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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 penis enhancement drug do penile enlargment pills really work vimax prosolution penis enlargement pills pennis enlargement secret cheap penis enhancement pills get vig rx penis enargement surgery picture free penis elargement tip

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Most of these problems are usually related to using high dosage or individual genetics. For convenience we’ve divided the potential side effects into those experienced by men, women, and teenagers. Men - Although anabolic steroids are derived from the male sex hormone, testosterone, men who take them may actually experience a "feminization" side effect along with a decrease in normal male sexual function. This is because one of the metabolic breakdown products of testosterone is the female hormone, estrogen. Some possible anabolic steroid side effects in men include: Reduced sperm count Impotence Development of breasts Shrinking of the testicles Difficulty or pain while urinating Women – It’s not surprising that women who take the drugs may develop masculinizing effects. These include the following: Facial hair growth Deepened voice Breast reduction Menstrual cycle changes Clitoral enlargement Both sexes - With continued use of anabolic steroids, both sexes can experience the following anabolic steroid side effects, which range from the merely unsightly to the life-endangering. They include: Acne Water retention Rapid weight gain Clotting disorders Liver enzyme irregularities Elevated cholesterol levels Tendon damage from proportionally stronger muscles Mood swings Teenagers - anabolic steroid side effects can pose several serious health side effects in teens. Anabolic steroids have been known to fuse the growth centers (epiphyseal plates) in teens’ bones. Once these growth plates are closed, they cannot reopen so adolescents that abuse anabolic steroids may end up shorter than their natural genetic height. Anabolic steroids have also been known to cause severe mood swings. This could have severe consequences in many teens as this age group is characterized by naturally occurring behavioral changes. Although not conclusive, there have been a few cases where anabolic steroids may have contributed to suicide in a few teens. It’s because of these serious anabolic steroids side effects that teenagers should under no circumstances use these drugs. Are anabolic steroids addictive? Although the evidence is limited it is possible that addiction may be one of the most serious of anabolic steroids side effects. Recent evidence suggests that long-time users of anabolic steroids and steroid abusers may experience some of the classic characteristics of addiction including cravings, difficulty in stopping steroid use and withdrawal symptoms. As the research is limited, it’s not known if the symptoms of addiction are psychological or physiological in nature. For those who use anabolic steroids, coming off the “juice” can be very traumatic as they begin to lose muscular size and strength. This loss of a key component of their identity can leave them suffering many of the same symptoms and side effects as those using common street drugs. How to minimize the risk of anabolic steroid side effects Given that anabolic steroids are illegal in many countries, it’s probably a good idea to avoid them altogether. If you do decide to use them, the following tips will help you reduce the risk of side effects: Use oral steroids as sparingly as possible. They have been chemically modified to survive the digestive system and hence much harder on the liver. Never stay on a steroid cycle for more than 6 to 8 weeks. Never use any steroids that have a questionable manufacturing background. Beware of the blackmarket. At the first sign of any serious side effect (chest pain, blood in urine, etc), stop all steroids and see a physician. Article 02/01 2006 penis enlarement supplement prosolution penile enlargment pills pnis enlargement program natural penile enlargement and lengthening herbal penis enlargement pill penile enlargment technique vimax penis enlargement traction device guide to penis enargement prosolution penis enlargment pills

Genital warts are the most common type of sexually transmitted diseases. Warts appear around genitals and the anus of men and women. In women the warts occur outside or inside the vagina, or around the anus. In men they are found around the penis or anus. A genital wart often occurs in groups and can be very tiny or can accumulate into large masses on genital tissue. A virus called Human Papilloma Virus (HPV) causes genital warts. There are 100 types of HPV are present but over 30 of these can infect genital tract. The types of HPV that infect the genital area are called genital HPV. This virus infects 50 percent of sexually active men and women. There are two types of HPV: high risk HPV and low risk HPV. High risk HPV can cause cervical cancer while low risk HPV often cannot be detected because it does not show symptoms. Since it does not show symptoms, the risk of transmitting this low level HPV is higher. That is because you could have the virus but not even be aware of it. Therefore, check with your doctor regularly to find out how you are doing in the sexual health aspect of medicine. The most common avenue of transmission is through intercourse with an infected person. About two-thirds of those having sexual contact with an infected partner will develop warts, spread during vaginal, anal, or oral sex. Their mother can infect infants during the childbirth. According to the American Social Health Association, there are over 5 million new cases of genital warts infections reported every year. vimax penis enlargement operation top penis enargement pills pennis enlargement secret penile enlargment surgery photo manual pennis enlargement penis enlargement pill magna rx penis enargement excercises best penile enlargement surgery prosolution penis enlargment pills

One of the most effective contraception methods used today is vasectomy where the vasa deferentia are severed and sealed. With this, semen will be devoid of sperms so that women don’t get pregnant on ejaculation. However, as vasectomy is an irreversible procedure, its pros and cons have to be considered before opting for it. It is usually the man who has been married for a minimum of ten years that opts for vasectomies. It should be opted for if both the man and wife are content with the number of children they have, if the partner is unable to or cannot use any other birth control method or if the partner has a health problem where pregnancy is not advised. However, it is better to forget about vasectomy if you have an unstable relationship, is not certain of having any more children, single, divorced or separated or is doing it just to please the partner. Sometimes men opt for vasectomy due to stress like an illness, financial problems or a death. However as this stress is temporary, it is better to have some counseling before making the final decision. Always think deeply about the consequences of vasectomy with your partner before deciding on it. Some men worry that vasectomy may make him less of a man; this is not so as sterility has no effect on virility. There is no change on male characteristics, sex drive, the ability of getting an erection or the volume of an ejaculation with a vasectomy. It is not advised to take any aspirin, ibuprofen or ketoprofen two weeks after and before the operation as they thin the blood and cause bleeding. Acetaminophen is the preferred choice for pain relief. Vasectomy is basically an out patient procedure where the patient is awake during the surgery. Local anesthetic is injected into the scrotum wherein a slight sting is experienced before the area gets numb. No pain is experienced during the surgery, except for slight tugging and pulling. After the surgery, the incisions are bandaged and jock strap used for holding bandages in place and applying of pressure. An ice pack can be placed on the scrotum for relief from swelling. With the wearing off of the anesthetic, pain and cramping may be experienced which can be relieved with acetaminophen. The patient is advised rest after the operation. Stitches dissolve in about ten days’ time. It is not advised to bathe and swim for two days; no sports and heavy lifting for a week. However, if on a desk job, work can be resumed when the patient feels up to it. Remember, though it is possible to have sex about three days after vasectomy, it is still possible to father a child in this period as there may be sperms in ducts to the penis. It takes about 20 ejaculations to flush this sperms out. There may be some complications with vasectomy like bleeding in the scrotum, infection, scrotal pain or inflammation. The doctor should be approached if any of these symptoms develop. vig rx review penis enlargment pill pro solution penis enlargement supplement penis elargement before and after pennis enlargement drug herbal natural penis enlarement penis elargement surgeries homemade penis elargement prosolution penis enlargment pills

Looking for someone else? One of the biggest complaints I hear from women is that their partner, boyfriend, husband, whatever bought them the biggest vibrator or dildo that they had ever seen. And while the common thought is that bigger is better, this isn’t always the case for every woman. Some women aren’t designed for that kind of load capacity, so you’re going to need to think a little more compact, perhaps. Shoving something big into something that is small isn’t pleasurable in the least bit. And the sad part is that a lot of the women won’t even say anything because they don’t want to offend your choice. Why make these poor ladies suffer? Be sensible about size unless you know she can take it! For some os us, bigger is indeed better... Look at yourself. Yes, unzip your pants and look at what your woman is already accustomed to feeling inside her. Be honest, this isn’t the time to start bragging about the size, length, whatever, no one is looking but you. That’s the size that you want to choose for a vibrator for your woman. Slightly bigger is okay too, but don’t go for the foot in diameter version. Her eyes may widen when she sees it, but that’s in fear, not anticipation. Looking for yourself? A penis pump can be a great way to stimulate yourself when you’re flying solo for a while, but you have to give this purchase a little thought as well. A lot of these pumps are not designed for all sizes of men. You want to read the package carefully to see what the design is. Sometimes there is a cup at the end of the penis pump that will catch your juices as well as stimulate the tip of the penis. Be a little wary of the texture that a pump has - it can be irritating if the material sticks to places where it just shouldn’t stick. So use LOTS of lube! Does that still seem stimulating? The lashings of lube sensation can be very different if you haven’t tried it… If you’re here online, you’ll want to read the reviews on the site. These folks aren’t paid to give their opinions, so you’re sure to read the truth. And if you’re still not sure about the product, ask! The touch, the feel of vibrators When it comes to vibrators, the material can make all of the difference. It can be smooth or textured in the same way as a real penis. There are also others that come with special textures and grooves for her ultimate pleasure. These are supposed to hit the g-spot and though each woman is different, they can help in other ways. If you end up buying a vibrator, a little lube can help here as well. The extras that matter Oh, and I almost forgot— why not find a vibrator that’s waterproof and has a lot of speed settings. Waterproof comes in handy because it can be used in pools and bathtubs. And who wouldn’t like a little pick me up in the morning shower? Or for the ultimate private experience, use the (waterproof models only!) vibrator in the tub—it’s ultra quiet and discreet. Speed settings help to control the pleasure of the experience, plus the vibrator can then be used on the clitoris as well. With a little lube and a good vibrator, the woman can feel waves of orgasms—repeated over and over. Yes, multiple orgasms are possible—especially with a good vibrator. And when the man has picked out a great vibrator for himself or for his partner, they’re going to be thanked in very special ways. For more information about lingerie please have a look at this link:Exotic Lingerie | Blouses See Thru