4 Alert For Sexual Health


Sexual cheap viagra is a central aspect of human life. This is not just absence of disease, weakness or dysfunction. But associated with emotional, mental and social welfare in the world of our sexuality. Not many are aware, many who deny. Many sexual cheap cialis activities damaged if disturbed. Not only sexual performance, but also your social and professional activities. These are four main signs to see if you are sexually healthy.



No IMS.

Sexually transmitted infections (STIs) is the leading killer of most sexual health, you are invisible. Directly related to sexual performance. But it would be spread on your professional and social performance. Make sure you recognize the symptoms dininya: pain when urinating or having sex, out pus, pimples appear, or have sores on the genitals either you or the surrounding areas. Treat your doctor promptly. Never treat yourself because IMS is one of the intelligence he was able to immediately immunize themselves from inappropriate drug type and dose.



There is no psychosexual dysfunction.

The main picture of psychosexual dysfunction is there are barriers to taste (interest) there is sexual or sex barriers. This could include: inhibition of sexual appetite, inhibition of sexual arousal, inhibition of orgasm, premature ejaculation, impotence and more.



Many reasons why the emergence of psychosexual dysfunction. Generally always a combination of biological and psychological reasons. There are many therapies that are available for each of these types of dysfunction. If you experience this problem, listen to expert advice: do not ever feel embarrassed to come to the therapy center. For this case, the shame that most often make the problem worse rather than psychosexual dysfunction itself.



Determine your identity.

Identity disorder characterized by the existence of a discrepancy between the genitals with the identity type contained in a person. So a male genital beralat felt she was a woman or vice versa.



Type of identity disorder is not abnormal, deviation, or psychiatric disorders.

Disturbance (disorder) is distinguished from the disease (disease, illness). Sexual harassment is usually also strongly associated with self-acceptance and feelings of a very individual (different from one person to another). A drag queen, for example, initially may be susceptible to interference, identity, because experiencing the confusion with the "feeling different" which is owned and labels from the public. But once he realized and decided sexual orientation (as a homosexual) and identiftas gender (as women), then this person is not defined anymore as experiencing sexual harassment. Know, understand, seek help and determine the identity of you, that ye may be more comfortable with your own self. It's another sign you are sexually healthy.



Sexual orientation and self-acceptance.

Self-acceptance of sexual orientation may also be a sign of your sexual health. Not easy. This can be a lifelong struggle. But that life is more productive, more calm and confident, this problem need to look for a way out. Friends and professional assistance can help you through this period. This is connected with ourselves. Not someone else. No matter whether you are then open to other people or not, but we know our identity, for ourselves.




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Medical Department #38 - Civil War Anesthesia

Here's an oldie-but-goodie...one of my earliest medical columns for The Civil War News...but it's on a topic that's always timely and myth-busting: anesthesia in the Civil War. Enjoy!

“An Infinite Blessing”
"Medical Department"
The Civil War News Apri
l 2001
by James M. Schmidt


In an earlier column, I alerted readers to an upcoming issue of the journal, Pharmacy in History, dedicated to Civil War pharmacy. I am pleased to inform you that the issue has been published (Volume 42,
No. 3 and 4, 2000), and is available now at a nominal price from the American Institute of the History of Pharmacy (AIHP, website here).

The AIHP is a non-profit national organization devoted to advancing knowledge and understanding of the place of pharmacy in history. (At this writing, Dr. Gregory Higby, executive director of the AIHP, and editor o
f Pharmacy in History, assured me that they had extra copies printed to meet the expected needs of Civil War cheap cialis enthusiasts. Please feel free to contact the AIHP to make arrangements to purchase a copy of the journal.)

The special issue contains three very good articles. The first is “Pharmacy in the American Civil War” (pp. 67-86), by Guy Hasegawa, Ph
arm.D. a reprint of his outstanding American Journal of Health Systems Pharmacy article that I reviewed in the December 2000 column (here).

The second is “The Life of a Hospital Steward: The Civil War Journal of Spencer Bonsall” (pp. 87-98), by Michael A. Flannery, Associate Director for Historical Collections, Lister Hill Library of the Health Sciences, University of Alabama at Birmingham.

Spencer Bonsall was from Philadelphia, had some training as an apothecary in the 1830’s, and served as hospital steward with the 81st Pennsylvania during the Civil War. His journal consists of sixty pages covering the
dates 6 May 1862 through 22 June 1862, and 4 December 1862 through 26 March 1863, and includes Bonsall’s activities during the Peninsula and Fredericksburg campaigns.

Flannery admits that Bonsall unfortunately did not rev
eal much in the way of his actual practice. In excerpts from the journal and in accompanying photographs, however, the article does capture the general responsibilities of a hospital steward.

The final article in the special issue is “The Use of Anesthetics During the Civil War, 1861-1865” (pp. 99-114), by Maurice S. Albin. M.D. T
he paper is an excellent survey of the employment of anesthetics during the war period. It is superbly illustrated with more than a dozen photographs of anesthesia equipment or important personalities. An extensive list of references, many of them from period sources, provides opportunities for further research and reading. The article includes discussion of the first surgical uses of ether and chloroform, their manufacture and procurement during the Civil War, the techniques of their use, and clinical reports of their use.



By the beginning of the Civil War, a sizeable body of knowledge existed on the use of anesthetic agents. Ether (more properly “diethyl ether”) has been known since medieval times, and was prepared by distillation of a mixture of alcohol and sulfuric acid. It was not until the mid 1840’s, though, that ether gained wide acceptance as a surgical anesthetic. The manufacture and use of ether was complicated by its ready flammability, and from the toxic byproducts of its synthesis.

Chloroform was discovered in the 1830’s, and its anesthetic properties first described in the late1840’s. It was originally prepared by the distillation of alcohol treated with bleaching powder. Chloroform may have been safer to produce, but it still resulted in a number of impurities, and its potency resulted in dozens of deaths when first used.

American military surgeons first used anesthetics during the Mexican-American War of 1846-48. Dr. Edward Barton holds the honor of giving the first anesthetic during a war, using ether during an amputation on March 29, 1847. A few weeks later, at the Battle of Cerro Gordo, about a dozen wounded soldiers were given ether during surgery. French and British surgeons used chloroform extensively during the Crimean War (1853-56).

Dr. Albin notes that not all surgeons were enthusiastic about anesthetics. Some felt that their use hastened hemorrhage and prevented proper healing. Others, recognizing that men seemed to be less disposed to the effects anesthesia, felt that their use was not “manly.”

With a major manufacturing base and control of the high seas, the Union Army had little difficulty in procuring ether and chloroform during the Civil War, either by importation or from domestic manufacturers such as E.R. Squibb and Company. Indeed, records show that more than a million ounces of each agent was purchased during the war.

Confederate procurement of anesthetics was complicated by the Union’s naval blockade, and a lack of an established manufacturing base. All the same, the Confederates were able to meet their needs by producing the agents at their own laboratories, through blockade-runners at sea, or by capturing supplies from the Union armies.

Dr. Albin points to several factors requiring a simple approach to delivering anesthesia during the war, not the least of which was the lack of expertise and experience among both Union and Confederate volunteer surgeons. Though more than thirty masks and inhalers had been developed to deliver ether and chloroform, including a nasal inhaler invented by the distinguished Confederate surgeon John J. Chisolm, anesthetics were generally applied by pouring the agent on linen, holding it at some distance from the patient’s nose and mouth for the first inhalation, then gradually moving the cloth closer until the desired effects were produced.

Dr. Albin explains that most of our knowledge about the use of anesthetics during the war comes from data in the Medical and Surgical History of the War of the Rebellion (MSH). A special chapter on anesthetics in the MSH (Volume II, Part III) mentions at least 80,000 instances where ether or chloroform were employed. These numbers are based primarily on Union records, but accounts from notable Confederate surgeons such as Chisolm and Dr. Hunter Holmes McGuire indicate that thousands more Confederate patients also were relieved by surgical anesthesia. The article includes a number of firsthand accounts describing the use of anesthesia, especially in field hospitals.

Dr. Albin is especially qualified to write this article. He earned his M.D. in 1957, has been a practicing clinical anesthesiologist at several hospitals, and has taught at a number of schools. He has been on the faculty of the University of Texas Health Sciences Center, San Antonio, for more than twenty years.

Dr. Albin is also past president of the Anesthesia History Association, and remains active in association activities. Indeed, at the AHA’s annual meeting last October, he delivered a talk on “The Wounding, Amputation, and Death of Stonewall Jackson: Anesthetic Implications.” In addition to dozens of scientific papers in anesthesia journals, Dr. Albin has published historical pieces on William Morton, whom he dubs the first “dedicated military anesthetist,” and on narcotic abuse during and after the Civil War.

“My interest in Civil War history dates back to my childhood, when my Dad, a history buff, took me on a tour of the Gettysburg battlefield,” Dr. Albin told me. He believes that the most important advance in anesthesia during the Civil War was that for the first time, thousands of medical officers (Union and Confederate) learned how to properly deliver an anesthetic. He points to the better understanding of the physiological effects of anesthetics and the utilization of more sophisticated delivery systems (for example, inhalers and vaporizers), as important post-Civil War advances.

For those wanting to learn more about the history and development of anesthesia, Dr. Albin recommends Keys’ The History of Surgical Anesthesia (1978) or Pernick’s A Calculus of Suffering: Pain, Professionalism, and Anesthesia on Nineteenth-Century America (1985).

From the standpoint of the soldier on the operating table, the relief from pain provided by anesthesia was inestimable. In a poignant end to his article, Dr. Albin quotes Confederate surgeon Dr. Hunter Holmes McGuire in his account of the amputation of “Stonewall” Jackson’s arm: “Chloroform was then administered, and as he began to feel its effects, and its relief to the pain he was suffering, he exclaimed, ‘What an infinite blessing,’ and continued to repeat the word ‘blessing,’ until he became insensible.”


Trans FTS: White Hot

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In virginal white - all virgins waiting to be sacrificed


Of all colors, white is the least forgiving. At least when it comes to fashion. So how does one wear white - especially when you really can't wear any other colors? Well, let us count the ways.

When uber-skinny Joyce marked her sweet 16 over the weekend, she forced everyone to wear white or else be thrown out of her party. So the girls had no choice but to abide by the dress code. Otherwise, you'd miss the purest party of the year.

Aside from being a symbol of purity, white connotes fresh and clean. Ergo, it's the color du jour for spring and summer. Haven't you heard the old-age fashion rule never to wear white after Labor Day (at least here in the good, ole' USA)?

While its popularity shoots up during the warmer months, white doesn't suit everyone - most especially the meatier ones. In other words, if you're fat don't expect white to flatter your figure.

For fabulous T girls like the gorgeous transpinays of New York, white can be hot. It can be intense for all body types - from skinny bitches to chubby divas. So take a peek and see how they do it.

Then vote for our Star Style in Trendy White on the little box to your right. Choose wisely and be white hot for once. Ready, get set, gow!

(PS. - The photos were taken using moi's iPhone4 to see how the girls fare in high resolution. Too bad we sadly failed.)



The birthday girl Joyce in Rodarte and white Lanvin peep-toes with cute ribbons



Baring her back, Jing sizzles in Versace minidress and gold sandals



The legendary Boots Babushka in couture shift dress and gold Giusseppe Zanotti pumps



Opting for a more flattering tailored cut, Dawn rocks YSL pants and blazer combo and a pair of gold glitter pumps by Louboutin



Always flirty, Leah does Betsey Johnson and Brian Atwood heels



If hips can lie, Georgina can't hide in sexy Ungaro cocktail dress and gold glitter pumps by Halston



A doppelganger for J. Lo, Giselle oozes with sex appeal even in a classic Calvin Klein dress paired with Louboutin booties



Germaine sweetens her wardrobe with a Carolina Herrera top, vintage blazer and pants



A chilly night won't stop Nicky from showing off her mile-long legs in short shorts and peasant blouse, paired with gold booties - all from Guess



So who do you think has got the white hot Star Style? Vote now ... and please no cheating!

Trans FTS: White Hot

See also: generic viagra | cialis | 


In virginal white - all virgins waiting to be sacrificed


Of all colors, white is the least forgiving. At least when it comes to fashion. So how does one wear white - especially when you really can't wear any other colors? Well, let us count the ways.

When uber-skinny Joyce marked her sweet 16 over the weekend, she forced everyone to wear white or else be thrown out of her party. So the girls had no choice but to abide by the dress code. Otherwise, you'd miss the purest party of the year.

Aside from being a symbol of purity, white connotes fresh and clean. Ergo, it's the color du jour for spring and summer. Haven't you heard the old-age fashion rule never to wear white after Labor Day (at least here in the good, ole' USA)?

While its popularity shoots up during the warmer months, white doesn't suit everyone - most especially the meatier ones. In other words, if you're fat don't expect white to flatter your figure.

For fabulous T girls like the gorgeous transpinays of New York, white can be hot. It can be intense for all body types - from skinny bitches to chubby divas. So take a peek and see how they do it.

Then vote for our Star Style in Trendy White on the little box to your right. Choose wisely and be white hot for once. Ready, get set, gow!

(PS. - The photos were taken using moi's iPhone4 to see how the girls fare in high resolution. Too bad we sadly failed.)



The birthday girl Joyce in Rodarte and white Lanvin peep-toes with cute ribbons



Baring her back, Jing sizzles in Versace minidress and gold sandals



The legendary Boots Babushka in couture shift dress and gold Giusseppe Zanotti pumps



Opting for a more flattering tailored cut, Dawn rocks YSL pants and blazer combo and a pair of gold glitter pumps by Louboutin



Always flirty, Leah does Betsey Johnson and Brian Atwood heels



If hips can lie, Georgina can't hide in sexy Ungaro cocktail dress and gold glitter pumps by Halston



A doppelganger for J. Lo, Giselle oozes with sex appeal even in a classic Calvin Klein dress paired with Louboutin booties



Germaine sweetens her wardrobe with a Carolina Herrera top, vintage blazer and pants



A chilly night won't stop Nicky from showing off her mile-long legs in short shorts and peasant blouse, paired with gold booties - all from Guess



So who do you think has got the white hot Star Style? Vote now ... and please no cheating!