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It can be surprising to realize that an organ as high-powered and sophisticated as the brain also has a plumbing system. And, as the case with a house's plumbing, the drainage side of the system can get gummed up. But the symptoms are different. When a home's drainage backs up, well...I won't go there. When the brain's drainage system backs up, the brain's owner can become confused, incontinent of urine and unsteady on his or her feet. The plumbing system in question is that which produces and drains the cerebrospinal fluid (CSF). Normal CSF looks the same as water from a faucet, but is created from the bloodstream in the choroid plexus tissue within three of the brain's four inner chambers -- the right and left "lateral" ventricles and the midline "fourth" ventricle, but not the interposed, midline "third" ventricle. The CSF percolates through passageways from one ventricle to another, finally emerging through openings at the base of the brain to bathe the outer surfaces of the brain and spinal cord before getting reabsorbed into the bloodstream again. This re-absorption occurs in special collection-nodes in the membranes surrounding the brain. The entire CSF volume of about 150 milliliters or five ounces (about as much as a glass of wine) is produced and reabsorbed four times a day, so the fluid is constantly turning over. But blockages along the way can interfere with the normal flow of the CSF. For example, when the passageway between the third and fourth ventricles becomes narrowed or choked with sludge, the CSF backs into the lateral and third ventricles. Those ventricles react to the increased pressure by becoming physically dilated or enlarged. In this case, a CT or MRI scan could reveal the location of the blockage by showing expansion of the two lateral and the single third ventricles, but a normal-sized fourth ventricle. Another example of a blockage and its consequences is when the collection-nodes responsible for CSF re-absorption in the brain's overlying membranes (meninges) become clogged. In this case, all four ventricles are upstream from the blockage, and all four of them expand. This, too, is visible on brain scans. Both cases are examples of hydrocephalus, or water on the brain. The first case is one of "internal" or high-pressure hydrocephalus. The second is called "external" or normal-pressure hydrocephalus (NPH). In NPH the pressure is inexplicably normal much of the time, but the term is somewhat misleading because prolonged recordings with pressure-monitors do show intermittent periods of increased pressure. Hydrocephalus of one kind or another is especially prevalent at the two extremes of the life cycle -- in the very young and the very old -- but can occur at any age. In infancy, hydrocephalus can be caused by malformed brain-tissue. In contrast, adults with hydrocephalus were usually born with normal brain anatomy, but acquired a blockage due to a tumor, injury, bleed or infection. However, many cases of hydrocephalus in adults occur without a history of these preceding illnesses. CT and MRI scans are sensitive tools in detecting hydrocephalus, particularly when it's striking enough not be confused with ventricular enlargement due to gradual loss of surrounding brain tissue from aging. The main treatment of hydrocephalus is for a surgeon to insert a tube (shunt) into one of the swollen lateral ventricles and provide an alternative pathway for the backed-up CSF to drain. Once the shunt equipment is in place, a piece of hardware about the size of a large button sits outside the hole made in the skull (but inside the skin of the scalp) and redirects the excess CSF through another tube into either a jugular vein in the neck or into the abdominal cavity (peritoneum). Thus, the patient can receive either a "VJ" shunt or a "VP" shunt, with the letters designating the locations of the two ends of the shunt. The success or failure of shunting depends not just on the skill of the surgeon, but also on the selection of appropriate patients. Sometimes hydrocephalus turns up unexpectedly on scans when doctors are looking for something else entirely. Although an unexpected finding like this should always cause the doctors to re-think the case, the point is that hydrocephalus doesn't always cause problems. Sometimes the hydrocephalus has been there for years and the brain has adjusted to it in a way that produces no symptoms. This is an example of a case that should not be shunted, though it would still be appropriate to monitor the patient and his or her scans over subsequent months and years. Who, then, should receive a shunt? The answer, in short, is people for whom the benefits of the operation exceed its risks. Identifying them, however, is the tough part. And the task is made even more difficult by the lack of randomized, controlled trials in which a group of patients receiving treatment is compared to an equivalent group of patients not receiving treatment. Although similar reasoning applies to adults thought to have internal (high-pressure) hydrocephalus, I'll lay out the decision-tree as it applies to external (normal-pressure) hydrocephalus. Published observations imply that shunts are most likely to help NPH patients who have the following features:substantial enlargement of all four ventricles a full "triad" of symptoms, including confusion, urinary incontinence and altered walking poor walking as the first of the three symptoms temporary improvement of symptoms after drainage of 50-60 milliliters (2 ounces) of CSF by lumbar puncture (spinal tap) The elderly patients most at risk for NPH are also at increased risk for other diseases, and the shunting operation doesn't help symptoms produced by other causes. For example, confusion can be caused by Alzheimer's disease and strokes. Urinary incontinence can be due to prostate disease in men and sagging pelvic tissue in women. Walking can be disrupted by arthritis, fractured bones, low vision, inner-ear disease, Parkinson's disease and many other unrelated processes. So it's important for the doctor to determine if other diseases might be to blame for the very symptoms that seem, at first glance, to be from NPH. Assuming that NPH still seems likely, the next round of decision-making concerns the possibility that an operation will cause harm. Even a patient whose brain scan and symptoms are classic for NPH can develop serious complications from the operation. A particularly feared complication is bleeding into the space outside the brain, called a subdural hematoma. Older patients are also more likely to have other medical conditions that could compromise the safety of an operation, like coronary artery disease or emphysema. Cases in which expected benefits of the operation are much greater than risks, or in which the risks are much greater than the expected benefits, are easy to make decisions about. But many other cases are in the gray zone in which potential benefits and risks are more evenly matched and the chances of doing harm with an operation come close to canceling out the chances of doing good. (C) 2006 by Gary Cordingley cheap penis enlargement pennis enlargement before and after compare penis elargement pills vigrx pic natural penis enlarement exercise penile enlargement without pills penis enhancement stretcher medical penis enlargment

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My mother wouldn't leave the house without her big black leather handbag. The leather strap tucked neatly over gloved arm, like a waiter's napkin, she would proudly set off with her tribe of four tucked neatly in behind her. Mother Duck and the Ducklings. I've since come to realize that the proud tilt of her chin and her upright posture was simply her smug self-satisfaction in knowing that no matter what catastrophe may befall her, there'd be something in her handbag to remedy any situation. Thirty years on, the style and shape of her handbag may have changed, but I guarantee you would still be able to change a spare tyre or prevent nuclear war by poking through the contents of my mother's handbag. Alas, it seems to be a trait that has passed from mother to daughter, because I'm the one amongst all my gal pals who can always be counted on to produce a Bandaid for a cut finger, or the perfect lip gloss for a touch up. Oh, and I'm always the one with the spare tissues and tampons. I would like to ask Dr Freud about my peculiar predilection for carrying the entire contents of my bedroom (and kitchen, and bathroom) in my handbag, but he would probably relate it to some female sexual inadequacy problem. (Penis envy sounds like a good one!) What never ceases to amaze me is what on earth can the celebs who walk down the red carpet at those gala events possibly fit into an evening bag the size of a matchbox? Heck, they look like they haven't got room for a match let alone a matchbox. I always imagine their mother, or assistant, or hanger-on person, inconspicuously lugging their oversized Louis Vuitton traveling case through the rear tradesman's entrance. After all, what celeb would leave home without a complete makeover kit, change of underwear, spare toothbrush (or teeth!) and an extra bottle of Moët in case of an emergency? Most men who tell you women are mysterious creatures have never witnessed the full monty, so to speak, of a woman's handbag. I don't know if they would have the physical or mental strength to deal with it. As the nurturers and carers of the world, I'd like to think that as a woman, my handbag is an expression of my humanitarian global-thinking persona. I'm the one who will always be there to help another human being in need. As long as they wear the same shade of lipstick as me. penis elargement surgeries cheapest pennis enlargement pills free exercise tip for penis elargement male pnis enlargement penis enlargment pic before and after manual penis elargement exercise penile enlargement before and after photo vimax penis enlargement excercises enlagement forum free matter penis size

Moving through pregnancy often raises some tricky questions. In fact, sometimes there just seem to be too many. There are often some common questions like - do you gain weight the first trimester of pregnancy and similar questions. What can I say - read on and we'll try and help you with this one. Recapping; Do you gain weight the first trimester of pregnancy? Is a common question among expecting mothers so we thought we could offer some insight on this. When you are pregnant, you have to be careful with a lot of details if you want to have a healthy baby (and of course you want this!). One of this is the weight you have to gain during pregnancy. If you are an expecting mother, you probably know that an adult normal-weight woman must gain something between 25 and 35 pounds, by the ninth month. You must also know that you have to gain weight mainly in the second and in the third trimester, but many of you ask yourselves: do you gain weight the first trimester of pregnancy? The first trimester is the beginning of this important journey that is pregnancy. Even if it won’t get obvious that you are carrying a baby from the outside, you will feel different and you will notice many changes in your body. These include breast changes, you will urinate more often, you may be much more tired than usual, and you may have nausea, heartburn, headaches. Besides these, some women reclaim feelings of depression, anxiety, fear and mood swings. You might also feel the weight gain (that will most probably occur from the first trimester) as one of the important changes in your body, especially if you’ve had constantly swinging weight gain over the past few years. It is recommended to gain about 3 to 5 pounds in the first trimester of pregnancy. Sometimes it’s difficult to gain weight during pregnancy, even if you want to. You might even lose weight in the first trimester, because of the morning sickness, lack of appetite and tiredness. How risky might this be for your baby? On the other hand, it is possible to gain much more than the normal amount of weight in the first trimester. This is also not healthy for either of you. Let’s discuss these two situations separately. Do you gain weight the first trimester of pregnancy if you eat barely anything? Perhaps not, but you don’t have to worry about this. During the nausea-prone first trimester, few women manage to eat “by the book”. That’s why it is important to enter pregnancy with enough nutritional reserves to provide for you and your baby. If you didn’t manage to gain at least 2 pounds after the first trimester of pregnancy, or even lose some weight you don’t need to panic, this is not a reason for the baby not to develop normally, but you should consult a specialist in nutrition. If you didn’t have healthy-eating habits before, pregnancy is the time to develop these good habits. Even if you don’t have an appetite and you feel a little sick, make sure that what you eat , at least, is high-calorie but healthy food. You don’t have to exaggerate with eating junk food and having endless desserts, even if you didn’t manage to gain the proper weight in the first trimester. This may be harmful for the baby. On the other hand, excessive weight gain can lead to health problems for the mother, such as diabetes, high blood pressure and varicose veins, and will increase the difficulty of delivery. Besides these, it might become difficult for you to manage your weight properly after delivery. You probably know that much of the extra weight goes to your baby (7-8 pounds), the extra blood and fluid volume (8 pounds), amniotic fluid (2 pounds), uterus, placenta, breast enlargement, and extra fat stores (7 pounds) in case of illness or "hard times." But in the first trimester of pregnancy the baby and her “housing” are still yet very small, and your pregnancy weight gain needs are covered with 5-6 pounds. The extra pounds you gain above these 5-6 are yours only. Don’t even consider compensating them with gaining less in the second or in the third trimester. Anyway, it gets physically improbable; even if you starve yourself you could gain weight. The question “do you gain weight the first trimester of pregnancy?” is usually posed by mothers who are concerned about their baby’s health and proper development. penis enlagement tip vimax manual penis enlargement permanent penis enargement penile enlargement penis enhancement pills review penis enargement excersizes penis enlagement technique free penile enlargment tip enlagement forum free matter penis size

KNOWING ROSACEA Rosacea is a disorder of the blood vessels. It is a common skin disorder. Approximately 48 percent of the world population suffers from Rosacea. However, Rosacea is one of the most misunderstood states of the skin. FAMOUS PERSONS SUFFERING FROM ROSACEA If you are having Rosacea, you are then in the august company of eminent persons. A few of the noted personalities suffering from Rosacea are JP Morgan, WC Fields, Cameron Diaz, Bill Clinton, Prince Harry of England, besides the late princess of Wales and mother of Prince Harry – Diana. ROSACEA SYMPTOMS The common symptom of rosacea is transformation of the skin color into red. The body portions most affected by rosacea are the cheeks, nose and forehead. At times, such redness and flushing of skin can also spread to the ears, scalp, chest or the neck. As Rosacea progresses, the reddish tinge can turn into a permanent condition. There can also be a marked visibility of the small blood vessels particularly at the skin surface, stinging or burning skin sensation, eyes turning gritty and reddish, and pus-filled or simple bumps that appear red. Among these severe symptoms are bulbous noses. The maiden rosacea symptoms are nagging redness which is often wrongly attributed to cleansing, exercising or temperature changes. SIMILAR SKIN DISORDERS Many confuse rosacea with seborrheic dermatitis or/and acne vulgaris. Mentionably, rosacea can co-exist with acne vulgaris and seborrheic dermatitis. THE ROSACEA VULNERABLE SECTION It has been generally noticed that the people with fair skin are the most vulnerable section with reference to rosacea. Therefore, rosacea does have a hereditary strain. Those having a descent from the Celtic or the fair-skinned European stocks are genetically inclined to suffer from rosacea. Notably, both the sexes can fall prey to rosacea. People of all ages can be affected by rosacea. It has also been noticed that people in the age group of 30-50 are easily affected by rosacea. Nonetheless, women in their middle ages are the most vulnerable section of the populace. The reason is, of course, menopause-abetted hot flushes. However, rosacea symptoms are more severe with reference to men. CAUSES OF ROSACEA There is no unanimity among the medical researchers as to the exact rosacea pathogenesis. Nonetheless, there is a concurrence in views insofar as to the cause of rosacea. Rosacea occurs when stimuli repeatedly dilate the blood vessels, and as a result of which the blood vessels get damaged. The damaged blood vessels dilate rather easily. Besides they either remain permanently dilated or stay dilated for a considerably long time. The consequence is redness of the affected portion and its flushing. ROSACEA PAPULES OR INFLAMMATORY PUSTULES The papule or inflammatory pustule can be I the form of a boil, or a pimple, or an eruption for that matter. In rosacea (papulopustular), the mediators (inflammatory ones) as well as immune cells ooze out from the skin bed that is basically micro-vascular by nature. This, in turn, leads to the inflammatory pustule or papule. OTHER CAUSES OF ROSACEA Various conditions can also lead to rosacea. One thing is for sure: strenuous movements cause blushing and flushing. A few of the situations where such flushing or blushing can be formed are as follows: Stress, cold weather, acute sunburn, and extreme heat exposure especially from the sun. Rosacea can also be caused by sudden changes in temperatures while traveling, or in heated rooms especially in winter. FOODS CAN ALSO CAUSE ROSACEA Certain food items that contain very high quantity of histamine have been identified as responsible for the eruption of rosacea symptoms in many people. Similarly, spicy food besides alcoholic substances can definitely trigger off rosacea. MEDICATIONS TOO CAN LEAD TO ROSACEA Several topical irritants and medications may at times cause rosacea. Take for example several drugs people take to hide wrinkles or to deal with acnes. Among these chemicals those particularly responsible for causing rosacea are tretinoin, benzoyl peroxide, isotretinoin, microdermabrasion, and certain chemical peels. Obviously, one should immediately stop the use of any such irritants the moment any rosacea symptoms appear. INDUCED (STEROID) ROSACEA The term ‘steroid induced rosacea’ points to such rosacea symptoms that are caused by steroids, particularly nasal and topical. Notably, these types of steroids are generally prescribed for patients suffering from seborrheic dermatitis. First aid: In such circumstances, immediately consult the physician. Moreover, one should begin the medication discontinuing process over a period of time. Decrease the dosages slowly. Else there may be a flare up of the rosacea symptoms. MITES & BACTERIA CAN CAUSE ROSACEA AS WELL A considerable number of rosacea people have been found to possess the species of mites known as demodex. This is more so the case with those people who have rosacea from steroids. Mentionably, the presence of a large number of these demodex mites can only cause rosacea. But, they cannot by themselves cause the rosacea condition. The demodex mites will have tom act in conjunction with other factors to be able to trigger off the rosacea states. Bacteria, especially the intestinal bacteria, can cause rosacea. These intestinal bacteria reside in our digestive highways. This is a neurological dysfunction. Such rosacea conditions can erupt after the intestinal bacteria activate the plasma kakllikrein-kinin system. THE KAKLLIKREIN-KININ SYSTEM The kakllikrein-kinin system or the kinin-kallikrein system or just the kinin system is a not well delineated structure of blood proteins. The blood proteins have a major role to play in causing pain, coagulation, control of blood pressure and inflammation. Mentionably, the major mediators of the kinin system are bradykinin and kallidin. Both of them act on different cell types. Both are vasodilators DIFFERENT FORMS OF ROSACEA Researchers have identified four forms of rosacea. Each of these subtypes can have its typical symptoms. More importantly, one person can have more then one of the subtypes at the same time. THE ROSACEA SUBTYPES The four rosacea subtypes are Ocular rosacea, Phymatous rosacea, Papulopustular rosacea and Erythematotelangiectatic rosacea. OCULAR ROSACEA Ocular rosacea mainly affects the eyes. The Ocular rosacea symptoms are burning and itching besides sensations as if there are foreign bodies within the eyes. When anyone is affected by ocular rosacea, the eyes and the eyelids turn dry and red. Irritation of the eyes and the eyelids is also very common. PHYMATOUS ROSACEA Phymatous rosacea affects the nose, ears, cheeks, forehead, chin and the eyes. Phymatous rosacea is also linked with the nose enlargement dysfunction called rhinophyma. Another disorder closely connected with phymatous rosacea is the visibility of small blood vessels near the skin surface. Other symptoms of phymatous rosacea are appearance of irregular surfaces on the skin and which may be also accompanied by nodularities. The skin can get thick as well. PAPULOPUSTULAR ROSACEA Many confuse Papulopustular rosacea with acne. However, Papulopustular rosacea remain reddish while acne do not. The common Papulopustular rosacea symptoms are papules (red bumps) filled with pus. Such bumps are called pustules. Papulopustular rosacea papules with or without pustules generally dissolve within five days. People having Papulopustular rosacea usually have permanent redness of their skin. This state is described medically as erythema. Another symptom of Papulopustular rosacea is they tend to flush or blush quite easily. Moreover, the patient can also have burning or itching sensations. ERYTHEMATOTELANGIECTATIC ROSACEA Erythematotelangiectatic rosacea causes the small blood vessels to appear rather prominently near the surface of the skin. This typical state is known as telangiectasias. TREATING ROASAEA There are various treatments for rosacea people. The strategies vary depending on the acuteness and the rosacea subtype that a particular person may be suffering from. Hence, there can be different treatments for different persons suffering from the rosacea symptoms. Hence, the dermatologists opt for the sub-type-directed method to diagnose, analyze and treat rosacea. LASER TREATMENT Laser treatment in dermatology is variously known as Broad spectrum (Intense Pulsed Light), or Single wavelength (Vascular laser). Laser treatment is one of the most popular treatment methods of rosacea. In laser treatment, light is made to infiltrate the epidermis. The light hits the skin’s dermis layer. It targets the dermis capillaries. The oxy-haemoglobin gets heated up after it absorbs the light. The process heats up the capillary walls till 70 degree centigrade. This heat destroys the capillary walls. The damaged walls are then absorbed by the body via its defence mechanism. CO2 LASER TREATMENT Focused thin beams of CO2 laser are manipulated to defocus or cut (as scalpels) the tissues. Then these tissues are vaporized. CO2 lasers are used to get rid of the excessive tissues formed by phymatous rosacea. In this method, our skin directly absorbs the CO2 lasers wavelength. SIMPLE STEPS TO TACKLE ROSACEA (i) Gentle skin cleansing regime Always deal with the skin gently and lovingly. Go for only those cleansers that are non-irritating. (ii) Shielding skin from sun Never venture out in the sun-bated beach sans protection shields. Regularly use sunscreens. Choose such a sunscreen that consists of a physical blocker agent. Such active blockers are titanium dioxide or zinc oxide. (iii) Trigger avoidance It is important to maintain a diary of the foods and the climatic or other factors that generally lead to rosacea. In fact, The National Rosacea Society promotes this habit. This approach also goes a long way in identification and reduction of the triggers. Moreover, trigger avoidance is ideal to control the onset frequency of rosacea. But, all alone it cannot check rosacea. Nonetheless, the mild rosacea attacks can be effectively checked if a patient avoids the factors that triggered off the rosacea symptoms. One can get flushing after consuming red wine or food items having high quantities of histamine. Then, go for antihistamines. Some common antihistamines are loratadine or cetirizine. (iv) Eyelid hygiene Eyelid hygiene is especially recommended for persons complaining of eyelid infections. Practice eyelid hygiene frequently. Here are some easy eyelid hygiene steps. Gently scrub the eyelids daily; You can use baby shampoo in a diluted form; Or, you can also opt for any across-the-counter eyelid cleaner. Apply the cleaner in warm compresses. But, mind you, never should it be hot. Carry on the practice several times in a day. MEDICATIONS (ii) Topical & Oral Antibiotics To get instant relief from the rash, redness, inflammation, pustules and papules, you can go for topical and oral antibiotics. An effective topical antibiotic is metronidazole. Similarly, ideal oral antibiotics are the tetracycline antibiotics. Some examples of tetracycline antibiotics are minocycline, doxycycline, and tetracycline. The oral antibiotics are rather effective in treating ocular rosacea symptoms. Isotretinoin is generally given to patients who complain of persistent pustules or papules. However, there are several side effects of isotretinoin. Therefore, isotretinoin is prescribed only in acute situations. It is also given to treat acute acne. Nevertheless, for patients suffering from phymatous and papulopustular rosacea, low dosages of isotretinoin have been delivering the goods. BETA BLOCKERS OR α-2 AGONIST The commonly used α-2 agonist is clonidine. It is helpful to deal with blushing and flushing. But it has side effects. One can feel drowsy or/and one’s blood pressure may also plummet. So, to neutralize this effect, one can use monoxidine as an alternative. Monoxidine has lesser side effects. But many do not find it as effective as clonidine. Propanolol is an ideal beta blocker. It is akin to α-2 agonists. And, it has been found to be effective in dealing with recurrent social blushing rather than the general rosacea flushing. 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After years of togetherness, does your sex life still pack a wallop? Can you and your partner still orchestrate a truly wonderful physical relationship? Or has the spark begun to flicker? Perhaps gone out altogether. Expand your horizons. Sex is not just the penis and vagina. There is a whole array of erogenous zones you may never have explored – from the mouth and the ears to the love button and the underside of the feet. Here are the ways and suggestions to re-ignite passions that can help you light a new fire even if all you see right now is the valiant flicker of dying embers! Foreplay It is the basic part of whole love making experience. Long and sensual foreplay will give you the experience of the best sexual encounters. It will definitely increase the pleasure for both the partner and makes you sexually satisfied. Foreplay gives the man proper erection while women need foreplay to become properly lubricated. When the requirement of both the partners fulfilled they can proceed after having aroused completely. Foreplay includes kissing, undressing, patting and much more according to your thoughts. Take a new look at sex Remember that sex is not always orgasm on demand; it is not even always intercourse. If you can get rid of this mind-set, you may well find that other kinds of passion play bring equally satisfying arousal. Try a sensuous massage. Clean up your act How can you expect the loving to be great when you get into bed with the same sweaty T-shirt you have been wearing all day; or with your breath reeking of onion; or underarm fuzz? Cleanliness is next to sexiness. When you are freshly showered and powdered/perfumed, you feel more sensual. So, get fresh. Give and receive Take turns in being the aggressive partner. If you have always been the one to indulge in all the foreplay, try giving your partner a chance to make some of the move. Not by saying, “Why don’t you…”. Instead, kiss or touch him/her. Then retreat – that gives your partner a chance to respond. Try being a passive partner now and again – you will realize what you have been missing. Tell you partner what you like You assume you know what your partner enjoys in bed – although you may never have asked him/her. You also assume your partner knows what you enjoy – although you have never told her/him. If you try talking about each other’s desires, you might find a few surprises in store. Finally take it easy Lovemaking should be leisurely, relaxed, not a goal-oriented performance. Sex is not a circus, and you are not a performing flea. If you analyze, decode and dissect each move and every response – such as whether she sighed yearningly enough, or whether his erection lasted long enough – you will forfeit all the enjoyment. Overall, if you follow the above tips, you will have a more pleasing and enjoying sex life. Find more information visit: Sex Tips