...Female sexual interest/ arousal disorder consists of the lack of interest in sex or aversion to sexual contact. Women with this disorder experience an absence of sexual thoughts or fantasies. For women, sexual arousal in sexual dysfunctions involves insufficient lubrication (Rathus,Nevid,Fichner-Rathus,Mckay, 2016, p.328). A sexual dysfunction for women involves problems with orgasms, female orgasmic disorder consists of the persistent problems of achieving an orgasm. Women with sexual arousal disorder suffer from sexual pain, which refers to women who experience pain in the vaginal area called dyspareunia and which may occur is involuntary contractions of the muscles that surround the vaginal barrel, preventing or making penetration painful for the women called vaginismus (Rathus et.al.,2016 p.328). Often times a sexual dysfunction occurs for a period of time roughly six months...
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...MOA: they block NE and 5HT reuptake, thus increase their levels. Plus they inhibit histaminergic, cholinergic, alpha adrenergic receptors. It requires weeks to give antidepressent effect. And alpha blocking effect will subside withing few weeks. It is used in; enursis, tics, neuropathic pain, ADHD, and depression. Avoid adrupt D/C, taper down 25% of dose every week. Side effects: Must monitor since NTR Anticholinergic, CV due to NE reuptake inhibition, sedation due to H1 blocking effect thuse give at bed time, OH and reflex tachycardia due to alpha inhibition, Wt gain, skin rashes and leukopenia. II) SSRI: Drugs; citalopram-escitalopram(least DDI), paroxetine(sedative give at bed time), fluoxetine(wt loss &only approved for pediatrics)-fluvoxamine(most DDI), and sertraline. MOA: it inhibits 5HT reuptake and stimulate 5HT1-2A for antidepressent effect. It needs 80% of receptor to be bound for effect. Used in OCD, panic, and depression. We need a washout period btw SSRI and TCA about 2 weeks, and between SSRI-MAOI about 4-6 weeks to avoid Serotonin syndrome. Serotonin Syndrome: muscle twitches, hyperreflexia, sweating, penile erection, shivering, tremors, seizure, and coma. Once occuring D/C drugs causing it. ( with ergots, triptans, maoi, buspirone.......) Side effects: due to 5HT3 -2C N&V, HA, rash, sexual dysfunction, insomnia, suicidal attempts, and SIADH(dilutional hypoNa). Treatment is for 6 months. III) MAOI: Drugs;...
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...past nine weeks. This exam consists of73multiple choice questions worth 1 point each, 13 fill in the blank questions worth 6 points each, and an essay question worth 99 points. The total possible points for the exam is 250. All of these questions were taken directly from the textbook, therefore you should not use any other outside source. Since information can sometimes contradict each other, if you use outside sources you run the risk of getting the question wrong even though it may appear correct outside the text. In order to mark the answer you have chosen, please delete all the other letters (i.e. A, B, C, D) except the one you have chosen. There should only be one letter chosen for each multiple choice question. If you have forgotten this or there is more than one answer chosen, it will be marked as incorrect. For fill in the blank questions and short answers, please write your answer in the space provided here in the exam. Once you are finished with the exam, please upload it to the week nine ‘final exam’ assignment section of the class. Absolutely no late exams will be accepted for any reason. Please make sure it is uploaded by 11:59pm Arizona time on 5/11/2014. 1). What are the three building blocks in Sternberg’s Triangular Theory of Love? 1.) Intimacy 2.) Passion 3.) Commitment 2). In examining patterns of marital sexuality across cultures, which of the following has been found across cultures? B) Male dominance and female submission 3.) According...
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...described by Dr. Vaclav Michal in 1973. The common surgical goal is restoring arterial blood flow and perfusion pressure to men with arteriogenic erectile dysfunction. Penile Revascularization Surgery Penile revascularization surgery is also referred to as microvascular arterial bypass surgery, which is performed on patients suffering from arteriogenic erectile dysfunction. This procedure is similar to a cardiac bypass, but within the penis and it is generally performed on healthy men under the age of 50 with no signs of venous leak upon testing. According to Boston University School of Medicine Sexual...
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...ardsRunning Head: SAMPLE APA PAPER: PSYCHOTHERAPY AND THE DECEASED The running head is now used as the header and it is positioned flush left (APA, 2009, pp. 229-230) 1 A Sample APA Paper: The Efficacy of Psychotherapeutic Interventions with Profoundly Deceased Patients Jeff Aspelmeier Radford University Author note now goes on title page and not after footnotes at end of paper (APA, 2009, pp. 24-25). Author Note Many parts of this paper were unabashedly ripped off from course materials developed by Dr. John Rosenkoetter that were presented to me when I took research methods with John (we will not discuss how long ago that was). The absurdity of the content contained in the paper is entirely my fault, the underlying educational value is largely John’s. The fact that I have stolen from him is a tribute to the quality of his teaching. Thank you Dr. Rosenkoetter! SAMPLE APA PAPER: PSYCHOTHERAPY AND THE DECEASED 2 Level 1 headings are The words Running head: are excluded Centered and Bold (APA, Abstract from this point on (APA, 2009, pp. 41) 2009, p. 62) The Abstract is a one paragraph summary of the report. Write in block style; the first line is not indented. Depending on the journal there the word limit ranges from 150 to 250 words. Describe Abstract Word limit will depend on the problem under investigation in one sentence. Describe the participants’/subjects’ pertinent which journal you submit to (APA, 2009, p. 27) characteristics (number, type, age, sex, and for...
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...| MALE REPRODUCTIVE SYSTEM | | | | 10/24/2014 | Contents Vasectomy 3 BPH – Benign Prostatic Hyperplasia 4 ED – Erectile Dysfunction 6 Andropause 7 Gynecomastia 8 PSA Testing 9 Peyronie’s Disease 10 Diphallia 12 Cryptorchidism 13 Orchiopexy 14 Prostate Cancer 15 STD’s 17 a) Chlamydia 17 b) Gonorrhea 18 c) Syphilis 19 d) Herpes Genitalis 20 Paternity Test 21 Viagra (sildenafil) 22 Circumcision 23 Vasectomy * A vasectomy is the surgical procedure performed on men in which the vas deferens (the tubes that carry the sperm from the testicles to the seminal vesicles) are cut, ties or cauterized. * The semen no longer contains sperm after the tubes are cut, so conception cannot occur. The testicles continue to produce sperm, but they die and are absorbed by the body. * There are 4 types of vasectomies: * Traditional vasectomy – the doctor will make an incision on the scrotum, allowing access to the vas deferens, which will then be cut. * No-scalpel vasectomy – the doctor cut the vas deferens via a small hole on the scrotum. * Clip vasectomy – small clamps are used to block the vas deferens instead of severing it. * Laser vasectomy – the vase deferens are cut and cauterized with a surgical laser * The vasectomy procedure prevents the release of sperm when a man ejaculates. The man will still produce semen, but will be sperm free. * Vasectomies may be reversed, however...
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...Introduction In 2002, product leaders from the Biotech start-up ICOS, and Eli Lilly prepared to take a new erectile dysfunction medication to the market. Cialis would be positioned in a market which was currently dominated by Viagra, an erectile dysfunction medication that had been introduced by Pfizer in 1998. In the following case analysis, I will examine the process used by Lilly ICOS, LLC to bring Cialis to market. Utilizing the Harvard Business School Case “Product Team Cialis: Getting Ready to Market” I will point out certain facts surrounding the case, and highlight key issues. Alternative courses of action around bringing the product to market will be identified and evaluated. Finally, a recommended course of action for the company will be discussed. Facts Surrounding the Case At the time that Cialis was developed as an erectile dysfunction (ED) treatment, that landscape was being dominated by a single player. Viagra, developed by Pfizer, was released four years prior and enjoyed great success over the previous three years. Viagra, whose main ingredient is Sildenafil, was generating over $1 billion in sales for Pfizer year over year for the previous three years (Ofek, 2010). While Viagra was successful in its initial years in the initial market, it was not without its problems. Patient satisfaction with Viagra was below 50% in all markets with the exception of Germany and Italy. Viagra was only effective for hours post dosage, and was affected by the consumption...
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...1007/s10508-010-9671-7 ORIGINAL PAPER Physiological and Subjective Sexual Arousal in Self-Identified Asexual Women Lori A. Brotto • Morag A. Yule Received: 27 October 2009 / Revised: 27 July 2010 / Accepted: 27 July 2010 / Published online: 21 September 2010 Ó Springer Science+Business Media, LLC 2010 Abstract Asexuality can be defined as a lifelong lack of sexual attraction. Empirical research on asexuality reveals significantly lower self-reported sexual desire and arousal and lower rates of sexual activity; however, the speculation that there may also be an impaired psychophysiological sexual arousal response has never been tested. The aim of this study was to compare genital (vaginal pulse amplitude; VPA) and subjective sexual arousal in asexual and non-asexual women. Thirty-eight women between the ages of 19 and 55 years (10 heterosexual, 10 bisexual, 11 homosexual, and 7 asexual) viewed neutral and erotic audiovisual stimuli while VPA and self-reported sexual arousal and affect were measured. There were no significant group differences in the increased VPA and self-reported sexual arousal response to the erotic film between the groups. Asexuals showed significantly less positive affect, sensuality-sexual attraction, and self-reported autonomic arousal to the erotic film compared to the other groups; however, there were no group differences in negative affect or anxiety. Genital-subjective sexual arousal concordance was significantly positive for the asexual women and...
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...Penis Enlargement Exercise Guide Learn all natural techniques and strategies to help increase your size PERMANENTLY! By: Rob Miller SupplementCritique.com 1 Disclaimer! The information provided in this ebook is intended as a guide to help you understand how the penis works, its parts, and methods I have personally used to help increase both the length and the girth of my penis. It is intended solely for information purposes, and should not be construed as medical advice. Please note that these statements have not been evaluated by the FDA. As a matter of fact, most male enhancement techniques have not been evaluated by the FDA. We here at SupplementCritique.com make every effort to find the most factual information about a product based on independent websites, product websites, user reviews on third party sites, and the like. All of these exercises are safe, when done appropriately and when directions are followed. No liability is assumed for the information provided by SupplementCritique.com or any products advertised by us. The opinions are those of the writers of SupplementCritique.com and not a certified medical practitioner. Always check with your doctor before beginning any type of exercise program or using any product mentioned or advertised by SupplementCritique.com. SupplementCritique.com is not responsible for any misuse of the information given by any of our trainers or any information from our website. That being said, enjoy the ebook, and email us at...
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...Hereditary Hemochromatosis (Iron Overload) Thomas Stinde Coconino Community College Abstract Hereditary hemochromatosis is a disorder which is inherited and commonly known as “iron overload” due to great amounts of iron accumulating in the body. In the United States, this disorder affects 16% of all Caucasians. This disorder in some people may show no symptoms, or it could show acute and severe signs of its symptoms which are a darkening of the skin, cirrhosis of the liver, diabetes, joint pain, sexual dysfunction, fatigue, and heart failure. Keywords: Hemochromatosis, genetic, inherited, iron, overload, cirrhosis, liver, diabetes, joint, pain, fatigue, sexual dysfunction, heart, failure, HFE Hereditary Hemochromatosis (Iron Overload) The mutation of the HFE gene is what causes hemochromatosis. One of the most important purposes of this gene is to regulate the amount of iron that the body absorbs from the food that is eaten by the person. Over a million people in the United States have this mutated gene, and there are other patterns of genes which can result in hemochromatosis no matter what ethnic group the person belongs to. It is estimated that over 16 million people in the United States are at risk for the same diseases as those who are diagnosed with hemochromatosis due to elevated iron levels. These diseases include...
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...Eating, Substance Abuse, Sex/Gender/Sexual, Impulse-Control, and Personality Disorder Normal behavior is accepted world-wide, but when people show abnormal behavior, it is accepted by the few that may understand why this is their behavior. Abnormal behavior that disrupts an individual’s life on a daily basis can be caused by several disorders. These disorders can very complex at times and some are more devastating to the mind and body than others. In this paper, the biological, emotional, cognitive, and behavioral components of eating, substance abuse, sex/gender/sexual, impulse-control, and personality disorders will be analyzed. Biological Eating Disorder Genetics and abnormalities in hormones, neurotransmitters, and brain structures are focused on to explain how eating disorders are developed. Studies have shown that identical twins are more likely to have anorexia and bulimia than fraternal twins. However, other studies show that eating disorder symptoms can be greatly influenced by nongenetic factors, such as obsessive-compulsive anxiety disorder and depression. Eating disorders are seen as an extension of obsessive-compulsive anxiety disorder by some clinicians because people may develop the compulsive need for dieting, exercising, or purging as a result of obsessional thoughts about being overweight (Hansell & Damour, 2008). As for hormonal abnormalities, two hormones (leptin and ghrelin) have been the main focus in recent research. Leptin is a hormone...
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...Nutrition for Performance CRN: 6978 October 7, 2013 ------------------------------------------------- Testosterone ------------------------------------------------- History & Uses Scott Livingston How did knowledge of testosterone come about? Well, in 1849 Arnold Berthold, a German scientist conducted the first formal experiment pertaining to hormones. He noticed that chickens that were castrated during development grew up to be passive (lacking fighting and mating behaviors) compared to normal roosters. Arnold Berthold decided to implant testes into the abdomens of castrated chickens. The chickens with implanted testes grew up to behave like normal roosters. Thus, Berthold concluded that the testes much secret some sort of substance since they were not connected to nerves. He said, “ The testes act upon the blood, and the blood acts upon the whole organism.” (Berthold, 1849). In 1889 Charles-Édouard Brown-Séquard, a Harvard professor, decided to inject himself with substance containing extracts from guinea pig and dog testicles; he called this concoction a “rejuvenating elixir” (Brown-Séquard, 1889). Brown-Séquard published in The Lancet that his energy, vigor, and overall health were restored, but the effects did not last long; Brown-Séquard attributed this to placebo effect. Because of these findings, Brown-Séquard was mocked by his colleagues, forcing him to give up on his research. In 1927 Fred C. Koch, a professor at the University of Chicago, realized...
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...Testosterone is the main sexual reproducing hormone in males. Testosterone production is controlled by the pituitary gland in the brain, signalling the testicle to secrete testosterone, while a small amount is maintained in the adrenal glands. Testosterone assists in maintaining male libido, bone density, muscle strength and primarily produces sperm for reproduction (3). A deficiency in testosterone leads to dysfunction of the testicle and other complications within the male anatomical system. The absence or removal of a testicle, can cause certain effects such as atrophy, and in a younger model it can cause failure of accessory glands and ducts to develop for reproduction purposes (8). This study was carried out using male Sprague Dawley rats, to evaluate the effects of erectile function after two procedures were performed: castration or sham operation. Castration is a procedure in which the testicles are surgically removed. An incision is made in the scrotum, and then tunica vaginalis. The testicles are isolates and removed from the vasculature,...
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...limitation, History of prior medication, History of the procedure or intervention, Substance abuse history, History of social, legal, and development of pain, Psychiatric review of the system After collecting this information from the patient, a better approach to the treatment plan will be, determine for the patient. Base on the case study, I will start patient with these medications. Decision #1 The patient will be started on Savella 12.5mg orally on day one followed by 2.5mg BID on day 2 and 3 and 25mg BID on day 4-7 and 50mg BID the remaining days. Savella is a medication that is used for fibromyalgia, depression or neuropathic /chronic pain. This medication works by boosting the neurotransmitters serotonin, norepinephrine/ noradrenalin, and dopamine. It takes about 2-4 weeks for the medication to start and about 6-8 weeks to get a complete reaction. Some side effects are associated with the medication like a headache, nervousness, insomnia, sedation, nausea diarrhea, sexual dysfunction, dry mouth, and constipation. Life-threatening side effect includes mania, rare suicidal ideation or seizures. My reason for choosing this medication is that it helped patient’s pains to about 4/10 on the scale to the point where patient did not use his crutches on most of the times during the day. My hope is that the patient gets a satisfactory pain level with remission of current symptoms and no future relapses where the patient can get to his regular activated of daily living. As noted by Amris...
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...Quality of life of menopausal women has been the subject of controversial literature for a number of years and various instruments have been developed in an effort to define that Menopause is the day that is one year (365 days) after the last menstrual period. The time after this point is termed post-menopause. The menopausal transition is defined by the period of time prior to menopause when there is a gradual loss of estrogen after decreasing periods of ovulation. Symptoms that may accompany menopause include hot flashes, night sweats, depression and other mood disorders, vaginal atrophy, female sexual dysfunction, changes in skin (tone, appearance and elasticity) and weight gain. These symptoms may impact work, family life,...
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