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Erection Problems (Erectile Dysfunction)
Topic Overview
What are erection problems?
A man has erection problems if he cannot get or keep an erection that is firm enough for him to have sex. Erection problems are also called erectile dysfunction or impotence.
Most men have erection problems every now and then. This is normal. These problems can occur at any age. But they are more common in older men, who often have other health problems. Treatment can help both older and younger men.
What causes erection problems?
Erection problems can have many causes. These include:
- Physical problems, such as injury to nerves or loss of blood supply to the penis.
- Other health problems, such as diabetes, high blood pressure, anxiety, and depression.
- Side effects of certain medicines.
- Stress.
- Drinking too much alcohol or smoking.
- Surgery, such as for prostate cancer.
What are the symptoms?
The only symptom of an erection problem is being unable to get and keep an erection that is firm enough to have sex. But even with an erection problem, a man may still have sexual desire and be able to have an orgasm and to ejaculate.
How are erection problems diagnosed?
Your doctor can find out if you have an erection problem by asking questions about your health and doing a physical exam. Your doctor will want to know how often the problem happens. The exam, lab tests, and sometimes mental health tests can help find out the cause of the problem.
How are they treated?
Doctors usually start with lifestyle changes and medicines. They usually don't advise surgery or other treatments unless those first steps don't help.
Treatment can include:
- Avoiding tobacco and drugs and limiting alcohol.
- Talking about the issue with your partner, doing sensual exercises, and getting counseling.
- Finding and then stopping medicines that may be causing the problem. In some cases you can take a different medicine that doesn't cause erection problems.
- Taking prescription medicine that can help you get erections. These include pills such as sildenafil (for example, Viagra), tadalafil (for example, Cialis), and vardenafil (for example, Levitra). Check with your doctor to see if it is safe for you to take one of these medicines with your other medicines. These pills can be dangerous if you have heart disease that requires you to take nitroglycerin or other medicines that contain nitrates.
- Taking medicines and getting counseling for depression or anxiety.
- Using vacuum devices or getting shots of medicine into the penis.
- Having surgery to place an implant in the penis.
Can you prevent erection problems?
Erection problems are most often caused by a physical problem. So it's important to eat healthy foods and get enough exercise to help you stay in good health.
To reduce your risk of having an erection problem, don't smoke, drink too much alcohol, or use illegal drugs.
You may be able to avoid erection problems related to anxiety and stress by talking with your partner about your concerns. This may help you relax.
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Health Tools help you make wise health decisions or take action to improve your health.
Erection problems may be caused by physical problems related to the blood vessels, nerves, and hormones. Or they may be caused by psychological issues.
Normally, an erection occurs when your imagination or senses (vision, hearing, touch, smell, taste) are stimulated and you become aroused. Your central nervous system sends nerve impulses that increase blood flow to your penis.
Physical problems
Physical problems cause about 8 out of 10 cases of erectile dysfunction. Physical problems are often the cause of erection problems in men age 50 or older. They include:
- Side effects of medicines, including some medicines used to treat benign prostatic hyperplasia (BPH), depression, and prostate cancer. In some cases it may be possible to change the dose of the medicine or to use another medicine. Talk to your doctor.
- The use of tobacco, alcohol, or illegal drugs. Stopping or reducing the use of these substances may make the erection problem less severe.
- Problems with the blood vessels. These problems may prevent blood from filling the penis or from staying there long enough to maintain an erection. For example, long-term high blood pressure can cause damage to blood vessels and lead to erection problems.
- Problems with the nerves (neurologic problems). These may prevent arousal signals from traveling from the brain and spinal cord to the penis.
- Nerve disorders such as Parkinson's disease, Alzheimer's disease, multiple sclerosis, and stroke may interfere with a man's ability to have an erection. And they may lower sexual desire.
- Nerve damage from diabetes, complications from surgery, and spinal cord injury also may cause problems.
- Problems with the structure of the penis or its surrounding tissues.
- Hormonal factors, such as a low level of the hormone testosterone.
- Pelvic injuries and complications of prostate or other surgeries that interfere with nerve impulses or blood flow to the penis.
Psychological causes
Psychological issues seem to be involved in many cases of erection problems. These mental issues include:
- Depression (which also has a physical component).
- Anxiety.
- Stress.
- Grief.
- Problems with current or past relationships.
These things interfere with the erection process by distracting the man from things that would normally arouse him.
Erection problems in men younger than 40 who have no physical risk factors are more likely to be caused by mental factors than physical causes.
Symptoms of erection problems include being unable to:
- Have an erection, most of the time.
- Keep an erection firm enough for sexual intercourse.
- Keep an erection long enough to complete sexual intercourse.
Even with an erection problem, a man may still have sexual desire and be able to have an orgasm and to ejaculate.
What Happens
Most men have erection problems now and then. But when erection problems are lasting, they can affect your self-image, sex life, and relationship. When you have erection problems often, "performance anxiety" can make the problem worse. If you cannot keep an erection that is firm enough for intercourse, or if you have an orgasm before or right after entering your partner (premature ejaculation), you may feel frustrated and believe you aren't pleasing your partner. All of these things could affect how you view your relationship.
Fortunately, many of the things that cause erection problems can be treated.
What Increases Your Risk
Your risk of having an erection problem increases with age. Other things that increase your risk include:
- Diseases that affect blood vessels, such as diabetes, high blood pressure, and high cholesterol. About half of men with diabetes develop erection problems.
- Diseases that affect nerves. These include multiple sclerosis and Parkinson's disease.
- Medicines.
- Smoking or using tobacco.
- Other health problems, such as low testosterone levels.
- Injuries to the pelvic area, a spinal cord injury, or treatment such as pelvic surgery or radiation in the pelvic area.
- Using substances, such as long-term (chronic) heavy alcohol use.
- Psychological risk factors, such as depression or a recent life change.
Activities that constrict blood flow to the penis may increase the risk for erection problems. For example, frequent long-distance bicycle riding on a hard, narrow saddle may increase risk. But the possible link between bike riding and erection problems has not been proved. Experts continue to debate this issue.
A vasectomy usually doesn't cause erection problems. But pain after the operation may affect sexual performance for a time. And if a man wasn't comfortable with his decision to have a vasectomy, or if he's having second thoughts, it could affect him psychologically.
When should you call your doctor?
Call your doctor now or seek medical care right away if:
- You have an erection that lasts longer than 3 hours.
- You have taken sildenafil (for example, Viagra) or vardenafil (for example, Levitra) in the past 24 hours or tadalafil (for example, Cialis) in the past 48 hours, and you have chest pain. Do not take nitroglycerin. Make sure all the doctors you see know that you took one of these medicines.
- You have erection problems that occur along with pain or difficulty with urination, fever, or pain in the lower belly.
Call a doctor if erection problems occur:
- With any type of injury to the back, legs, buttocks, groin, penis, or testicles.
- With other symptoms such as loss of hair, enlargement of the breasts, or backache.
- With any change to the medicine you take.
If your erection problem happens just now and then, there is no reason to call your doctor. If it happens often and upsets you or your partner, it is okay to call your doctor. If an erection problem doesn't bother you or your partner, you may choose not to call your doctor.
Watchful waiting
Watchful waiting means a "wait-and-see" approach. A single episode of an erection problem is often a temporary problem that is easy to reverse. Don't assume it will happen again. Try to forget about it, and expect a more successful experience the next time. If you or your partner is concerned about it, talk about the problem. Openly discuss your fears and anxieties.
If self-care has not helped after 2 weeks and you are concerned about your erection problem, see a doctor who has experience in dealing with these problems.
Who to see
The following health professionals can evaluate symptoms of erection problems:
If it is possible that a psychological problem is contributing to your erection problem, your doctor may refer you to a health professional such as a:
- Psychiatrist.
- Psychologist.
- Certified licensed social worker.
- Counselor with special training in sexuality or relationship problems.
Exams and Tests
Because both physical and mental factors are often involved, it may be difficult to diagnose the exact cause of your erection problem.
To start, your doctor may:
- Review your risk factors for an erection problem.
- Ask questions about your sexual function.
- Do a complete physical exam of the abdomen, penis, prostate, rectum, and testicles.
- Do lab tests for:
- Testosterone. A low level of testosterone may reduce sexual desire, leading to an erection problem.
- Prolactin, follicle-stimulating hormone, and luteinizing hormone. If you have low testosterone levels, your doctor may recommend these blood tests.
- Thyroid hormone. A thyroid hormone level that is too high or too low may cause problems with sexual desire or erections.
- Blood sugar (glucose) levels. A high blood sugar level may mean the presence of diabetes, which can contribute to erection problems.
At this point, pills such as sildenafil (for example, Viagra), tadalafil (for example, Cialis), and vardenafil (for example, Levitra) are often recommended unless an easily treated cause (such as a medicine side effect or testosterone deficiency) has been identified.
If pills don't work or if your doctor feels more testing is needed, he or she may recommend:
- Specific tests for erection problems. These tests help find out whether physical or mental factors are causing your erection problem.
- A psychological evaluation, if a mental issue is suspected.
An ultrasound may be done if your doctor thinks you may have a circulation problem (peripheral arterial disease).
Treatment Overview
Treatment for an erection problem depends on the cause of the problem. The cause may be mental, physical, or a combination of both.
Many doctors take a step-by-step approach to treating erection problems. They use the least invasive treatments first. The treatment steps are:
- Looking for and then stopping medicines that may be causing your condition. In some cases, a different medicine can be tried.
- Trying testosterone or another treatment to fix a hormone problem, such as low testosterone, if tests show that you have one.
- Trying pills called PDE-5 inhibitors, such as sildenafil (for example, Viagra), tadalafil (for example, Cialis), and vardenafil (for example, Levitra).
- Trying counseling if a psychological cause is suspected.
- Trying medicines that are injected or inserted into the penis.
- Trying a vacuum device.
- Trying penile implant surgery.
Taking medicines safely
PDE-5 inhibitors have relatively few side effects. But they can be dangerous in certain men. If you are taking nitrate-containing medicines, such as nitroglycerin, you cannot use sildenafil (for example, Viagra), tadalafil (for example, Cialis), or vardenafil (for example, Levitra).
You also should not take certain alpha-blockers—used to lower blood pressure and to treat an enlarged prostate gland—with these medicines. There is a risk of a dangerous drop in blood pressure. Check with your doctor to see whether you can take PDE-5 inhibitors with your alpha-blocker.
What to think about
Oral medicines are commonly tried first before other medicine or surgery.
It is important to involve your partner in your decision, regardless of the treatment you choose.
Many men overestimate how important being able to have erections is to their relationships. Some men find that when they are able to have erections again, the hassle of using the treatment isn't worth the effort. Other men may find that being able to have erections doesn't change their relationship as much as they or their partners had expected.
You may be able to avoid erection problems related to anxiety and stress by taking a more relaxed approach to sex. Talk to your partner about your problems and concerns. Sexual intimacy is a form of communication. If you and your partner talk about sex, it will help reduce your stress and anxiety. And you may become more relaxed.
Erections may gradually become more difficult to get and keep as you get older. But foreplay—erotic stimulation before intercourse—and the right environment can help increase your ability to have an erection, regardless of your age.
Here are some other things you can do that may reduce your risk for erection problems:
- Quit smoking.
- Avoid using illegal drugs.
- Limit alcohol. Even small amounts of alcohol can cause erection problems.
- Manage high blood pressure and high cholesterol. This can help lower your risk of hardening of the arteries (atherosclerosis).
- Keep your blood sugar in your target range if you have diabetes.
- Exercise regularly.
- Lose weight, especially if you are obese.
- Lower stress in your life.
Home Treatment
In some cases, occasional episodes of erection problems can be treated at home, without a doctor's help. But do involve your partner in the process. And don't be embarrassed about seeking professional help if erection problems are consistent and troublesome. You may be able to help yourself by:
- Examining your relationships and life events.
- Talking with your partner.
- Trying sensual exercises with your partner.
Some men may try methods available in health food stores or through magazine ads. Most of these methods have never been medically proved to work. They may be unsafe, and they are often expensive. They are not recommended.
Making lifestyle changes such as quitting smoking and drinking less alcohol can also help make erection problems less likely. To learn more, see Prevention.
Medicines that can help produce an erection may be used to treat erection problems that are caused by blood vessel (vascular), hormonal, nervous system, or psychological problems. They also may be used along with counseling to treat erection problems that have psychological causes.
Medicine choices
Commonly used oral medicines include:
- PDE-5 inhibitors such as sildenafil (for example, Viagra), tadalafil (for example, Cialis), and vardenafil (for example, Levitra).
Other medicines that may be used include:
- Injected medicines.
- Intraurethral alprostadil (MUSE).
Hormones and other medicines may be prescribed for men who have low testosterone or high prolactin levels.
What to think about
Although oral medicines for erection problems can be purchased over the Internet, you need to talk with your doctor before using this medicine. This is especially important if you have a heart problem.
PDE-5 inhibitors and heart problems
PDE-5 inhibitors should never be used if you may need to take a nitrate-containing medicine, such as nitroglycerin. Taking nitroglycerin and a PDE-5 inhibitor within 24 hours of each other may greatly lower your blood pressure. This could lead to a heart attack, stroke, or death.
Talk with your doctor about whether medicines for erection problems are safe for you if you:
- Have heart disease.
- Have heart failure or low blood pressure.
- Are taking drugs for high blood pressure.
If you are taking a PDE-5 inhibitor and are going to have a test for heart disease, make sure that your doctor knows you are taking it. You should not take sildenafil (for example, Viagra) or vardenafil (for example, Levitra) for 24 hours before the test. Do not take tadalafil (for example, Cialis) for at least 48 hours before the test. Then if you have a problem during the test, it will be safe to use nitrate-containing medicines such as nitroglycerin.
If you are using a combination of drugs for high blood pressure, PDE-5 inhibitors could cause low blood pressure (hypotension). Also for this reason, you should not take alpha blockers—used to lower blood pressure and to treat an enlarged prostate—with these medicines without talking to your doctor. The combination could cause a dangerous drop in blood pressure.
Sex when you have heart problems
Sexual activity is exercise. If you have a heart condition and have not been sexually active for a while, talk with your doctor to make sure you can engage in sexual activity safely.
In a few cases, surgery may be an option to treat erection problems. Surgery will rarely be recommended before nonsurgical treatment and counseling have been tried.
Surgery choices
- Penile implants
- Surgery on penile blood vessels
What to think about
Think carefully about nonsurgical options and about the possible risks of surgery. Include your partner in your decision.
Doctors who specialize in conditions of the urinary tract (urologists) do most penile implants. Specially trained urologic surgeons usually do blood vessel repair surgery.
Other Treatment
Other treatment choices
- Vacuum devices are useful for all types of erection problems—physical, psychological, or both. The device has a tube you place around the penis. You pump the device to create a vacuum that leads to an erection.
- Counseling (psychotherapy) is recommended for men whose erection problems are caused, at least in part, by psychological factors. Treatment may include:
- Sex therapy. It focuses on ways to improve attitudes toward sex. It also focuses on specific sexual techniques.
- Group therapy. Evidence shows that group therapy helps with erection problems in some men. Adding group therapy to treatment with sildenafil (for example, Viagra) helped more than sildenafil alone. Men who were taking part in group therapy also were more likely to keep taking their medicine.footnote 1
Counseling also may be used with medicine treatment or vacuum devices for erection problems that have psychological and physical causes.
Medicines are usually the main treatment for erection problems. But some men try complementary therapies. If you don't want to use medicine, or if medicine doesn't work for you, you may want to talk with your doctor about some of the following options. Most of these treatments need more research before doctors can know if they work for sure.footnote 2 Treatments include:
- Acupuncture.
- Ginseng. It has been shown to work for some men who have erection problems. But because it is sold as a dietary supplement, it is hard to know if you are getting the right amount.
- The amino acid L-arginine. Some men take this dietary supplement to try to treat erection problems. The amino acid increases the amount of nitric oxide in the blood, which relaxes blood vessels. In theory, L-arginine could improve erections. But L-arginine may be harmful.
- Zinc. Some men who have low zinc levels in their body have had success using zinc supplements to treat erection problems. But high doses of zinc can be dangerous.
Related Information
- Melnik T, et al. (2007). Psychosocial interventions for erectile dysfunction. Cochrane Database of Systematic Reviews (3).
- Burnett AL (2012). Evaluation and management of erectile dysfunction. In AJ Wein et al., eds., Campbell-Walsh Urology, 10th ed., vol. 1, pp. 721–748. Philadelphia: Saunders.
Other Works Consulted
- American Urological Association (2005, reviewed and confirmed 2011). Management of Erectile Dysfunction: An Update. Baltimore: American Urological Association. Also available online: http://www.auanet.org/content/clinical-practice-guidelines/clinical-guidelines.cfm?sub=ed.
- Cheitlin MD, et al. (1999). Use of sildenafil (Viagra) in patients with cardiovascular disease. ACC/AHA expert consensus document. Circulation, 99(1): 168–177.
- Esposito K, et al. (2004). Effect of lifestyle changes on erectile dysfunction in obese men. JAMA, 291(24): 2978–2984.
- Montague DK (2012). Prosthetic surgery for erectile dysfunction. In AJ Wein et al., eds., Campbell-Walsh Urology, 10th ed., vol. 1, pp. 780–791. Philadelphia: Saunders.
- Schulman SP, et al. (2006). L-arginine therapy in acute myocardial infarction. JAMA, 295(1): 58–64.
Current as of: May 28, 2019
Author: Healthwise Staff
Medical Review:E. Gregory Thompson MD – Internal Medicine & Adam Husney MD – Family Medicine & Christopher G. Wood MD, FACS – Urology, Oncology
This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.


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In Her Own Words: Living With Depression
Martha, a 71 year-old retired clinical social worker living inMaryland, has struggled with depression for more than 40 years. Twenty-four years passed before she received a diagnosis. Her mood disorder was treated as a chemical imbalance, and she was given medications to alleviate her symptoms.
What was your first sign that something was wrong? What symptoms did you experience?
When I experienced my first episode in 1960, far less was known about depression. I had all the symptoms of clinical depression, but the doctors never called it that. I was sad, crying a lot. I didn't enjoy anything anymore, not reading a book in front of the fire or going out to dinner. I lost my appetite and weight. I had no energy. Ordinary tasks seemed monumental. I felt guilty because I thought I should be doing better. I thought about suicide. I had difficulty concentrating. When I had trouble adding up simple figures, I knew something was wrong, but I didn't know what.
What was the diagnosis experience like?
I saw a physician to determine if something was medically wrong. A blood test indicated I was anemic, and he started treating me for that. While in the doctor's office, I had difficulty remembering things, like how long I had been married and my address. The doctor referred me to a psychiatrist, who recommended psychoanalysis but never mentioned depression.
The thought that someone was treating me gave me hope to stay alive. I began to feel better. I thought the sky was the limit and that the sad feelings would never happen again. I obtained a doctorate degree and was a medical school faculty member. I held office in professional organizations.
But a few years later, the black beast of depression began to return. Despite my accomplishments, I felt inadequate and incompetent. Depression can wreak havoc with self-esteem. I contacted a research psychiatrist at the National Institutes of Health. At the end of the first interview, he said I had depression and medication would help. I was hesitant to take medication, wanting to control things myself. But I tried it. The medication helped, and I continued to see the psychiatrist for psychotherapy and support. It took nine more years to find a medication that worked really well for me.
What was your initial and then longer-term reaction to the diagnosis?
It was a relief. Now I knew what it was, and the doctor offered a treatment plan, which gave me hope. The combination of medication and psychotherapy worked best for me. Clinical depression is different from feeling blue once in a while. It affects the whole body. It usually affects brain chemistry, which is why medication can work on the symptoms. I persevered. It's a family trait to never give up, and it helped to keep me alive.
How is your disease treated?
I take an antidepressant, which I have been told I will need to take for the rest of my life. In addition, I see my psychiatrist periodically.
Did you have to make any lifestyle or dietary changes in response to your illness?
While we cannot prevent everything, I believe we have more control over our health than people realize. I developed a healthful lifestyle, which includes having an annual physical, watching my diet, exercising 30 minutes a day, getting adequate rest and sleep, and avoiding alcohol, nicotine, and caffeine.
Did you seek any type of emotional support?
I joined a National Depressive and Manic Depressive Association support group, which was very beneficial. In a group with others with similar problems, I didn't feel so alone.
Did/does your condition have any impact on your family?
My husband was supportive. I didn't mention it to my sister or brother.
What advice would you give to anyone living with this disease?
Learn as much as you can about the illness. The National Depressive and Manic Depressive Association has materials to help people deal with depression. Seek care from a doctor and mental health professional. Don't stop or change the dose of medication without discussing it with the doctor. If the medication causes side effects or is ineffective, talk to the doctor. What works for one person may not work for another.
There are many options. Researchers continue to learn more, so additional treatments become available. Make a list of what helps you feel better and what makes you feel worse. Avoid the things that bring you down. Try to function as near normal as possible. Don't give up or give in. Keep going to work, even if you are not functioning at top capacity. Get up and go somewhere. Do something. Avoid isolation. Be kind and gentle with yourself. Help is available, and with help, there is hope.
Interviews were conducted in the past and may not reflect current standards and practices in medicine. Talk to your doctor to learn more about how this condition is diagnosed and managed today and what treatment approaches are right for you.


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Race guides neighborhood evaluations, study finds
ANN ARBOR—Race is a powerful factor in white decisions about where to live, according to an innovative video experiment conducted by researchers at the University of Illinois at Chicago and the University of Michigan.
The study appears in the latest issue of the journal Du Bois Review: Social Science Research on Race.
"We sought to determine whether whites are colorblind in their evaluations of neighborhoods, or whether racial composition still matters?even when holding constant the quality of the neighborhood," said the report's lead author, UIC sociologist Maria Krysan.
Krysan co-authored the study with Reynolds Farley, research professor emeritus at the U-M Institute for Social Research (ISR), and Mick Couper, research professor at the ISR.
Their survey-based experiment involved more than 600 randomly selected white adults aged 21 and older living in the Chicago and Detroit metropolitan areas.
Participants were shown videos of various neighborhoods?lower working class to upper class?with actors posing as residents. Each resident was portrayed doing exactly the same activities in each kind of neighborhood, such as picking up mail or talking to neighbors.
While the survey participants viewed the same neighborhoods in the videos, they were randomly assigned to see either white residents, black residents, or a mix of both.
Participants were then asked to evaluate the neighborhoods in terms of housing cost, property upkeep, school quality, safety, and future property values.
Whites who saw white residents in the video rated neighborhoods significantly more positive in four of the five dimensions compared to whites who saw black residents in the identical neighborhood. Racially mixed neighborhoods fell in between.
"These findings demonstrate that 'objective' characteristics such as housing are not sufficient for whites to overcome the stereotypes they have about communities with African-American residents," said Krysan, who is also affiliated with the University of Illinois Institute of Government and Public Affairs.
Participants were also questioned about their endorsement or rejection of racial stereotypes. Whites who held negative stereotypes about blacks as a group were more likely to produce disapproving neighborhood evaluations.
According to the researchers, property value stagnation is one consequence of whites excluding neighborhoods solely due to the presence of black residents.
"Residential segregation limits occupational opportunities for blacks, ensures that blacks and whites will seldom have the chance to attend school together, and seriously limits the acquisition of wealth by African-Americans," said Farley, who noted that racial segregation remains common in the older metropolises of the Midwest and Northeast.
"It is rare to find research that combines high quality, new data, with such grounded, real world issues," said Lawrence Bobo, Harvard University sociologist and editor of the Du Bois Review. "Thanks to this highly innovative piece of research, we now understand far better than ever before the factors that create and sustain racial segregation of neighborhoods in America."
The study was conducted with support from the National Science Foundation, the University of Michigan, the Ford Foundation, and UIC.
Established in 1949, the University of Michigan Institute for Social Research (ISR) is among the world?s oldest academic survey research organizations, and a world leader in the development and application of social science methodology. Visit the ISR web site at http://www.isr.umich.edu for more information.
The University of Illinois at Chicago ranks among the nation's top 50 universities in federal research funding and is Chicago's largest university. For more information about UIC, please visit http://www.uic.edu


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2007-11-15 Thursday - Sunset
I found this to be an incredible trip with wonderful experiences and I recommend others to volunteer for the twice yearly trips in the future. Installing the Clean Water System was an important task along with the other projects the teams completed. For me, the life changing experience was getting to know the Guatemalan people, seeing their lifestyle, understanding their struggles and falling in love with the kids. These are beautiful people in a beautiful country. If you need to use any of these photos, send me an email and I'll send it to you or you can purchase it from the website for a nominal cost and help fund my next trip. God Bless.Read More


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On Tuesday, President Obama addressed the issues surrounding immigration reform and what he would like to see accomplished. The address came on the heels of a meeting of the bipartisan Senatorial "Gang of Eight," which includes John McCain and Marco Rubio. There is bipartisan consensus on the need for reform, but policymakers have varying opinions on how to tackle the status of the immigrants themselves.
Obama proposes swift reform to lead the nation's 11 million undocumented immigrants on a direct path to citizenship—placing the issue of immigrant status over border control. However, the Gang outlines a plan making any reform contingent upon strictly enforced border control measures. Reform supporter Rep. Raul Grijalva (D-AZ) believes that the standard set to first control the border is an impossible one. "At what point is it secure?" he asks.
Conservative and liberal media alike highlight the opposition of the president to any provision linking citizenship to a "secure" border. Despite bipartisan efforts, divisions between the two parties could hinder any resolution on future reform, with Republicans opting for border control legislation before anything else.
Sen. Marc Rubio (R-FL) spoke with Fox News Tuesday, clearly standing his ground: "If the [border enforcement] is not in place," he said, "I won't support it." While his sentiment mirrors that of many conservatives, Obama stands just as firm in his position: "If Congress is unable to move forward in a timely fashion, I will send up a bill based on my proposal, and insist that they vote on it right away."
Although the bipartisan efforts of these eight senators can be applauded, the likelihood of any swift legislation being passed is slim. Democrats and Republicans stand behind party lines—just as they have in the past—putting politics over people.
Renee Lott is an intern at Foreign Policy in Focus.


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Payment is authorized and captured at the time an order is placed. Merchandise ships according to stock status, and most items ship within 24 hours. If an item is out of stock, ship times are communicated immediately. If the ship time is unacceptable, we will cancel your order at once
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5930 Royal Ln Ste E-102
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(Poster) Ghub: A new community-driven data-model resource for ice-sheet scientists
19 Apr 2023 | Contributor(s): Sophie Goliber, jason briner, sophie nowicki
PDF of the poster for "Ghub: A new community-driven data-model resource for ice-sheet scientists".
1st IAVCEI/GVM Workshop: "From Volcanic Hazard to Risk Assessment", Geneva, 27-29 June 2018
0.0 out of 5 stars
18 Dec 2018 | Contributor(s): Costanza Bonadonna, Sebastien Biass, Eliza S Calder, Corine Frischknecht, Chris Eric Gregg, Susanna Jenkins, Sue C Loughlin, Scira Menoni, Shinji Takarada, Tom Wilson
The complexity of volcanic risk analysis typically resides in the interaction of multiple hazard, vulnerability and exposure aspects dynamically acting over various spatial and temporal scales. Risk analyses provide an evidence-based approach to development and implementation of proactive...
PYFLOW_2.0. A new tool for estimating the impact parameters and the deposition rate and time of dilute PDCs based on field data
22 Nov 2017 | Contributor(s): Fabio Dioguardi, Daniela Mele, Pierfrancesco Dellino
PYFLOW_2.0 is a hazard tool for the calculation of the impact parameters of dilute pyroclastic density currents (DPDCs). DPDCs represent the dilute turbulent type of gravity flows that occur during explosive volcanic eruptions; their hazard is the result of their mobility and the capability...
La erupción del volcán Calbuco en 2015: Volcanología, sociedad y ecosistemas
25 Apr 2017 | Contributor(s): Jorge E. Romero
La erupción del 22-23 de abril de 2015 del Volcán Calbuco tuvo impactos en las actividades sociales y ecosistemas en el sur de Chile y en Argentina, debido a la espesa caída de piroclastos, corrientes calientes de gases y rocas, además de flujos de lodo...
Documentation for "Effect of particle entrainment on the runout of pyroclastic density currents"
08 Sep 2016 | Contributor(s): Kristen Fauria, Michael Manga, Michael Chamberlain
This is a repository for the data and script used in, "Effect of particle entrainment on the runout of pyroclastic density currents."Here you will find:1. A compilation of splash function experimental data from this study and data that was extracted from seven other studies:...
Confort 15 (Conflow improvement)
22 Apr 2016 | Contributor(s): Silvia Campagnola, Claudia Romano, Larry G Mastin, Alessandro Vona
We present an updated version of the Conflow model, an open-source numerical model for flow in eruptive conduits during steady-state pyroclastic eruptions (Mastin and Ghiorso, 2000). In the Confort 15 program, several updates were considered:The rheological parameters of the model are...
VUELCO- Dominica Exercise Debriefing Report
18 Jun 2015 | Contributor(s): Stefano Ciolli, Richard E.A. Robertson
Document summarizing the debriefing of the exercise, developed with the contribution of all the involved partners.
Insights from Volcanic Unrest Simulation Exercises
18 Jun 2015 | Contributor(s): Stefano Ciolli, Chiara Cristiani
Lecture given during the second VUELCO short-course, held in Dominica on 13th and 14th May 2015.
Volcanic risk management in Italy: a perspective from a decision maker.
23 Apr 2015 | Contributor(s): Stefano Ciolli
Lecture given to the 1st VUELCO workshop held in Colima (Mexico) during the 7th Cities on Volcanoes Conference, 18th November 2012
Civil protection exercises for volcanic risk management. The VUELCO experience at midway.
20 Nov 2014 | Contributor(s): Stefano Ciolli, Chiara Cristiani
This lecture was given during the short-course titled "Coping with volcanic unrest" held in Quito (Ecuador) on November 2014.The presentation illustrates some essential key-elements to take into account in the preparation of a simulation exercise, providing useful suggestion taken...
Estimating Volcanic Risk in the Lesser Antilles
26 Sep 2013 | Contributor(s): Michal Camejo, Richard E.A. Robertson
The potential catastrophic effects of future volcanic eruptions in the Lesser Antilles can be decreased by the utilisation of effective risk quantification measures and their subsequent incorporation into disaster risk reduction strategies. A volcanic risk study conducted by the Norwegian...
New Methods and Computer Codes for Volcanic Modelling
18 Jul 2013 | Contributor(s): Martha Kane Savage, Yosuke Aoki, Thomas Lecocq, Jess Johnson, Florent Brenguier, Benoit Taisne, Charles Williams, Nico Fournier
This workshop was undertaken before the IAVCEI conference in July 2013, complementing the session on "Stress, strain and mass changes at active volcanoes. It brings together seismic and geodetic methods and computational approaches for modelling volcanic processes.Material presented includes:1....
Disaster Zone - Montserrat Factsheet
27 Feb 2013 | Contributor(s): Jeannie A.J. Scott
A factsheet on the Montserrat volcanic crisis. This was designed to suit the UK GCSE Geography curriculum, so very little science is included!
Disaster Zone - Rocks
26 Feb 2013 | Contributor(s): Jeannie A.J. Scott
See volcanic rocks up close and under the microscope. Part of the "Disaster Zone" stall / educational resource; suitable for all ages, although younger children must be supervised.
Disaster Zone - Make-a-Quake!
An activity for all ages - build houses from Lego and Jenga blocks, then make an "earthquake" to see how well they survive; monitor the "seismic" waves on a laptop. Part of the "Disaster Zone" stall / educational resource; use as a stall activity or in the classroom.
Disaster Zone - Sounds of Disaster
A game for all ages - find out what erupting volcanoes, earthquakes, avalanches, wildfires, etc sound like. Part of the "Disaster Zone" stall / educational resource; use it as a stall or classroom activity.
Disaster Zone - Eruption Styles Activity
25 Feb 2013 | Contributor(s): Jeannie A.J. Scott
Recreate four different styles of volcanic eruption: effusive, Strombolian, Vulcanian, and Plinian. Part of the "Disaster Zone" stall / educational resource; suitable for all ages.Includes an activity guide, instructions on how to set up each of the four demonstrations, and pictures to show what...
Disaster Zone - Dress up like a Volcanologist!
Activity for all ages - part of the "Disaster Zone" stall / educational resource. People can dress up, then have their photo taken in front of a "volcano" background poster. Includes a guide on how to run the activity, background posters, activity sign, and a booklet showing volcanologists at...
Disaster Zone - The Stall
This is an overview of the "Disaster Zone" stall on natural hazards, for use at science fairs. Suitable for all ages.Included here are instructions on setting up the stall, signs and table coverings for printing, name badges, and sticker templates for printing. The stall activities (named in...
Disaster Zone - Volcanoes Slideshow
A slideshow all about volcanoes - summarizes mid-ocean ridge volcanoes, subduction zone volcanoes, and hotspot volcanoes. Use as a slideshow, a lesson (add rocks or video clips for variety!), a booklet, or homework. Part of the "Disaster Zone" educational resource; suitable for all ages (although...


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Process Servers who serve Incarcerated People Listed in Pendleton, Indiana, 46064
Contact Name: Amanda Quick
Pendleton, Indiana, Zip Code 46064
Contact Name: Leslie Lord
Pendleton, Indiana, Zip Code 46064
Contact Name: Sandra Sunshine
Pendleton, Indiana, Zip Code 46064
Contact Name: Robert Christiansen
Pendleton, Indiana, Zip Code 46064
Contact Name: Angie White
Pendleton, Indiana, Zip Code 46064
Arnie's Process Serving and Court Services
Contact Name: Arnold Pasternack
Pendleton, Indiana, Zip Code 46064
You are here because you looking to have your documents served by a Process Server or documents Notarized for you and an inmate. Listed in the directory you will find local Process Servers and Notaries who can serve adn deliver documents to an inmate incarcerated in Pendleton Correctional Facility located at P.O.Box 30, Pendleton Indiana.
Serving and delivering legal documents to a respondent / defendant / witness / inmate is common place and an easily performed task for a private Process Server. Process Servers who perform process serving services at Pendleton Correctional Facility are tasked with the responsibility of contacting the facility, making the required appointment, traveling to, waiting and ultimately meeting the inmate and serving her/him with your urgent documents.
You should know, most prisons and correctional facilities, such as Pendleton Correctional Facility usually allow private Process Servers to have direct access to an inmate / respondent / defendant / witness provided the Process Server follows the explicit rules and regulations set forth by the Warden and/or Management. However, there are some facilities and prisons that will not allow a private Process Server to effectuate legal process. It is your responsibility to make sure our Process Server will be granted access to the inmate before hiring us. We cannot guarantee your legal documents will be delivered but will try our best. You are paying us for our time and efforts to attempt service of process.
Please make sure the Pendleton Correctional Facility, located at P.O.Box 30 in Pendleton, Indiana, allows private Process Servers access for the purposes of service of process BEFORE YOU RETAIN US! Prison policies frequently change, and you must make sure the current policy allows us to gain access to the inmate as required by state and federal statutes requiring personal service.
The inmate / defendant / respondent / witness / baby daddy or baby mother incarcerated at Pendleton Correctional Facility is subject to the same laws and statutes of the issuing jurisdiction as any other respondent/defendant/witness who is not incarcerated. When service of process is attempted your process servers will make sure your service is performed in accordance with the law, statutes and the policies of the correctional facility / institution. After service of process services are complete, all details of the service, specifically the date and time service were made coupled with all the case style information including all titled documents served, will be memorialized with a formal and court compliant Affidavit / Proof of Service.
Whether or not there is a prison, institution or a correctional Facility in Pendleton within Madison, Indiana, there most likely is a jail where we can serve an inmate your documents. It is your responsibility to provide us with the exact location and address where the inmate / defendant / respondent / witness may be held over. We will attempt to serve legal process upon a person in a jail as we would anyone who is incarcerated elsewhere.
Overall, if you are seeking to serve an inmate / respondent / defendant / witness at Pendleton Correctional Facility, located at P.O.Box 30 in Madison County, Indiana in or a person in a jail in Pendleton or anywhere in Madison County, we will try our best to deliver your urgent court documents directly to the inmate. Please be advised, in some instances, the facility where the defendant / respondent is located will not allow us to perform service of process. We assume you contacted the facility and confirmed the defendant / respondent is jailed, inmate or incarcerated and confirmed the facility will authorize service of process upon the inmate.
1. You must have the full legal name of the inmate / defendant / respondent at the Pendleton Correctional Facility at P.O.Box 30, Pendleton, Indiana before we can proceed with our services.
2. You must have the inmate's registration or identification number issued by the institution, facility or jail, especially at Pendleton Correctional Facility.
3. You must confirm the policies of the Pendleton Correctional Facility with respect to Process Servers entering its facility for the purposes of meeting with the inmate / defendant / respondent so that service of process can be made. It is your responsibility, entirely, to confirm with powers that be at Pendleton Correctional Facility, what its policies are before hiring us.
4. You should try to find out the name of the case manager.
5. You should try to find out the name of the administrator in charge of appointments.
6. Ascertain the hours of operations and what times are permitted for service of process. We know the Pendleton Correctional Facility located at P.O.Box 30 changes its hours frequently and we urge you to confirm accordingly.
7. It is important to remember that the safety and effectiveness at Pendleton Correctional Facility depends on the staff adhering to a strict routine. Private Process Servers need to submit to that routine and understand that they are a visitor under the control of the staff once they enter. This is one of the main aspects relating to service of process services and whether we will have direct access to the inmate.


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We are the best escort service in kheralu, period. And to keep that respect we can go to any extent. No matter what we have to do, we will make sure that no other escort service can beat us. And it is a very common fact that the best service will attract the best clients. And for that reason, we have the best clients in our list. Our service is so amazing and attractive that the clients keep coming back to us again and again. In our list, we have all kind of clients.
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Come and contact Kheralu escorts as you engrave a picture of youthful and sexy escorts in Kheralu in your intellect and begin envisioning you. Allow full data. You have got to come to our site tiya4u.com and all the pictures of lovely young ladies that we have put in your photo display, you'll be able select the female escorts in Kheralu of your choice, you'll get complete data approximately that young lady, and this data is totally free for you.
We always provide some extra benefits to our premier customers like we will provide them with the deluxe rooms; fully air-conditioned private cars as well as the girls of their desire. We treat like a king and our girls treat them like their masters. All they have to do is to convey their wishes to them and from there our girls will take the charges. Hence, if you have a plan to come to kheralu, do not miss to give a visit to us as we are waiting for your presence
It is always a good idea to make ourselves clear before taking any kind of decisions. Or else, there is a possibility that everything will mess up during the time of the work. Well, for that reason, we will allow you to talk with our girls before you can go and spend some sensual time with them. This service is provided by us only.
There is no other escort service in kheralu, which will give you this kind of privilege. They will not allow you to speak to their girls before spending time them. You will only get to know their girls when you will go to spend time with them. But in our case, you can chat with our call girls in kheralu Escorts, before having sex with them. All you have to do is to go our official online profile. There, you will find a huge list of girls.
You have to select anyone of them. Once, you are done selecting those girls. You will get an option to chat with them. There, you can ask her about her likes and dislikes and you can also let her know about your likes and dislikes so that you both can work according to that and can intensify the experience of your sexuality. Therefore, if you are living in the city of kheralu ot you have a plan to come to kheralu, please give us a visit.
Most of escort services, which are prevailing in the streets of kheralu has very complicated process of booking and for that reason, several men don't go to their escort service. If you want to avail their service, you have to go through several layers of their complicated process and finally when you will be able to reach them, you will lose all your interest. But, our process of booking is very easy and simple.
We are aware of the hurdles that you have to face while going through the process of booking. You become irritated and never go for any escort service again. And to pull you out from the mud of these issues we have kept our process easy as well as simple. You don't have to do much. All you have to do is log in to our online profile. And after that, you will get a vast list of girls from where you can choose the girl according to your preference.
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Also, there are several unique services, which we provideand those services are not delivered by anyone else. Like, we will allow you to talk with our girls before you go for spending night with them. All you have to do is to go to the official profile of our escorts in kheralu and there you will find a huge list of girls. From that list, you have to select any one girl. After you are dome with the selection, you will get an option where you can chat with our girls. While chatting with our girls, you will be able to share your likes and dislikes with them so that they can work accordingly. You can also ask them about their likes and dislikes so that you can also work according to that. It will help you to embrace the best experience out of your love making. So, come to kheralu and enjoy.
Well, no matter from which profession you belong, without being passionate about your work it will be hard for you to flourish in the professional field. Passion is the key factor, which will enhance your professional experience. Thus, we have intensely trained our independent escorts in kheralu and they are very passionate and dedicated about their work. You just have to spend time with them and you will get to know the heat of their passion. The heat of their passion will arouse you even more and you will get lost in the power of their passion. It doesn't matter to them what kind of task you are conveying them or how rough of kinky those tasks are.
They will pull them off with ease and they will make all your sexual desire and fascinations come true. All you need to do is to convey your fantasies to them and after that they will take the charge from there. For example, if you are someone who has a fascination about anal sex, they will do that for the sake of your happiness as well as satisfaction. Similarly, if you are someone who holds a desire of spending some wild times with the sex slaves, our kheralu independent escorts will become the sex slaves for you. They will treat you as their master and will do all the things, which you will tell them to do. Therefore, you must visit kheralu.
Nothing can come at par with the importance of safety. Without proper safety, there is no point of availing any service. Well in most of the cases, the escort services don't take care of the safety of their clients and for that reason several unwanted situations come across us which is followed by suspicion and uncertainty. This is the reason, why most of the men don't want to enjoy the perks of an escort service. They fear that, their safety will be at stake if they avail the services from the escort organizations. But you don't have to worry or bother about any consequences if you join hands with us.
We never compromise with the safety of our customers because we believe in the fact that without proper safety, there is no point of availing any services. And for that reason, we take the highest amount of care for the safety of our customer. We know that there are several diseases, which may transfer to you for having a sexual encounter. But, in our service we will provide you with all the necessary safety tools like soaps, shampoos, hand washes as well as shower gels. Also, our call girls in kheralu will wash their private parts before making love with you so that there is no chance of infection. Also, they will use the protection so that you don't develop the symptoms of STD. Thus, come to kheralu to have some fun.
India is a country where sex is considered as a taboo. Most of the people in this country feel embarrassed to talk about sex and their sexuality. And for that reason, they become judgmental when someone talks openly about sex and sexuality. They all are confined within a social barrier and they are not allowed to discuss about sex. For that reason, we will take utmost care about keeping your secrets with us. No matter from which class you belong from and what kind of works you do, we will do each and everything to keep your secrets. India is a country where sex is considered as a taboo. Most of the people in this country feel embarrassed to talk about sex and their sexuality. And for that reason, they become judgmental when someone talks openly about sex and sexuality. They all are confined within a social barrier and they are not allowed to discuss about sex. For that reason, we will take utmost care about keeping your secrets with us. No matter from which class you belong from and what kind of works you do, we will do each and everything to keep your secrets.
We can go to any extent for the sake of your safety and security and we are never gonna compromise for that. Also, we have trained our girls in such a way that they will never reveal your identity to anyone. To be more precise no one is going to be aware of the fact that you came to our escort services. For the sake of formality, we will take some basic information about you and we will keep them safely within us. Just because we are precise about our safety steps, several elite people come to our escort service so that they don't have to bother about revealing their identities. So, if you are someone who is worried about his identity, then you must come to our kheralu escort service and we promise you that no one will know about it.
We have already discussed that we are going through a very turmoil driven time when we rarely get any time to make some sensual love with our partners. We are always running behind establishing our careers and to earn more and more money. But we are ignoring the fact that sex, fun and entertainment are also very important if you want to live a healthy and happy life. Without proper fun and entertainment, it will be hard for us to sustain in our life. And, as we are not getting abundant time to make love, we are getting surrounded by several psychological disorders like depression, frustration, agony as well as some psychological traumas.
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Bedwetting (patient information)
For the WikiDoc page for this topic, click here
Nocturnal enuresis
Nocturnal enuresis On the Web
Editor-in-Chief: C. Michael Gibson, M.S.,M.D. [1] Phone:617-632-7753; Associate Editor-In-Chief: Lakshmi Gopalakrishnan, M.B.B.S.
Synonyms and Keywords: Nocturnal enuresis; Enuresis
Bedwetting is involuntary urination in children over 5 to 6 years old. It may occur at any time of the day or night. This article focuses on nighttime bedwetting.
What are the symptoms of Nocturnal enuresis?
The main symptom is involuntary urination, usually at night, that occurs at least twice per month.
What causes Nocturnal enuresis?
- Children develop complete control over their bladders at different ages. Nighttime dryness is usually the last stage of toilet learning. When children wet the bed more than twice per month after age 5 or 6, it is called bedwetting or nocturnal enuresis.
- Bedwetting is common. More than 5 million children in the U.S. wet the bed at night.
- Children who were dry for at least 6 months and then started wetting again have secondary enuresis. There are many reasons that children wet the bed after being fully toilet trained. It might be physical, emotional, or just a change in sleep.
- Children who have never been consistently dry at night have primary enuresis. This usually occurs when the body makes more urine overnight than the bladder can hold and the child does not wake up when the bladder is full. The child's brain has not learned to respond to the signal that the bladder is full. It is not the child's or the parent's fault.
- Physical causes are rare, but may include lower spinal cord lesions, congenital malformations of the genitourinary tract, infections of the urinary tract, or diabetes.
- Bedwetting runs strongly in families.
- About 9% of boys and 6% of girls still wet the bed at age 7. The numbers drop slightly by age 10. Although the problem goes away over time, many children and even a small number of adults continue to have bedwetting episodes.
When to seek urgent medical care?
- Be sure to mention bedwetting to your child's health care provider.
- Children should have a physical exam and a urine test to rule out urinary tract infection or other causes.
If your child is having pain with urination, fever, or blood in the urine, contact your child's doctor right away.
- Our child's doctor will discuss the history of bedwetting in detail. You can help by keeping a detailed diary that outlines normal urination and wetting episodes, fluid and food intake (including time of meals), and sleep times.
- A physical examination should be performed to rule out physical causes.
- A urinalysis will be done to rule out infection or diabetes.
X-rays of the kidneys and bladders and other studies are not needed unless there is reason to suspect some other problems.
Treatment options
- Doing nothing or punishing the child are both common responses to bedwetting. Neither helps. You should reassure your child that bedwetting is common and can be helped.
- Start by making sure that your child goes to the bathroom at normal times during the day and evening and does not hold urine for long periods of time. Be sure that the child goes to the bathroom before going to sleep. You can reduce the amount of fluid the child drinks a few hours before bedtime, but this alone is not a treatment for bedwetting. You should not restrict fluids excessively.
- Reward your child for dry nights. Some families use a chart or diary that the child can mark each morning. While this is unlikely to solve the problem completely, it can help and should be tried before medicines are used. It is most useful in younger children, about 5 to 8 years old.
*Bedwetting alarms are another method that can be used along with reward systems. The alarms are small and readily available without a prescription at many stores.
- The alarm wakes the child or parent when the child starts to urinate, so the child can get up and use the bathroom. Alarm training can take several months to work properly. You may need to train your child more than once. Bedwetting alarms have a high success rate if used consistently.
- Once your child is dry for 3 weeks, continue using the alarm for another 2 weeks and then stop.
- A prescription medication called DDAVP (desmopressin) is available to treat bedwetting. It will decrease the amount of urine produced at night. DDAVP is easy to use and provides quick results. It can be used short-term for an important sleepover, or prescribed for long-term use for months. Your doctor may recommend stopping the medicine at different times to see if the bedwetting has gone away.
- Tricyclic antidepressants (most often imipramine) can also help with bedwetting. However, side effects can be bothersome, and an overdose can be life-threatening. Therefore, these drugs are usually used when other treatments have failed.
- Some sources find that bedwetting alarms combined with medicine results in the highest number of cures.
- For children with secondary enuresis, your doctor will look for the cause of the bedwetting before recommending treatment.
Where to find medical care for Nocturnal enuresis?
Directions to Hospitals Treating Nocturnal enuresis
What to expect (Outlook/Prognosis)?
- The condition poses no threat to the health of the child if there is no physical cause of bedwetting.
- The child may feel embarrassment or have a loss of self-esteem because of the problem. It is important to reassure the child. Most children respond to some type of treatment.
Possible complications
- Complications may develop if a physical cause of the disorder is overlooked. *Psychosocial complications may arise if the problem is not dealt with effectively in a timely manner.
- Getting plenty of sleep and going to the bathroom at regular times during the day and night can help prevent some aspects of bedwetting.


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The number of people who practice yoga in the US has grown by more than 16 million since 2001. Gaiam has a wide variety of yoga supplies, clothing, and yoga accessories for yogis at every level of study.
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Still, to kick things off let's start with a cake that only looks like gingerbread:
(Photo by Jerilyn Brom & found here.)
Next a little Mario love:
And lastly, here are my favorites from the '09 Cincinnati Houses of Hope Gingerbread House Contest. (Check out all the winners here.)
Today's charity, Heifer International, works to end hunger and poverty by providing livestock, training, and related services to communities worldwide.
And, good news: we found a way to make your dollar donations easier! We've created a page at Firstgiving, a secure payment-processing site specifically for charity fund raising. Here you'll only have to enter your information once for the rest of the two weeks, there are no minimums, and you can monitor how much we've raised each day. The fee is lower than most credit card processing charges, too, so more of your dollars will go to each charity.
Click here to donate your dollar, and to see how much we've raised so far!


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Tony Hawk's Pro Skater HD
Tony Hawk's Pro Skater HD is a downloadable title for Xbox LIVE Arcade that takes the best elements of the classic THPS games and gives them a fresh update to create an all new skateboarding experience. Tapping into fans' muscle memories, the gameplay returns to controllers and focuses on the satisfaction of linking sick tricks for maximum points. Combining sharp visuals with the best controls ever in a Tony Hawk game, the feel is cutting edge yet timeless. The game was rebuilt and polished by Robomodo using Neversoft's original code and includes the best seven levels from THPS and THPS2 (Warehouse, School 2, Mall, Phoenix, Hangar, Marseilles and Venice). There is a combination of new school and old school pros (Nyjah Huston, Chris Cole, Eric Koston, Andrew Reynolds, Rodney Mullen, Lyn-z Adams Hawkins Pastrana, Riley Hawk and Tony Hawk himself) and the soundtrack is half classic THPS tracks and fresh ones. Multiple online multiplayer modes round out the action!
- Robomodo
- Activision
- Sport és szabadidő
- Dolby Digital
- Online többszereplős játék: 2–4
- Letölthető tartalom
- Ranglisták