Erectile dysfunction is a problem by which you are either unable to achieve or sustain erection. This is a pretty common phenomenon in men. The symptoms of erectile dysfunction include:Erection that is too soft for a sexual intercourse Erection that sustains for a short period of time Inability to achieve an erection
There are several causes of erectile dysfunction, like:Hear problems Diabetes High blood pressure Nicotine intake Alcoholism Side effects of medicine Depression Low levels of testosterone
When you browse through the medication of ED in Canadian Health Care Mall, you will find that there are various methods to treat erectile dysfunction. One such alternative includes Viagra. This is an oral drug that was introduced in the market in 1988. There are several medications that allow you to stay away from surgical therapies and procedures.
The different ways of treating ED [...]
Regular sexual life is main needs of organism’s nature and at the same time – pleasure. The satisfaction and emotional splash after an orgasm cause “pleasure hormones” — endorphins which are emitted during sex.
This pleasure people, as a rule, men who by the nature of occupations are forced to be in the conditions of isolation from an opposite sex are deprived (service in army, work by the ships of long voyage, work as a shift method, etc.).
Long abstention from sex though is unpleasant for the young man, but takes place without special consequences and isn’t reflected in sexual function which may be improved due to medications of Canadian Health and Care Mall https://canadianhealthncaremall.com/.
It is rather difficult to be restored after long abstention for those whose age makes 30-35 [...]
Congenital central hypoventilation syndrome (CCHS) is a rare condition characterized by dysfunction of automatic control of breathing, most dramatically during sleep, and was first described by Mellins et al in 1970. The term Ondine’s curse was originally used to describe this syndrome, based on a literary reference to the unfaithful husband of the daughter of Poseidon, but is now largely out of favor. At present there are a few hundred known cases worldwide. The estimated incidence varies widely in different reports, from 1 in 10,000 to 1 in 200,000 live births. The clinical manifestations of CCHS appear to be related to a spectrum of neural crest disorders. Between 15% and 20% of patients have aganglionic megacolon (Hirschsprung disease [HD]), and 2 to 5% acquire neural crest tumors such as neuroblastoma, [...]
Any respiratory system disorder that produces hypoxemia may potentially worsen during sleep. Compensatory hyperventilation may not be sustainable as a result of the state-dependent and postural changes in control of breathing and respiratory mechanics previously discussed, and any increase in PaC02 with sleep onset, even if still within the normal range, must result in a corresponding fall in oxyhemoglobin saturation. Diseases known to cause nocturnal hypoxemia and/or hypoventilation include cystic fibrosis (CF), interstitial pneumonitides, hypersensitivity pneumonitis, pulmonary hypertension (primary, or due to other causes such as recurrent pulmonary emboli), and hemoglobinopathies such as sickle-cell anemia. Of all of these disorders, CF and sickle-cell anemia have been studied most extensively with respect to gas exchange during sleep.
The phenomenon of nocturnal hypoxemia complicating COPD has been recognized for at least 50 years. It has also long been recognized that, in comparison to their nonhypoxemic brethren, hypoxemic COPD patients have greater degrees of pulmonary hypertension and cor pulmonale, require more frequent hospitalizations, and sustain higher mortality rates. Not surprisingly, sleep-related hypoxemia in the COPD patient is most frequently associated with awake oxyhemoglobin desaturation and diurnal hypercapnia, both of which may be quite modest in degree; and individuals who are already significantly hypoxemic while awake are more likely to exhibit profound desaturation during sleep. In one study, all patients with diurnal oxyhemoglobin saturations 95% were hypoxemic at night; another study found a high correlation between diurnal PaC02 > 50 mm Hg and nocturnal hypoxemia.
Patients with a variety of neurologic conditions, such as Arnold-Chiari malformation, brainstem tumors, space occupying lesions, vascular malformations, CNS infection, stroke, or neurosurgical procedures, may demonstrate central hypoventilation. However, a small number of patients demonstrate hypoventilation even after all of these conditions have been excluded. The condition of decreased alveolar ventilation resulting in sleep-related hypoxemia in patients with normal mechanical properties of the lung and chest wall (no apparent primary lung disease, skeletal malformations, or neuromuscular disorder) is, by definition, idiopathic. This entity is uncommon and not well characterized. It seems probable that many of these patients have subtle or incipient manifestations of known causes of hypoventilation.
The availability of new technology, applied in original ways, has often been responsible for rapid advances in a variety of medical disciplines. This been particularly apparent in sleep medicine, in which the introduction of equipment capable of continuously monitoring oxyhemoglobin saturation and PaC02 has permitted detailed study of gas exchange during sleep in both health and disease. Indeed, the linkage of technologies for continuous measurement of gas exchange with the technology of EEG essentially created the contemporary field of sleep medicine. This review will set forth the mechanisms thought to be responsible for sleep-induced hypoventilation and hypoxemia, and then discuss recent developments related to sleep-induced hypoventilation and hypoxemic syndromes reflecting a portion of the recently published second edition of The International Classification of Sleep Disorders: Diagnostic and Coding Manual [...]
The main finding of this study is that the BODE staging system, which includes in addition to FEVj other physiologic and clinical variables, helps to better predict hospitalization in patients with COPD. COPD is a complex multidimensional disease, and classification schemes that incorporate more parameters than the degree of are likely to predict outcomes more accurately. FEV1 is known to correlate poorly with symptoms, quality of life, exacerbation frequency, and exercise in-tolerance. Hence, newer approaches to disease assessment are required and may even supercede the current FEV1-based system of classification of disease severity. The multistage scoring system used in this study incorporates variables that can be easily evaluated in any office setting, and the BODE index has potential widespread applicability, just like the FEV1. Important to the acceptance for [...]
One hundred twenty-seven patients were followed up. The baseline characteristics of these patients are shown in Table 1. The mean age ± SD was 70.9 ± 8.2 years, and mean FEV1 was 43.7% of predicted. The number of patients in stages I to IV of COPD severity as defined by GOLD and the median BODE scores of the patients in each category are shown in Table 2. The vast majority of patients had moderate-to-very severe COPD (stages II to IV). The median BODE scores were progressively higher from stage I to stage IV. Table 3 shows the classification of patients according to BODE index score and individual variable scores. Patients in the cohort generally fared worse in airflow obstruction score than dyspnea and exercise capacity scores. Ten [...]
Between October 2002 and April 2004, patients with a wide range of severity of COPD, regardless of whether they had previous COPD hospital admissions or not, were recruited from a single institution and enrolled in the Health Service Development Program (HSDP) for COPD funded by the Ministry of Health, Singapore. This pilot service project provided several interventions—optimal medication, patient education, home care, and telephone support—and is aimed at reducing hospitalization for COPD. The main outcome measure monitored in this project was the frequency of hospital admissions for COPD. Patients were recruited from the outpatient clinic. A diagnosis of COPD was established by a pulmonologist based on medical history, current symptoms, and available pulmonary function tests following Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines. An exacerbation was defined [...]