men find that taking a DHEA supplement improves their ability to have an erection. Unfortunately, the long-term safety of DHEA supplements is unknown. Most doctors do not recommend using it.


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Marley's Freedom gallops in G2 Santa Monica S.
Saturday, February 16, 2019
Marley's Freedom 5-year-old debut in the $200,000 Santa Monica S. (G2) Feb. 16 at Santa Anita Park couldn't have been more impressive, winning by nearly two lengths over Selcourt...
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Mucho Gusto draws off in Robert Lewis S. (G3)
Saturday, February 2, 2019
Mucho Gusto set off the pace before taking the lead with a quarter-mile to run and drew off in the stretch to win the $150,000 Robert B. Lewis (G3) by nearly five lengths...
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Justify crowned Horse of the Year & 3YO Champ
Thursday, January 24, 2019
Justify's historic Triple Crown and undefeated season in 2018 earned the colt both Horse of the Year and champion Male 3-year-old honors at Thursday evening's Eclipse Awards...
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Dream Tree coasts in Las Virgenes S. (G2)
Monday, February 5, 2018
Phoenix Thoroughbreds III's 3-year-old filly Dream Tree looked super in her nearly four-length victory in Sunday's $200,000 Las Virgenes S. (G2), the feature race on a Super Bowl card at Santa Anita Park.
Making her first start of the year, the winner of last year's Starlet S. (G1) was a little anxious pre-race, but settled nicely a few lengths off the pace of her stablemate Thirteen Squared. After a half-mile in a solid :46.68, Dream Tree began to close in on the leader, easily going by at the top of the stretch before coming home in hand to stop the timer in 1:39.45 for the mile on the fast main track.
"I thought she was fresh and she was getting a little excited on her way to the gate. I just love the way she sat off those front-runners. I know she has a lot of speed. I think she's getting better mentally and she's relaxing and she really brought it at the end.
"She's all class so I'm just so glad that Kerri (Radcliffe) and Amir (Abdulaziz) hired me to be their trainer. I'm very fortunate."
Dream Tree is undefeated in four starts and has earned $390,000 and has her owners looking at bigger races this spring.
"We've been talking to Bob and we're thinking about the Oaks, both Santa Anita and Kentucky, so we're going there definitely for sure. Having a good filly like this, makes you feel good," said Abdulaziz.
Baffert has a record-tying five winners of the Las Virgenes, going back to his first in 1999 with Excellent Meeting, who also won the Starlet and would go on to run fifth in the Kentucky Derby (G1).
Baffert 2013


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125 m2 | 4 bedrooms | 2 bathrooms
Pisazo in Algirós with many possibilities!It is an OUTSIDE home to actalizar that has a very large living room with access to a balcony, 4 bedrooms and 2 bathrooms, as well as kitchen with gallery.It has terrazzo floor, cupboards and is very bright.It is located in a strategic area between Blasco Ibáñez and Avenida Aragón, making it ideal both for living and for investment.The property has an elevator and is in a magnificent condition.Do you want to visit it? Do it! In Miss Casas we accompany you!
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