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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. 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Happiness and sexuality may not be grossly proportionate to each other but a healthy sex life can definitely be the source of happiness. For a happy sexual life, it is necessary to take adequate care of our physical and sexual health. But many content relationships find themselves in the dock when one of the partners is diagnosed with a sexual dysfunction. Latest studies have indicated the emergence of sexual dysfunction in women termed Female sexual dysfunction (FSD) and says that 50 percent women over the age of thirty faces the risk of sexual dysfunction. But in most cases it is the male sexual dysfunction which has reached alarming levels affecting millions across the world. The most significant among them is erectile dysfunction or impotence. As commonly believed, any problem related to sexual life like, lack of sexual desire, premature ejaculation or problem with orgasm is considered to be impotence. But in reality, impotence or erectile dysfunction is the inability in a man to achieve or sustain an erection necessary for sexual activity. An occasional failure in having an erection cannot be judged as erectile dysfunction. It is diagnosed so if maintaining an erection becomes a consistent problem for a prolonged period of time. Men suffering from impotence are too embarrassed to speak about their sexual dilemma and they live under continuous stress fearing rejection by their loved one. Such situations can jeopardize many relationships. So talk to your partner because, problem shared is problem halved and you can definitely win over impotence. Consult your physician and seek out an amiable treatment. Though medical experts and researchers all over world have been trying out various forms of treatment but the most popular and widely accepted treatment has been with the oral prescription drug Viagra. Since its FDA approval and introduction to its consumers in 1998, Viagra has successfully managed to acquire their trust both with its effective qualities and cheap prices. But the main ingredient present in Viagra which is mainly responsible for treating erectile dysfunction is its chemical component Sildenafil citrate. It works by relaxing the penile arteries hardened due to arteriosclerosis and improves the flow of blood to the penis on sexual arousal thus facilitating erection. Viagra is the most publicized drug in its category and its popularity can be assessed by the number of websites providing information on Viagra online. These Viagra online information sites not only provide all information and latest research studies but also cater to free consultations from medical experts. So if you are embarrassed to see a doctor in person you can seek the help of the online medical experts but it is advisable to use Viagra only under medical supervision. Moreover, you can buy Viagra from online pharmacies with the click of a mouse in the privacy of your home. Viagra can definitely transform your sexual dilemma for a happy and content sex life. penis enlarement tool do penile enlargement pills really work penis enlargment drug vimax enlargement free penis pills sample penile enlargment program penis enlargement tool free exercise tip for penis elargement penile enlargement before and after penis elargement before and after

Unsatisfactory Sex-Life...is an Important Reason for People to Go For “Extra-Marital Relations” or “Divorces” Introduction In a Country where using the word “Sex” itself is a big taboo; where anyone talking anything below belt is consider as a “Character Less” person, how can one talk about “ Love Making”? I agree that ours is a country which gave to this world “the art of love making” through pictorial presentation of “KAMASUTRA” but we still hesitate and feel shy, when one is asked to explain those positions. Just look into your “Sex Life” and see if what you are doing in “Love Making” or it is just a “Lust”? Are you having “fun” while making-love or you are just “inviting in” or “inserting in” as “fire” there is not bearable? This article is prepared with the inputs from 467 people across the country and out-of them around 287 where females and among them 261 had experienced “Love-Making”. Most of these ladies did mentioned that in their married life...it is just “Roll-on; Roll-Off and Sleep”. There is no doubt that “Physical Relations” are important for the long-lasting “love-relations” between couple. Unsatisfactory Sex Life can lead to “Extra-Marital Relations” or “Divorces”. Lets discuss about it. Why “Love-Making” is important? What is the importance of “Foreplay” is satisfactory “Love Intercourse”. After the game is over, what is that a male or female expects from each other? And things like that. Lets being with “KAMASUTRA”. History...behind KAMASUTRA The KAMASUTRA history leads us back to the ancient India, between the 1st and 6th centuries (although the exact year of its writing still unknown). Considered by many specialists as the most important and influent book on the human sexuality, the KAMASUTRA (which was actually written by Vatsyayana, a scholar on Indian traditions) is today commonly mistaken as a plain and simple compendium of sex positions, or a manual to the art of sex. Other than that, the KAMASUTRA is a real document of an important part of Indian customs and traditions, showing many thoughts and ideas that still fit in our today's society values. There are, indeed, descriptions and paintings of sex positions on the original KAMASUTRA. The author Vatsyayana regarded lovemaking as being much more than physical encounter, but also an important spiritual act of love and learning, a "divine union" as the author refers on the book. He considered that there were only eight possible sex positions, multiplied by eight. The total amount of 64 sex positions being called "The 64 Arts". However, only about 20% of the KAMASUTRA was dedicated to sex positions, and the rest is in fact a compendium on insights about the relationships between men and women and in the ancient India's social and religious life. The KAMASUTRA only reached the Eastern civilization in 1883, thanks to Sir Richard Burton, who wrote the first English translation for the book. Since then, other two key translations from the original KAMASUTRA in Sanskrit were made: one in 1970 by Indra Sinha and the most recent one by Wendy Doniger in 2002. However, we may find plenty of "unofficial" translations focusing only on the sex positions (and including several positions not listed on the original), specially on the Internet. Most of these versions have little in common with the original KAMASUTRA. KAMASUTRA in its true Sense For many people – especially in the Western world - KAMASUTRA is merely a collection of different love-making positions, a combination of acrobatics and pornography. But for the Eastern mind, the true meaning of KAMASUTRA reaches beyond this purely physical interpretation. For them, sex – in all of its forms - is sacred. It reproduces the ultimate creative act, the union of the masculine and the feminine cosmic principles. Sex is the cause of the creation and manifestation of the universe. According to Tantra, sexual intercourse, however trivial it may seem, is sacred, cosmic (even when the lovers do not acknowledge this fact, which is usually the case). When doing the asanas (the yoga positions adopted for the ritual), tantra seeks to "divinize" the couple and their sexuality. Without this spiritual element, KAMASUTRA and Koka Shastrano wouldn't evoke divine rituals. These two treatises aim to increase sensual voluptuousness. To this end, they propose several sex techniques, with a focus on love-making positions. In fact, the asanas, or traditional positions for joint meditation, are specific and scarce. Tao teachers have chosen the most comfortable positions for prolonging intercourse, sometimes even up to two hours without having to move much, for this would hinder interiorization during divine intercourse. They are usually so comfortable that complete physical and mental relaxation is achieved, and alternative consciousness levels, or even sleep, can be reached. The asanas must also favor magnetic interchange of vital energy, and facilitate control over ejaculation and the body's health. Tantra dismisses (at least at the beginning) the most common position used in the Western world - the so-called "missionary position" (Uttana bandka in Sanskrit), in which the man lies over the woman. This position is rejected by Tao followers because it does not facilitate control. Famous Love-Making Positions Genital Sex: -Missionary Sex Position: The most famous and common position: man on top and woman at the bottom, with her legs spread, there is direct penetration; -Feet on his shoulders Sexual Position: While man is kneeling, the woman rests her legs on his shoulders; From Behind: -Leapfrog Sex Position: It looks like the doggy position, but here, the woman's torso is lower; -Spread-Eagle Sex Position: While the woman is laid and facing down, the man must be on top; Woman on Top: -Cowgirl Sexual Position: With the man lying down on his back, the woman sits on top facing him; -Reverse Cowgirl Sex Position: The same as above, but in this position the woman faces away; Sitting and Kneeling: -Black Bee Sexual Position: The man sits on the floor with her hands behind him. The woman sits on top, with her hands on his shoulders; -Watching the Game Sex Position: Man sits in a chair and the woman sits on top of him, face-to-face; Standing: -Wheelbarrow Sexual Position: The woman must be lifted by something, so the man penetrates her, standing; -Stand and Carry Sex Position: While the man, standing, holds the woman, she wraps her legs around his waist and holds on his shoulders. What is Foreplay and what is its importance in “Satisfactory” Love-Making Foreplay consists of sexually stimulating activities that usually lead to intercourse. Since it generally takes women longer to physically become ready for intercourse, foreplay is important in ensuring that the female partner will find lovemaking as satisfying as the male. As foreplay intensifies and a woman becomes increasingly sexually excited, she experiences physiological changes: The labia gradually become swollen and turn a deeper color of pink, the vagina secretes a lubricating fluid that makes insertion of the penis easier, and her nipples harden. For a man, foreplay generally strengthens an erection and increases the urge to have intercourse and ejaculate. Some Basic Techniques Considered as Foreplay are : Kissing and deep kissing on the mouth and across the body Stroking the erogenous zones Fondling the breasts Nipple stimulation and sucking Sensual massage Frottage (rubbing) and digital manipulation of genitals Oral sex Strip tease Lap dance Body painting Showering together Use of vibrators and other sex toys There is no time limit to foreplay. And some couples routinely engage in foreplay that does not lead to intercourse and ejaculation. However, most consider foreplay the appetizer and intercourse the main course. In any relationship where sex is involved, foreplay can be almost as important as if not necessary for the actual sex act to occur. Technically I think of foreplay as any activity that occurs as a precursor to the sex act that has the intent of increasing the level of excitement in your partner and yourself or for preparing one another for the sex act. After discussing about “KAMASUTRA”...”Various Positions involved” in love-making...and importance of “Foreplay” ...lets share what male or female want from each other...after sexual intercourse Most of the people just sleep over without even asking their partners as how they feel or what they want. As a result they feel dejected and hurt. So, what males like after sex? After asking many a man what he likes to do after making love, taking a nap topped the list by a landslide, and having a snack came in at second. Now, in a man's ideal world, every woman would get up after lovemaking, prepare a warm snack for her man and then stroke his hair while he takes a long nap. And although there are women out there who do comply with such a request, chances are it won't become the post-sex routine you're hoping for. It just ain't going to happen. Relationships are about give and take, and while giving her an orgasm and taking a nap fit the rhetoric, that's not the way it's going to be. Recent statistics released by the University of Chicago also reveal an important fact: Married men, and not their single counterparts, are the most physically and emotionally fulfilled when it comes to sex. They say that the feelings of sharing have never been stronger than in the moments that follow sex. Which isn't to say that both men and women don't complain of spouses who get out of bed too quickly to wash up, or go back to chores, or turn on the TV, or roll over and fall asleep. They just want to talk about each other...not about their kids or relatives etc. It should both of them. For many men, the loss of an erection after sex can also beckon the loss of a bond, a shrinking and even shirking away. Want some useless words of advice? Try not to take it personally. If your husband's haste to jump out of bed upsets you, therapists recommend looking at the act of lovemaking as a process that can start as early as dressing for dinner and not conclude until you're both emotionally ready to end your intimacy. The word postcoital implies there's something that happens before and something that happens after, and that there is an it. All there is is a whole. Now, what is that a female want after “Sexual Intercourse”? I can't pretend to know what every single one wants after sex. The desires range from cuddling and talking to being left alone and being fed. But from what I could gather, touching definitely topped the list. They want to cuddle. It's no secret; just about every woman loves it when her man finishes doing his thing only to flip her around and hug her in the spoon position. That's the goldmine of affectionate actions. Flipping her around isn't even necessary, but chances are that some kind of bodily touching may be. Why? Well, because sharing in a very sacred experience with a woman likely leaves her feeling vulnerable. And something as small as wrapping your arm around her can make all the difference. They want to talk. Although many guys aren't big fans of the "cuddle," there are even less men around who want to talk once the deed is over. But if she wants to talk, you may have to keep your ears open and listen up. Chances are that she will likely talk about what went down -- especially if you had her yelling out like a banshee. And I'm quite sure that your "stork able" ego will overtake your need for some shuteye when it comes to such a topic anyway. She may pamper you by saying, “Let's do it again”. If she's still raring to go after the first round, chances are she'll be all over you, doing her best to let you know that the evening call for a second round. Between playing with herself and stroking your penis, you may just find yourself going into round two before you know it. But if you're older and more comfortable in your relationship, chances are that you may not be as easily aroused for round two, and, of course, that isn't your fault. Add that to the fact that you probably did all the work and it's quite possible that your little man won't be good to go right away. Conclusion “Love-Making” is a process. There is a beginning...there is Delivery and then there is an end. More than “just” physical, it is an emotional bonding. And let me tell you, if people are going for “Extra-Marital Relations” one of the main reason for that is “Unsatisfactory” Sexual Relations. Even law says that unsatisfactory “sex relations” is a valid reason for divorce. 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It was damaged and no amount of natural voodoo hocus-pocus was about to fix them. After many weeks of ignoring the truth, it had become glaringly apparent to me that it was time to go under the knife. Conventional medicine beckoned! I sat like a bump on a log in the examining room. My mind occupied by the fact that I was being yanked out of regular school and sent to prep school. I wasn't a very reliable student. Just as I was about to pull out an apple from my pocket, the doctor walked in. He asked two questions and said, "That's an ACL tear." "What's an ACL?" I meekly asked. "You're anterior cruciate ligament. You see, the ligaments that run…" I tuned out as he began to rub his knuckles together to explain how the ACL functions. "Oh." "Let's check you out." Medically speaking. He took my leg and placed it between his arm and chest and began to push and bend the leg towards me. "Feel that?" "Yes." "That's your ACL giving way," I tried every way to weasel my way out of it. I asked the specialist if it could be rehabilitated through physiotherapy. That sound you hear is the exaggerated laugh of my doctor. Once he regained his composure he said curtly, "No. Judging by my examination it's completely torn." I tore it nine times. That was that. More impressively, he accurately deduced all this without the benefit of a MRI. I was 18 years old and already washed up. A soccer player has-been before it ever began. Nonetheless, if I wanted any shot at an active life the knee had to be sliced open, stapled and stitched. My decision was made. While wearing those girly gowns I had a choice of a full anaesthetic or an epidural. Italian or Ranch? "What's the difference? I asked. "Under a full anaesthetic you are asleep throughout the surgery. With an epidural we freeze from the waist down. You can witness the whole thing," the doctor explained. I decided to go for the epidural. Ring side seats to my own repair. All I was missing were some peanut M&M's. "Ok, Alessandro. Here we go. It's the right knee," the doctor tells the nurse. What? It was the left knee! Is he mad? "Kidding," he said. I was not amused by his childish wink. The anesthesiologist was young and talkative. Reading my chart he asked, "Nicolo? Do you have a sister?" "I have two." "What are their names?" "Maria and Giovanna." "Maria! She went to Laval Catholic High School right?" "Yes. So did I." "Wow. I knew her. She was going out with Joe, right?" "Yeah. She married him. Not to sound like a smart ass but I'm about to lose a knee here and my ass is exposed." "Ha, ha. You're sister was pretty funny, too. Ok, here's how this is going to work. I need you to curl up and place your head between your knees. Whatever you do, don't move. It can cause spinal damage. Ok?" "Got it." I cracked. I looked back. I saw the needle. It was as big as a lobster. I fainted. "I told you not to look back." "I know. Sorry." A nurse came over and held my head down. I was now injected. "Pretty soon you won't feel a thing." "How will I know?" "You won't feel your penis," Dr.Seinfeld interjected. "Yeah right" Within minutes he asks, "So, can you contract your penis?" I tried. Boy did I try. I even burst some capillaries. My eyes turned purple I strained so hard. For some reason my fear entertained the nursing staff. I began to wonder what life would be like without the use of my penis. I secretly began to panic. Alternatively, I always dreamed of making love to a nurse on an operating table. Not today. "Ok, Alessandro. You can watch the whole thing on the screen up above and to your right. Sit back and relax." Just then he raised my leg. It didn't look like mine. It was orange and listless as he manipulated it however he saw fit. The iodine made it looked like road kill. I fainted. "Are you going to be ok?" "Yeah, no sweat." "Ok," the doctor said unconvincingly. Lying back on my elbows I was sure the worse was over. So I fainted twice. Big deal. Until…. I swear there was blood everywhere. Like that scene in The Shining where Danny sees the twin girls. A flood of blood buckets. The nurse handed the doctor a tiny square shaped cloth to apply on the incision. I fainted. I could overhear the doctor say, "Give him a sedative." It was just what the doctor ordered. I never felt so composed in my life. I don't remember much about the surgery but I do remember him pointing to the torn ligament. It looked like a torn Kleenex. Soon the doctor proclaimed, "That's it. We're done." A couple of weeks later I visited the doctor to check up on my wound for the first time. The knee felt extremely tight and my leg had been reduced to a mere twig-like limb. He began to remove the bandages. I felt woozy. Finally, he reached the knee. One look was all it took. I fainted. My mother looked at me as she handed me a glass of water. "You're such a wuss." It took months of rehab, but fixing the knee gave back my athletic life. I was active once again. Psychologically, I'll never be the same but there is no doubt that if one plans to lead an active life surgery is a necessity when it comes to the ACL. When I tore my right knee16 years later it took me seconds to make my decision. On the operating table the anesthesiologist suggested an epidural. I chuckled and said no. I wanted to get out of there with some dignity. I may have even dreamt of that sweet girl as I frolicked with her on the beach. Needless to say, I didn't faint.