The Vulva: Anatomy, Physiology, and, Pathology, 1st ed. 2006

See also: online pharmacy viagra | 

The Vulva: Anatomy, Physiology, and Pathology

Miranda A. Farage and Howard I. Maibach

ISBN-10: 0849336082

ISBN-13: 978-0849336089

Informa Healthcare

The Vulva includes chapters on vulvar anatomy, physiology, microbiology, age-related changes, ethnicity, diseases, global cultural and hygiene practices, personal products used on the vulva, and toxicological and bioengineering research methods applied to vulvar research.

 dOWNLOAd .





.

Medical Marijuana discrimination?

See also: cialis | 

Medical Marijuana discrimination?


Here is a simple, yet, controversial question: If someone has used marijuana - even if used for medical reasons - should this prohibit him or her from being considered to be on a transplant list? Hospitals throughout this great nation struggle with this question every day.

Timothy Garon (pictured above) is a patient at the University of Washington Medical Center. He has end stage Hepatitis C and, according to this Associated Press story, may be in his final days without a liver transplant.

But Garon's been refused a spot on the transplant list, largely because he has used marijuana, even though it was legally approved for medical reasons. "I'm not angry, I'm not mad, I'm just confused," said Garon, lying in his hospital bed a few minutes after a cheap viagra told him the hospital transplant committee's decision Thursday.

With the scarcity of donated organs, transplant committees like the one at the University of Washington Medical Center use tough standards, including whether the candidate has other serious health problems or is likely to drink or do drugs. And with cases like Garon's, they also have to consider — as a dozen states now have medical marijuana laws — if using dope with a doctor's blessing should be held against a dying patient in need of a transplant.

Now, according to the American Liver Foundation, in 2005, approximately 6500 liver transplants were performed in the United States. Also, according to the site, it states that about 17000 Americans are on the liver transplant list. Interestingly enough, the CDC website states that the number of new infections with Hepatitis C has decreased from 240000 in the 1980s to about 19000 in 2006.

The issue of who should and who should not receive a transplant is always controversial. I think the issue of use of marijuana is interesting as I have blogged about it before here, here, and here.

Even though this gentleman's story is very compelling, I'm going to have to side with the hospital on this one. I agree with what was said by Dr. Robert Sade, director of the Institute of Human Values in Health Care at the Medical University of South Carolina. "Marijuana, unlike alcohol, has no direct effect on the liver. It is however a concern ... in that it's a potential indicator of an addictive personality." (And in my book, not a good candidate for a transplant.)

Doxepin (dox' e pin)

Doxepin (dox' e pin)

Why is this order cialis prescribed?

Doxepin is used to treat depression and anxiety. Doxepin is in a class of medications called tricyclic antidepressants. It works by increasing the amounts of certain natural substances in the brain that are needed for mental balance.

How should this cheap cialis be used?

Doxepin comes as a capsule, a tablet, or concentrate (liquid) to take by mouth. It is usually taken one to three times a day and may be taken with or without food. Try to take doxepin at around the same time(s) every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take doxepin exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Doxepin concentrate (oral liquid) comes with a specially marked dropper for measuring the dose. Ask your pharmacist to show you how to use the dropper. Dilute the concentrate in 4 ounces (120 mL) of water; whole or skim milk; or orange, grapefruit, tomato, prune, or pineapple juice just before taking it. Do not mix it with carbonated beverages (soft drinks).

It may take several weeks or longer for you to feel the full effect of doxepin. Continue to take doxepin even if you feel well. Do not stop taking doxepin without talking to your doctor. Your doctor will probably want to decrease your dose gradually.

Are there other uses for this medicine?

This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.

Other names

• Adapin®

• Silenor®

What special precautions should I follow?

Before taking doxepin,

• tell your doctor and pharmacist if you are allergic to doxepin, amoxapine, or any other medications.
• tell your doctor if you are taking a monoamine oxidase (MAO) inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), and tranylcypromine (Parnate), or if you have stopped taking an MAO inhibitor within the past 14 days. Your doctor will probably tell you not to take doxepin. If you stop taking doxepin, you should wait at least 14 days before you start to take an MAO inhibitor.
• tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: antihistamines; anticoagulants (blood thinners) such as warfarin (Coumadin); cimetidine (Tagamet); flecainide (Tambocor); levodopa (Larodopa, Sinemet); lithium (Eskalith, Lithobid); medication for high blood pressure, seizures, Parkinson's disease, diabetes, asthma, colds, or allergies; methylphenidate (Ritalin); muscle relaxants; propafenone (Rythmol); quinidine; sedatives; selective serotonin reuptake inhibitors (SSRIs) such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), paroxetine (Paxil), and sertraline (Zoloft); sleeping pills; thyroid medications; tolazamide (Tolinase); and tranquilizers. Your doctor may need to change the doses of your medications or monitor you carefully for side effects. Your doctor may tell you not to take doxepin if you have taken fluoxetine in the past 5 weeks.
• tell your doctor if you have or have ever had glaucoma (an eye condition) or difficulty urinating. Your doctor will probably tell you not to take doxepin.
• tell your doctor if you have or have ever had an enlarged prostate (a male reproductive gland), diabetes, seizures, an overactive thyroid gland, or liver, kidney, or heart disease.
• tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking this medication, call your doctor.
• talk to your doctor about the risks and benefits of taking doxepin if you are 65 years of age or older. Older adults should not usually take doxepin because it is not as safe or effective as other medications that can be used to treat the same condition.
• if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking doxepin.
• you should know that this medication may make you drowsy. Do not drive a car or operate machinery until you know how this medication affects you.
• remember that alcohol can add to the drowsiness caused by this medication.

What special dietary instructions should I follow?

Unless your doctor tells you otherwise, continue your normal diet

What side effects can this medication cause?

Doxepin may cause side effects. Call your doctor if any of these symptoms are severe or do not go away:

• nausea
• drowsiness
• weakness or tiredness
• nightmares
• dry mouth
• skin more sensitive to sunlight than usual
• changes in appetite or weight
• constipation
• difficulty urinating
• frequent urination
• blurred vision
• changes in sex drive or ability
• excessive sweating

If you experience any of the following symptoms or those listed in the IMPORTANT WARNING section, call your doctor immediately:

• jaw, neck, and back muscle spasms
• slow or difficult speech
• shuffling walk
• uncontrollable shaking of a part of the body
• fever
• difficulty breathing or swallowing
• rash
• yellowing of the skin or eyes
• irregular heartbeat

If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online [at http://www.fda.gov/Safety/MedWatch] or by phone [1-800-332-1088].

Doxepin may cause other side effects. Call your doctor if you have any unusual problems while you are taking this medication.

What should I do if I forget to take a dose?

Take the missed dose as soon as you remember it. However, if it is almost time for your next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

What should I do in case of overdose?

In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

What storage conditions are needed for this medication?

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

What other information should I know?

Keep all appointments with your doctor.

Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.

It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

Important warning

A small number of children, teenagers, and young adults (up to 24 years of age) who took antidepressants ('mood elevators') such as doxepin during clinical studies became suicidal (thinking about harming or killing oneself or planning or trying to do so). Children, teenagers, and young adults who take antidepressants to treat depression or other mental illnesses may be more likely to become suicidal than children, teenagers, and young adults who do not take antidepressants to treat these conditions. However, experts are not sure about how great this risk is and how much it should be considered in deciding whether a child or teenager should take an antidepressant. Children younger than 18 years of age should not normally take doxepin, but in some cases, a doctor may decide that doxepin is the best medication to treat a child's condition.

You should know that your mental health may change in unexpected ways when you take doxepin or other antidepressants even if you are an adult over age 24. You may become suicidal, especially at the beginning of your treatment and any time that your dose is increased or decreased. You, your family, or your caregiver should call your doctor right away if you experience any of the following symptoms: new or worsening depression; thinking about harming or killing yourself, or planning or trying to do so; extreme worry; agitation; panic attacks; difficulty falling asleep or staying asleep; aggressive behavior; irritability; acting without thinking; severe restlessness; and frenzied, abnormal excitement. Be sure that your family or caregiver knows which symptoms may be serious so they can call the doctor if you are unable to seek treatment on your own.

Your healthcare provider will want to see you often while you are taking doxepin, especially at the beginning of your treatment. Be sure to keep all appointments for office visits with your doctor.

The doctor or pharmacist will give you the manufacturer's patient information sheet (Medication Guide) when you begin treatment with doxepin. Read the information carefully and ask your doctor or pharmacist if you have any questions. You also can obtain the Medication Guide from the FDA website: http://www.fda.gov/Drugs/DrugSafety/InformationbyDrugClass/UCM096273.

No matter your age, before you take an antidepressant, you, your parent, or your caregiver should talk to your doctor about the risks and benefits of treating your condition with an antidepressant or with other treatments. You should also talk about the risks and benefits of not treating your condition. You should know that having depression or another mental illness greatly increases the risk that you will become suicidal. This risk is higher if you or anyone in your family has or has ever had bipolar disorder (mood that changes from depressed to abnormally excited) or mania (frenzied, abnormally excited mood) or has thought about or attempted suicide. Talk to your doctor about your condition, symptoms, and personal and family medical history. You and your doctor will decide what type of treatment is right for you.

Natural Penis Enlargement Exercises - Safe and Best Way to Enlarge Penis Size

See also: cialis | 

There are many penis enlargement exercises which can increase the penis size but not all of them are simple to perform. Some exercises need good practice to achieve desired results and not everyone can have similar time to devote to master them. There are simple exercises too which can help in increasing the penis size. These exercise are simple but this shall not construed that they are less effective in any way from hard to perform exercises, if these exercises are performed correctly and on regular basis can give desired results.

Normally rush of blood in the male genitals cause erection which occurs due to blood fills in the corpus cavernosa and is absorbed by the sponge like tissues in it. If the quantity of blood increases the spongy tissues will be able to absorb more blood by dilating themselves. Regularly repeating this process for sufficient duration will help the body in naturally increasing the size of these tissues which will eventually increase the size of the male organ.

To gain desired results by performing simple penis enlargement exercises it is good to warm up the genital area for promoting blood flow in the area. Soak a towel in warm water and cover the genitals, your penis and testicles, with it, when temperature of the towel has normalized remove the wet cloth and wipe the area gently. Use a gentle lubricating agent which is not harsh on the sensitive skin of the male organ and apply it on your hands and penis. Start rubbing your intimate organ by covering it completely with your hand as you hold it while masturbating. Gently move your hand till the tip of the penis and once your one hand reach at the tip start from the base with other hand.

Gradually your male organ will get erect and after some time you will feel like ejaculating. Once the urge to ejaculate becomes irresistible hold the penis at glans with a firm grip and resist ejaculation till the urge subsides. Start rubbing your intimate organ again. Repeat this simple exercise as many times as you can this will fill your tissues with blood again and again to dilate the blood vessels and increase the penis size.

Another simple exercise to increase your penis size is jelquing by using just your fingers. Warm up your genitals by using a cloth with warm water and apply a gentle lubricant. If your male organ starts getting erect wait for a while till it becomes completely flaccid. Now hold the base of the organ with your thumb and fingers as if you want to pluck it out. Do not hold it with firm grip, moderate grip is preferred and gently slide your fingers and thumb simultaneously till the tip. Use another hand once your one hand reaches the tip. Slowly you will feel blood rushing in to the intimate organ and it getting erect, stop when it is completely erect and let the erection subside. Repeat this again and again. It is very effective if done while lying on the bed. If you feel urge to ejaculate hold the penis with a firm grip at the glans to discourage it.

To obtain quicker and better result, one can use herbal massage oil such as Mast Mood Oil or enlargement creams while performing these exercises. The herbal ingredients present in Mast Mood Oil are highly potent and effective in improving blood flow to the male genitals. And this increased blood flow significantly improves erection quality and performance.

As Mast Mood Oil is plant-based natural product, it does not contain any harmful components and can be used for long-run. It not only increase erection size but also cures many male sexual problems such as erectile purchase cialis, premature ejaculation and weak erection.