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Many people assume they need to consume Alcohol to have Good Sex? For most Americans, consuming alcohol seems to be part of our cultural heritage. We drink at weddings, funerals, birthdays, and pretty much to celebrate anything and everything. We learned from a young age by watching our parents and other adults, that drinking is a sign of maturity. Many people, especially young adolescents, expect that alcohol use will lower tension and anxiety and increase sexual desire and pleasure in life (Seto & Barbaree,1995). About 1 in every 7 adults in the United States meet criteria for alcohol dependency, according to a large NIMH epidemiological study (Grant, 1977). Men are four times more likely than women to be heavy drinkers and are twice as likely to be alcohol abusing or alcohol dependant. Most males and many females find it difficult to imagine not drinking any alcohol at least on weekends and find it almost impossible to think of having sex without previously having a few drinks. These fundamental values appear to be deeply embedded in our culture. Somewhere along the line, we got the message that we need alcohol to have good sex. Does Alcohol Enhance or Hurt our Sexual Performance? I recently heard a stand-up comedian refer to the term, “Whiskey – Dick” when describing his “friends who had drank too much and had difficulties with orgasm even while using Viagra. Shakespeare once said that excessive drinking, “provokes the desire but takes away the performance.” Alcohol reduces inhibitions and gives us a mellow feeling. It makes us more relaxed and more talkative. It can make shy people fe//el confident and bold. These effects can facilitate our sexual desires by developing our social skills. However, these positive effects are only present in the early stage of intoxication i.e. when we’ve consumed 1-2 drinks (assuming you haven’t already developed a tolerance for alcohol). Sexual Impotence On the other hand, alcohol’s negative effects on sexual performance have been widely documented. Men and women who have several drinks may find it very hard to achieve orgasm. Difficulties with achieving orgasm after alcohol consumption can be understood because alcohol dilates small blood vessels all over the body so that there is less engorgement of blood in the sexual organs. This leaves the penis flaccid or only partially erect so that sexual penetration is difficult. Women may find that they have decreased vaginal lubrication making sexual intercourse unpleasant and sometimes painful (Raff, 2006). Impotence is the constant inability of a man to maintain an erection for sexual purposes. It is estimated that impotence affects over 30 million men in the United States (NIHCS, 1992). Masters and Johnson, identified alcohol as a common factor in impotence in their monumental work on human sexual inadequacy. Alcohol damages the central nervous system and destroys brain cells, and if the damage is prolonged enough, it can result in irreversible sexual impotence even while a person is sober. Alcohol is also a factor in loss of sexual control or premature ejaculation. Even a couple of beers before sex can spoil a man's erection and ruin his ejaculatory control. Up to 80 percent of men who drink heavily are believed to have serious sexual side effects, including impotence, sterility, or loss of sexual desire. Heavy drinking over a long period of time can irreversibly destroy testicular cells, leaving men with shrunken testicles. Both sexual drive and sexual capacity can be damaged. Alcohol also suppresses testosterone levels even in social drinkers by suppressing the secretory activity of the Leydig cells (Flatto, 1990). Alcohol and High-Risk Sexual Behaviors A history of heavy alcohol use has been correlated with a lifetime tendency toward high-risk sexual behaviors, including multiple sex partners, unprotected intercourse, sex with high-risk partners (e.g., injection drug users, prostitutes), and the exchange of sex for money or drugs (Windle,M.,1997). There may be many reasons for this association. For example, alcohol can act directly on the brain to reduce inhibitions and diminish risk perception (MacDonald,T.K.,2000). However, expectations about alcohol’s effects may exert a more powerful influence on alcohol-involved sexual behavior. Studies consistently demonstrate that people who strongly believe that alcohol enhances sexual arousal and performance are more likely to practice risky sex after drinking (Cooper,M.L.,2002). Some people report deliberately using alcohol during sexual encounters to provide an excuse for socially unacceptable behavior or to reduce their conscious awareness of risk (Derman,K.H.,1998). According to McKirnan and colleagues (McKiran,D.J.,2001), this practice may be especially common among men who have sex with men. This finding is consistent with the observation that men who drink prior to or during homosexual contact are more likely than heterosexuals to engage in high-risk sexual practices (Avins,A.L.,1994). Alcohol and AIDS People with alcohol use disorders are more likely than the general population to contract HIV (human immunodeficiency virus) - the agent that causes acquired immunodeficiency syndrome (AIDS). Similarly, people with HIV are more likely to abuse alcohol at some time during their lives (Petray,N.M.,1999). Alcohol use is associated with high-risk sexual behaviors and injection drug use, two major modes of HIV transmission. What are signs of problem drinking? The primary signs of problem drinking are: Having health, legal, social, academic or financial problems as a result of drinking. For example, missing class or work because of drinking or hangovers, not be able to have fun or express oneself without drinking, fights or problems with roommates or significant others, spending excessive amounts of money on alcohol, blackouts/passing out, trips to the ER, being defensive when someone mentions your drinking, needing to drink more to achieve the same effects (tolerance), frequently drinking with the primary purpose of getting drunk, and/or repeatedly driving under the influence. These are only guidelines and each case is different. If you're concerned about your drinking or a friend's drinking, get more information! Screening for Alcohol Dependence Screening tools are available to assist counselors and therapists with diagnosing alcohol abuse and dependence such as the SMAST below. Short Michigan Alcoholism Screening Test (MAST) 1. Do you feel you are a normal drinker? (By normal we mean you drink less than or as much as most other people.) 2. Does your wife, husband, a parent, or other near relative ever worry or complain about your drinking? 3. Do you ever feel guilty about your drinking? 4. Do friends or relatives think you are a normal drinker? 5. Are you able to stop drinking when you want to? 6. Have you ever attended a meeting of Alcoholics Anonymous? 7. Has drinking ever created problems between you and your wife, husband, a parent, or other near relative? 8. Have you ever gotten into trouble at work because of drinking? 9. Have you ever neglected your obligations, your family, or your work for two of more days in a row because you were drinking? 10. Have you ever gone to anyone for help about your drinking? 11. Have you ever been in a hospital because of drinking? 12. Have you ever been arrested for drunken driving, driving while intoxicated, or driving under the influence of alcoholic beverages? 13. Have you ever been arrested, even for a few hours, because of other drunken behavior? Individuals that answer – Yes to three or more questions indicate probable alcoholism, two yes answers indicate probable alcoholism, and fewer than two yes answers indicate that alcoholism is not likely (Selzer, M., Winokur, A. & Van Rooijen, C.; 1975). Note: If after reading the above, you started rationalizing to yourself, “Well, I can stop drinking anytime I want to, but I usually stop when I run out of money.” (As my old graduate professor use to say) STOP BULL-SH#%ting yourself and go see a certified alcohol counselor. Co-morbidity & Alcohol Dependence Alcohol abuse and dependence are among the most destructive of the psychiatric disorders (Volpicelli, 2001). Addictions such as alcohol dependence and other addictions as a rule do not develop in isolation. Over 37 % of alcohol abusers suffer from at least one coexisting addiction and/ or mental disorder (Rovner, 1990). Individuals can shift from one addiction to another or sustain multiple addictions at different times. The National Co-morbidity Survey (NCS) that sampled the entire U.S. population in 1994, found that among non-institutionalized American male and female adolescents and adults (ages 15-54), roughly 50% had a diagnosable Axis I mental disorder at some time in their lives. This survey’s results indicated that 35% of males will at some time in their lives have abused substances to the point of qualifying for a mental disorder diagnosis, and nearly 25% of women will have qualified for a serious mood disorder (mostly major depression). A significant finding of note from the NCS study was the widespread occurrence of co-morbidity among diagnosed disorders. It specifically found that 56% of the respondents with a history of at least one disorder also had two or more additional disorders. These persons with a history of three or more co-morbid disorders were estimated to be one-sixth of the U.S. population, or some 43 million people (Kessler, 1994). Poor Prognosis We have come to realize today more than any other time in history that the treatment of lifestyle diseases and addictions such as alcoholism are often a difficult and frustrating task for all concerned. Repeated failures abound with all of the addictions, even with utilizing the most effective treatment strategies. But why do 47% of patients treated in private treatment programs (for example) relapse within the first year following treatment (Gorski,T., 2001)? Have addiction specialists become conditioned to accept failure as the norm? There are many reasons for this poor prognosis. Some would proclaim that addictions are psychosomatically- induced and maintained in a semi-balanced force field of driving and restraining multidimensional forces. Others would say that failures are due simply to a lack of self-motivation or will power. Most would agree that lifestyle behavioral addictions are serious health risks that deserve our attention, but could it possibly be that patients with multiple addictions are being under diagnosed (with a single dependence) simply due to a lack of diagnostic tools and resources that are incapable of resolving the complexity of assessing and treating a patient with multiple addictions? New Proposed Diagnosis Since successful treatment outcomes are dependent on thorough assessments, accurate diagnoses, and comprehensive individualized treatment planning, it is no wonder that repeated rehabilitation failures and low success rates are the norm instead of the exception in the addictions field. Treatment clinics need to have a treatment planning system and referral network that is equipped to thoroughly assess multiple addictions and mental health disorders and related treatment needs and comprehensively provide education/ awareness, prevention strategy groups, and/ or specific addictions treatment services for individuals diagnosed with multiple addictions. Written treatment goals and objectives should be specified for each separate addiction and dimension of an individuals’ life, and the desired performance outcome or completion criteria should be specifically stated, behaviorally based (a visible activity), and measurable. To assist with resolving this problem a multidimensional diagnosis of “Poly-behavioral Addiction,” is proposed for more accurate diagnosis leading to more effective treatment planning. This diagnosis encompasses the broadest category of addictive disorders that would include an individual manifesting a combination of alcohol and substance abuse addictions, and other obsessively-compulsive behavioral addictive behavioral patterns to pathological gambling, religion, and/ or sex / pornography, etc.). Behavioral addictions are just as damaging - psychologically and socially as alcohol and drug abuse. They are comparative to other life-style diseases such as diabetes, hypertension, and heart disease in their behavioral manifestations, their etiologies, and their resistance to treatments. They are progressive disorders that involve obsessive thinking and compulsive behaviors. They are also characterized by a preoccupation with a continuous or periodic loss of control, and continuous irrational behavior in spite of adverse consequences. Poly-behavioral addiction would be described as a state of periodic or chronic physical, mental, emotional, cultural, sexual and/ or spiritual/ religious intoxication. These various types of intoxication are produced by repeated obsessive thoughts and compulsive practices involved in pathological relationships to any mood-altering substance, person, organization, belief system, and/ or activity. The individual has an overpowering desire, need or compulsion with the presence of a tendency to intensify their adherence to these practices, and evidence of phenomena of tolerance, abstinence and withdrawal, in which there is always physical and/ or psychic dependence on the effects of this pathological relationship. In addition, there is a 12 - month period in which an individual is pathologically involved with three or more behavioral and/ or substance use addictions simultaneously, but the criteria are not met for dependence for any one addiction in particular (Slobodzien, J., 2005). In essence, Poly-behavioral addiction is the synergistically integrated chronic dependence on multiple physiologically addictive substances and behaviors (e.g., using/ abusing substances - nicotine, alcohol, & drugs, and/or acting impulsively or obsessively compulsive in regards to gambling, food binging, sex, and/ or religion, etc.) simultaneously. New Proposed Theory The Addictions Recovery Measurement System’s (ARMS) theory is a nonlinear, dynamical, non-hierarchical model that focuses on interactions between multiple risk factors and situational determinants similar to catastrophe and chaos theories in predicting and explaining addictive behaviors and relapse. Multiple influences trigger and operate within high-risk situations and influence the global multidimensional functioning of an individual. The process of relapse incorporates the interaction between background factors (e.g., family history, social support, years of possible dependence, and co-morbid psychopathology), physiological states (e.g., physical withdrawal), cognitive processes (e.g., self-efficacy, cravings, motivation, the abstinence violation effect, outcome expectancies), and coping skills (Brownell et al., 1986; Marlatt & Gordon, 1985). To put it simply, small changes in an individual’s behavior can result in large qualitative changes at the global level and patterns at the global level of a system emerge solely from numerous little interactions. The ARMS hypothesis purports that there is a multidimensional synergistically negative resistance that individual’s develop to any one form of treatment to a single dimension of their lives, because the effects of an individual’s addiction have dynamically interacted multi-dimensionally. Having the primary focus on one dimension is insufficient. Traditionally, addiction treatment programs have failed to accommodate for the multidimensional synergistically negative effects of an individual having multiple addictions, (e.g. nicotine, alcohol, and obesity, etc.). Behavioral addictions interact negatively with each other and with strategies to improve overall functioning. They tend to encourage the use of tobacco, alcohol and other drugs, help increase violence, decrease functional capacity, and promote social isolation. Most treatment theories today involve assessing other dimensions to identify dual diagnosis or co-morbidity diagnoses, or to assess contributing factors that may play a role in the individual’s primary addiction. The ARMS’ theory proclaims that a multidimensional treatment plan must be devised addressing the possible multiple addictions identified for each one of an individual’s life dimensions in addition to developing specific goals and objectives for each dimension. The ARMS acknowledges the complexity and unpredictable nature of lifestyle addictions following the commitment of an individual to accept assistance with changing their lifestyles. The Stages of Change model (Prochaska & DiClemente, 1984) is supported as a model of motivation, incorporating five stages of readiness to change: pre-contemplation, contemplation, preparation, action, and maintenance. The ARMS theory supports the constructs of self-efficacy and social networking as outcome predictors of future behavior across a wide variety of lifestyle risk factors (Bandura, 1977). The Relapse Prevention cognitive-behavioral approach (Marlatt, 1985) with the goal of identifying and preventing high-risk situations for relapse is also supported within the ARMS theory. Conclusions Considering the wide range of alcohol abuse and sexual behaviors in our world today, one should always take into account an individual’s ethnic, cultural, religious, and social background prior to making any clinical judgments, and it would be wise to not over-pathologize in this area of Dependency. However, since successful treatment outcomes are dependent on thorough assessments, accurate diagnoses, and comprehensive individualized treatment planning - poly-behavioral addiction needs to be identified to effectively treat the complexity of multiple behavioral and substance addictions. Since chronic lifestyle diseases and disorders such as diabetes, hypertension, alcoholism, drug and behavioral addictions cannot be cured, but only managed - how should we effectively manage poly-behavioral addiction? The Addiction Recovery Measurement System (ARMS) is proposed utilizing a multidimensional integrative assessment, treatment planning, treatment progress, and treatment outcome measurement tracking system that facilitates rapid and accurate recognition and evaluation of an individual’s comprehensive life-functioning progress dimensions. The ARMS hypothesis purports that there is a multidimensional synergistically negative resistance that individual’s develop to any one form of treatment to a single dimension of their lives, because the effects of an individual’s addiction have dynamically interacted multi-dimensionally. Having the primary focus on one dimension is insufficient. Traditionally, addiction treatment programs have failed to accommodate for the multidimensional synergistically negative effects of an individual having multiple addictions, (e.g. nicotine, alcohol, and obesity, etc.). Behavioral addictions interact negatively with each other and with strategies to improve overall functioning. They tend to encourage the use of tobacco, alcohol and other drugs, help increase violence, decrease functional capacity, and promote social isolation. Most treatment theories today involve assessing other dimensions to identify dual diagnosis or co-morbidity diagnoses, or to assess contributing factors that may play a role in the individual’s primary addiction. The ARMS’ theory proclaims that a multidimensional treatment plan must be devised addressing the possible multiple addictions identified for each one of an individual’s life dimensions in addition to developing specific goals and objectives for each dimension. Partnerships and coordination among all service providers, government departments, and health insurance organizations in providing treatment programs are a necessity in addressing the multi-task solution to Alcohol Abuse and Poly-behavioral addictions. I encourage you to support the addiction programs in America, and hope that the (ARMS) resources can assist you to personally fight the War on poly-behavioral addiction. References Avins, A.L.; Woods, W.J.; Lindan, C.P.; et al. HIV infection and risk behaviors among heterosexuals in alcohol treatment programs. JAMA 271(7):515–518, 1994. Boscarino, J.A.; Avins, A.L.; Woods, W.J.; et al. Alcohol-related risk factors associated with HIV infection among patients entering alcoholism treatment: Implications for prevention. Journal of Studies on Alcohol 56(6):642–653, 1995. Cooper, M.L. Alcohol use and risky sexual behavior among college students and youth: Evaluating the evidence. Journal of Studies on Alcohol (Suppl. 14):101–117, 2002. Dermen, K.H.; Cooper, M.L.; and Agocha, V.B. Sex-related alcohol expectancies as moderators of the relationship between alcohol use and risky sex in adolescents. Journal of Studies on Alcohol 59(1):71–77, 1998. Dermen, K.H., and Cooper, M.L. Inhibition conflict and alcohol expectancy as moderators of alcohol’s relationship to condom use. Experimental and Clinical Psychopharmacology 8(2):198–206, 2000. Fromme, K.; D’Amico, E.; and Katz, E.C. Intoxicated sexual risk taking: An expectancy or cognitive impairment explanation? Journal of Studies on Alcohol 60(1):54–63, 1999. George, W.H.; Stoner, S.A.; Norris, J.; et al. Alcohol expectancies and sexuality: A self-fulfilling prophecy analysis of dyadic perceptions and behavior. Journal of Studies on Alcohol 61(1):168–176, 2000. Grant, B. F.: Prevalence and correlates of alcohol use and DSM-IV alcohol dependence in the United States: Results of the National Longitudinal Alcohol Epidemiologic Survey. J. Stud. Alcoh., 58(5), 464-73., 1977. MacDonald, T.K.; MacDonald, G.; Zanna, M.P.; and Fong, G.T. Alcohol, sexual arousal, and intentions to use condoms in young men: Applying alcohol myopia theory to risky sexual behavior. Health Psychology 19(3):290–298, 2000. Malow, R.M.; Dévieux, J.G.; Jennings, T.; et al. Substance-abusing adolescents at varying levels of HIV risk: Psychosocial characteristics, drug use, and sexual behavior. Journal of Substance Abuse 13:103–117, 2001. Maslow, C.B.; Friedman, S.R.; Perlis, T.E.; et al. Changes in HIV seroprevalence and related behaviors among male injection drug users who do and do not have sex with men: New York City, 1990–1999. American Journal of Public Health 92(3):382–384, 2002. McKirnan, D.J.; Vanable, P.A.; Ostrow, D.G.; and Hope, B. Expectancies of sexual “escape” and sexual risk among drug and alcohol-involved gay and bisexual men. Journal of Substance Abuse 13(1–2):137–154, 2001. Petry, N.M. Alcohol use in HIV patients: What we don’t know may hurt us. International Journal of STD and AIDS 10(9):561–570, 1999. Purcell, D.W.; Parsons, J.T.; Halkitis, P.N.; et al. Substance use and sexual transmission risk behavior of HIV-positive men who have sex with men. Journal of Substance Abuse 13(1–2):185–200, 2001. Rovner, S.; Dramatic overlap of addiction, mental illness. Washington Post Health, 14-15. 1990. Selzer, M., Winokur, A. & Van Rooijen, C.; A self-administered Short Michigan Alcoholism Screening Test. Journal of Studies on Alcohol, 36, 117-126, 1975. Seto, M. C. & Barbaree, H. E.; The role of alcohol in sexual aggression. Clin. Psych. Rew. 15 (6), 545-66, 1995. Stall, R.; McKusick, L.; Wiley, J.; et al. Alcohol and drug use during sexual activity and compliance with safe sex guidelines for AIDS: The AIDS Behavioral Research Project. Health Education Quarterly 13(4):359–371, 1986. Volpicelli, J. R.; Alcohol abuse and alcoholism: An overview. J. Clin. Psychiat., 62, 4-10, 2001. penis enhancement pic penis enhancement surgery picture penile enlargment doctor pennis enlargement pump penis enlargement testimonials penis enlarement testimonials vimax review penis enlargement pic penis elargement procedure
Zoonoses is the term applied to a grouping of diseases that are transferable from canine/feline to human. Basically, these diseases fall into three groupings based on their means of transmission. This also groups these, ideally, in the means of treatment and control. The three groupings of diseases are as follows -diseases spread through :1) urine or feces, 2) hair and skin contact, or 3) bites and scratches. Zoonoses - Spread through Urine or Feces Hookworms Hookworms enter the German Shepherd's body in the area that directly comes in contact with the feces-contanimated soil. Seen more commonly in the South, these parasites are unsuited to ideally live in human beings. Traditionally they die after crawling several inches underneath the surface layer of the skin. Inflammation usually occurs as a result of these parasites in humans and causes a condition called “creeping eruption” which may last several weeks or months depending on its severity. Leptospirosis German Shepherd's may come in contact with this disease through swimming, drinking, licking their fur, or by eating food contaminated with animal urine. Many animals may carry this, though rats are most often the culprit. This zoonoses symptom in humans include flu-like including chills, body aches, vomiting, fever and headache. Sometimes kidney damage may occur or the membranes covering the spinal cord or brain may become inflamed. This disease is not usually fatal though it does make its host miserable for weeks at a time. Roundworms If these parasites are swallowed by humans they migrate into the body tissues and may cause damage, including symptoms of fever and liver enlargement which can last up to a year in length including symptoms of fever and liver enlargement which can last up to a year in length. These parasites are most commonly found in small children (2-4 yrs. of age) who mistakenly swallow the eggs and become infected. Children playing in an area in which an animal has defecated in the past, who do not wash their hands after coming in contact with the eggs and inadvertently sticks their hands into their mouth are the most common receptors of roundworm. Only rarely fatal, the disease is traditionally mild though it may be long lasting. Tapeworms Tapeworms can easily be ingested by any German Shepherd who swallows a flea carrying the infected form when biting at or chewing their coat. Children may get it virtually the same way- minus the coat chewing. Tapeworm infestation in humans this way is actually quite rare when compared to infestation from eating undercooked pork or beef. Toxoplasmosis Rarely this may cause death in humans since most people develop a resistance to it during normal exposure. It can cause many types of birth deformities in children born to mothers who have been infected for the first time without having developed an immunity before becoming pregnant. Most commonly this is “picked up” through contact with infected cat feces or in contact with contaminated soil. Zoonoses - Prevention of Waste Transmitted Diseases There are a few basic precautions everyone should take to prevent transmission of any of the above mentioned diseases - zoonoses. First, clean up all pet droppings and wash your hands each time you any come in contact with contaminated soil. It is extremely important to teach children these steps. Also, if your German Shepherd has gone wading or swimming in any water which may have become contaminated with animal urine, bathe it at once when you return home. Zoonoses - Spread through Skin/Hair Contact Fleas Fleas prefer feeding on your German Shepherd though they will not turn up the chance of of making an occasional meal on humans as well. Ringworm Most commonly found in children (though anyone may be infected), this disease is caused by a skin/hair eating fungus which first appears on people as a round, red, scaly area. It grows outward in a circular formation and is the most common fungal disease currently reported. Rocky Mountain Spotted Fever Tick borne, this disease or Zoonose can cause symptoms such as fever, chills and headache though it is not usually fatal. Symptoms may last many weeks and it can be treated with antibiotics. Most commonly this disease is transmitted through the bite of an infected tick. Also, you may become infected while pulling a tick off your German Shepherd. It is best to wear gloves when removing ticks. Scabies The less commonly found version of mange (as opposed to the demodetic version), this may still cause intense itching, irritation and thickening of the skin. Animal mange may live in human skin though it cannot reproduce there. Humans have their own version of the scabies mite. Zoonoses - Prevention of Skin/Hair Contact Diseases Overall, proper nutritional care and health of your German Shepherd is the best defense against the chance of your dog harboring any of these diseases. Frequent grooming and herbal repellents are good choices in combating most of these diseases or Zoonoses before they become major. Stress, roaming and contact with other dogs are the three most common points of transmission among the previous diseases. Wash your hands after dog contact and minimize contact with any infected pet until the problem is cured. Zoonoses - Diseases Caused by Bites and Scratches Cat Scratch Fever Some people will develop a fever, enlarged lymph nodes and malaise near the area of a bite or scratch from a cat a few weeks after the occurrence. Though not fatal it can be very uncomfortable and can be followed by complications. Infected cat bites may become infected with an entirely different bacteria though the symptoms are similar. Probably best, is to thoroughly wash an area bitten or scratched by a cat and to clean it liberally on a frequent basis to prevent, hopefully, infection. Rabies Virtually 100% fatal once the clinical symptoms appear, this disease is carried by a virus transmitted through the saliva of an infected biting animal. Symptoms include frothing at the mouth, extreme behavioral/personality changes and convulsions which usually ends in the aggressive, staggering and bleary- eyed condition. If you happen upon an animal showing any of these disease symptoms, get away from it as quickly as possible and call your nearest animal control unit. If by chance you are bitten, try to follow it to where it lives (if it is a stray) so that the proper officials may capture it for testing. If you do kill it, do not injure the head as this will be needed for verification. Also, if you are bitten by an animal exhibiting any of the symptoms above, thoroughly wash out the wound as quickly as possible and contact your personal physician immediately. Overall, your chances of getting rabies are rare though you can never be over cautious. Zoonoses - Prevention of Bite and Scratch Transmitted Diseases Best advice, keep your dog in tip-top physical condition through exercise and proper nutrition to reduce its chances of picking up any diseases or parasites from less healthy animals. Also, try to minimize your pets contact with wild animals or sick pets. penile enlargement surgery photo com enlargement pennis pennis pump penis enlargment fact penis elargement surgery truth about penis enlargement pennis enlargement pic penis enlagement before and after photo vimax natural penis enlargement penis elargement procedure
Just imagine you are running from pillar to post in order to save your married life. Why? Because you have lost you sexual power and are unable to satisfy your partner. It’s really a serious problem that can bring a complete halt to your normal and happy life. Now if you think there is still power inside you but you are becoming incapable of utilizing it, then it is high time you seek some remedies as soon as possible. Now don’t take your sexual dysfunction as a disease rater you should know that there is some metabolic disorder inside you for which you are loosing your sexual power. So it is better to rectify the disorder as soon as possible or else it would be too late. Every problem does have a solution and Levitra can be your option to choose. It is an oral therapy treatment to boost up your sexual power. Each tablet is either of 10mg or 20 mg strength. However two lower doses (2.5 and 5.0) are also available usually for the first time users. Generally Levitra is taken with or without food just one hour before going to bed with your partner. Some sexual stimulation is needed for a sexual urge to occur with Levitra. A chemical named Verdenafil HCL in Levitra stimulates your nerves in your penis and increase the amount of blood flow to erect your sleeping penis. However erection decreases after the act. It is so effective that 90% of men reported to have improved erections and a dose is enough to work for 24 hours. Levitra got its approval from FDA on 19th august 2003 and the sole manufacturers of this drug are Bayer and GlaxoSmithKline. Due to its increasingly productive results it has captured the market within a very short span of time. However no major side affects are reported till date except a bit of headache, constipation, and dizziness. These are normal affects only for the first timers and tend to fade away as the body gets used to it. But it is always a cleaver idea to consult a sexologist before getting used to it especially for people with heart troubles. vimax free natural penis enlargement free pennis enlargement penis enlagement before and after picture do penile enlargment pills work free penis enlargment pills penile enlargement herb vimax penis enlargement herb pnis enlargement pic before and after penis elargement procedure
Cosmetic surgery Costs – How to get world class treatment at lowest cost in India Recently the rise in medical tourism has seen cosmetic surgery costs drop by up to 90%, making world class treatments affordable for everyone and you also get to enjoy a free holiday as well! If you have always wanted a face lift, breast enlargement or another procedure you can now afford the look you have always dreamt about, as cosmetic surgery costs have tumbled. Huge cosmetic surgery cost savings An extensive facelift that would cost $20,000 in the U.S would cost under $3,000 in India saving a massive $17,000! Savings are massive across all procedures making cosmetic surgery within the reach of everyone. let’s look at how cosmetic surgery costs have been reduced and the treatments available. What Is Medical Tourism? This is where residents of one country seek to reduce the costs of their medical treatment at home, by having treatments done abroad and cutting the costs dramatically and enjoy a free holiday as well India The World Leader India combines world-class healthcare with prices costing a fraction of those in the US or Europe. This year around half a million foreign patients will travel to India for medical care, in 2002, the number was only 150,000. India is now the leader in medical tourism packages and growth in the industry is growing at more than 30% per annum and looks set to become a multi billion pound industry. Infestructure costs are far lower in India and this is reflected in lower cosmetic surgery costs, yet the hospitals are world class. The Expertise of Cosmetic Surgery in India There has been bad press on cheap cosmetic surgery operations and most of them have been in western countries! In India low cosmetic surgery costs are combined with surgery on par with anywhere in the world and this is one of the fastest areas of growth in medical tourism in India. Not only are the facilities fantastic, but Indian doctors are acknowledged worldwide for their expertise and professionalism, with many having trained in the west. The Price of Cosmetic Surgery in India Plastic and reconstructive surgery In India utilizes the latest techniques to cover all areas of cosmetic surgery including: • Hair restoration,hair implants, hair flaps, and scalp reductions • Face lifts - Rhytidectomy, Rhytidoplasty * Upper arm lift - Brachioplasty • Eyelid tuck, lower or upper - Blepharoplasty • Hair restoration, implants, flaps, and scalp reduction • Ear Surgery * Rhinoplasty nose jobs • Demabrasions • Laser hair removal . Otoplasty • Chin and cheek sculpting • Lip augmentation - Cheiloplasty * Cosmetic dentistry • breast surgery • Liposuction and tummy tuck These are just samples of cosmetic treatments available and there are many more and low cosmetic surgery costs are the norm in India not just a special deal and all treatments are on par with cosmetic surgery clinics elsewhere in the world. Conclusion So, you get cosmetic surgery costs at up to 90% lower than locally, world class treatments, doctors with unrivalled expertise and the chance to enjoy a relaxing break in one of the most beautiful and diverse countries on earth. From stunning beaches to the mighty Himalayas and thousands of years of culture and much more. For costs of all major treatments