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It can be surprising to realize that an organ as high-powered and sophisticated as the brain also has a plumbing system. And, as the case with a house's plumbing, the drainage side of the system can get gummed up. But the symptoms are different. When a home's drainage backs up, well...I won't go there. When the brain's drainage system backs up, the brain's owner can become confused, incontinent of urine and unsteady on his or her feet. The plumbing system in question is that which produces and drains the cerebrospinal fluid (CSF). Normal CSF looks the same as water from a faucet, but is created from the bloodstream in the choroid plexus tissue within three of the brain's four inner chambers -- the right and left "lateral" ventricles and the midline "fourth" ventricle, but not the interposed, midline "third" ventricle. The CSF percolates through passageways from one ventricle to another, finally emerging through openings at the base of the brain to bathe the outer surfaces of the brain and spinal cord before getting reabsorbed into the bloodstream again. This re-absorption occurs in special collection-nodes in the membranes surrounding the brain. The entire CSF volume of about 150 milliliters or five ounces (about as much as a glass of wine) is produced and reabsorbed four times a day, so the fluid is constantly turning over. But blockages along the way can interfere with the normal flow of the CSF. For example, when the passageway between the third and fourth ventricles becomes narrowed or choked with sludge, the CSF backs into the lateral and third ventricles. Those ventricles react to the increased pressure by becoming physically dilated or enlarged. In this case, a CT or MRI scan could reveal the location of the blockage by showing expansion of the two lateral and the single third ventricles, but a normal-sized fourth ventricle. Another example of a blockage and its consequences is when the collection-nodes responsible for CSF re-absorption in the brain's overlying membranes (meninges) become clogged. In this case, all four ventricles are upstream from the blockage, and all four of them expand. This, too, is visible on brain scans. Both cases are examples of hydrocephalus, or water on the brain. The first case is one of "internal" or high-pressure hydrocephalus. The second is called "external" or normal-pressure hydrocephalus (NPH). In NPH the pressure is inexplicably normal much of the time, but the term is somewhat misleading because prolonged recordings with pressure-monitors do show intermittent periods of increased pressure. Hydrocephalus of one kind or another is especially prevalent at the two extremes of the life cycle -- in the very young and the very old -- but can occur at any age. In infancy, hydrocephalus can be caused by malformed brain-tissue. In contrast, adults with hydrocephalus were usually born with normal brain anatomy, but acquired a blockage due to a tumor, injury, bleed or infection. However, many cases of hydrocephalus in adults occur without a history of these preceding illnesses. CT and MRI scans are sensitive tools in detecting hydrocephalus, particularly when it's striking enough not be confused with ventricular enlargement due to gradual loss of surrounding brain tissue from aging. The main treatment of hydrocephalus is for a surgeon to insert a tube (shunt) into one of the swollen lateral ventricles and provide an alternative pathway for the backed-up CSF to drain. Once the shunt equipment is in place, a piece of hardware about the size of a large button sits outside the hole made in the skull (but inside the skin of the scalp) and redirects the excess CSF through another tube into either a jugular vein in the neck or into the abdominal cavity (peritoneum). Thus, the patient can receive either a "VJ" shunt or a "VP" shunt, with the letters designating the locations of the two ends of the shunt. The success or failure of shunting depends not just on the skill of the surgeon, but also on the selection of appropriate patients. Sometimes hydrocephalus turns up unexpectedly on scans when doctors are looking for something else entirely. Although an unexpected finding like this should always cause the doctors to re-think the case, the point is that hydrocephalus doesn't always cause problems. Sometimes the hydrocephalus has been there for years and the brain has adjusted to it in a way that produces no symptoms. This is an example of a case that should not be shunted, though it would still be appropriate to monitor the patient and his or her scans over subsequent months and years. Who, then, should receive a shunt? The answer, in short, is people for whom the benefits of the operation exceed its risks. Identifying them, however, is the tough part. And the task is made even more difficult by the lack of randomized, controlled trials in which a group of patients receiving treatment is compared to an equivalent group of patients not receiving treatment. Although similar reasoning applies to adults thought to have internal (high-pressure) hydrocephalus, I'll lay out the decision-tree as it applies to external (normal-pressure) hydrocephalus. Published observations imply that shunts are most likely to help NPH patients who have the following features:substantial enlargement of all four ventricles a full "triad" of symptoms, including confusion, urinary incontinence and altered walking poor walking as the first of the three symptoms temporary improvement of symptoms after drainage of 50-60 milliliters (2 ounces) of CSF by lumbar puncture (spinal tap) The elderly patients most at risk for NPH are also at increased risk for other diseases, and the shunting operation doesn't help symptoms produced by other causes. For example, confusion can be caused by Alzheimer's disease and strokes. Urinary incontinence can be due to prostate disease in men and sagging pelvic tissue in women. Walking can be disrupted by arthritis, fractured bones, low vision, inner-ear disease, Parkinson's disease and many other unrelated processes. So it's important for the doctor to determine if other diseases might be to blame for the very symptoms that seem, at first glance, to be from NPH. Assuming that NPH still seems likely, the next round of decision-making concerns the possibility that an operation will cause harm. Even a patient whose brain scan and symptoms are classic for NPH can develop serious complications from the operation. A particularly feared complication is bleeding into the space outside the brain, called a subdural hematoma. Older patients are also more likely to have other medical conditions that could compromise the safety of an operation, like coronary artery disease or emphysema. Cases in which expected benefits of the operation are much greater than risks, or in which the risks are much greater than the expected benefits, are easy to make decisions about. But many other cases are in the gray zone in which potential benefits and risks are more evenly matched and the chances of doing harm with an operation come close to canceling out the chances of doing good. (C) 2006 by Gary Cordingley vimax herbal natural penis enlargement penis enhancement pills review penis enlargment excercises penis enlagement pills review vimax penis enlargement operation herbal natural penis enhancement pennis enlargement forum best elargement exercise penis

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Cialis is prescribed in cases of male erectile dysfunction. In other cases, many people have found that Cialis improves an already good sex life. They use Cialis as performance enhancer. That is fine as long as people are willing to acknowledge that they have a problem and they like the benefits that result. Cialis is not an aphrodisiac and it is not for everyone. To understand what is Cialis and how it works, I think that the following information are welcome. What is erectile dysfunction? Erectile dysfunction is the inability of the person to either initiate or sustain a penile erection for a sufficient period of time that is needed to attain a sexual gratification. The causes of it may be many for e.g. psychological, hormonal, arterial or muscular. What is erection? Erection is a process in which the penis becomes stiff and hard due to augmented blood flow. Erections may happen in response to physical or emotional stimulation, or sometimes an erection happens for no reason at all. Erection also enables sexual intercourse and some other sexual activities, though it is not essential for all of them. How the erection occurs? The penis contains two chambers called the corpora cavernosa, which run the length of the organ. When a man becomes aroused, the arteries leading into the penis open up so that pressurized blood can enter corpora cavernosa quickly. The blood creates pressure in the corpora cavernosa, making the penis expand and resulting the erection. What are the causes of erectile dysfunction? In most cases, physical causes of erectile dysfunction are very close related to blood flow circulation or nerve impulses to the penis. How Cialis works? As I said above, Cialis is not an aphrodisiac. It will not increase sexual drive. It only help people having disorders affecting the blood supply to the pelvis. Under sexual arousement Cialis' action relaxes muscles within the penis. This allows increased blood flow into the corpora cavernosa, very necessary to achieve and maintain a firm erection. Men with erectile dysfunction due to some arterial disorders will benefit the most. It doesn’t benefit those with hormonal problems or psychological problems except those with Diabetic neuropathy. pnis enlargement result best penis enargement semenax vig rx penile enlargement tool pennis enlargement traction device prosolution pennis enlargement pills penis enargement procedure vig rx for men truth about penis enlargement pills

There are several types of birth control widely used to prevent pregnancy. Some methods are for men and some for women. If you are having sex with your partner while using any type of birth control, you must remember that all these types of birth control have failure rate, e.g., latex condoms and diaphragms having 15-20% failure rate while in case of birth control pills, injection, sterilization and IUD you have to bear a risk of about 5%. Various types of birth control are described below: Male Condom It is the most common method, easily available and of course is not expensive. It is sold without a doctor’s prescription. You can buy condom from any super Store, medical store or any other related shops. Mostly it is made of latex rubber that should be put on erect penis before having sex. It prevents the partners from pregnancy as well as STD (sexually transmitted disease). Female Condom It is a 17 Cm long pouch that has two rings at both ends. Women wear it before having sex. Open end has a slightly larger ring, which rests outside the vagina. Close end has a smaller ring that keeps the female condom in correct place. It has the similar properties as of male condom that it keeps the vagina away from the skin of the penis or from the secretion from the penis. It also prevents you from pregnancy as well as STD. Birth Control Pills It is based on hormones that keep the sperm from reaching eggs and also keeping ovaries from releasing eggs. It generally comes in 21 or 28 days pack and you must take one pill daily. It does not protect you from STD. Vasectomy It is a permanent method of birth control, which involves surgery, that makes a man sterile or you can say that after having vasectomy operation a man cannot make a woman pregnant. The operation does not take much time, hardly it takes half an hour and during the operation doctor uses local anesthesia. However it does not affect your potency. You must remember that after using this method of birth control you will never become a father in future. Female Sterilization It is also a permanent method of birth control, involving surgery that makes a woman sterile. However this operation takes more time than vasectomy and doctor do the operation under general anesthesia. You must remember that after opting this method of birth control you will never become a mother in future. Spermicides The function of spermicides is to kill the sperms before reaching uterus. It is a chemical product and is available in the form of foam, cream and jelly. You must insert it less than 20 minutes before intercourse and for subsequent sex. You can buy it from any drug store or grocery store. It is alone not effective against STD. It is recommended that you must use condom with spermicides to protect yourself against STD. Apart from above you can also have natural birth control i.e., abstinence. It means you should not have sex in those days when women can become pregnant. You can ask your doctor about these days. penis enlargment pic medical penis elargement penile enlargement system penile enlargment tool easy enlargement free penile surgery way buy pennis enlargement pills penis enlargement excersizes penis enlagement without pills truth about penis enlargement pills

Do you have candida? Not many people know what candida exactly is and what they look like. Candida or yeast infection is an infection caused by the overgrowth of a microorganism called Candida albicans. This particular fungus is normally found in the stomach as it aids in the digestive process. However, it can cause harmful side effects if it is found on other parts of the body such as the mouth, skin folds, the vagina and or the penis. Diet is important in the treatment of the disease. The following diets can be of great help to completely get rid of the candida infection: • A diabetic diet is advised as it contains less sugar. All the foods that are rich in sugar must be taken in small amount. Food such as cookies, cake, candies, sodas, and ice creams should be taken with precautions. Sweetened food that are made from artificial sugar called saccharine or aspartame or stevia extract need to be taken with moderation. Sugar intake can further worsen the infection as it can cause overgrowing of Candida albicans. Three days of sugar restriction may enhance the possibility of curing the disease. • White starch food such as white pasta, bread, cakes and white rice must also be prohibited. You should take whole grains in moderation. If you are on a carbohydrate diet, you need to lessen the intake of the following foods to lessen the possibilities of growing more Candida albicans. Dairy products are harmless unless you are allergic to them. • The increase of intake of essential oils can be a great help. Oils such as omega-3 oils, fish oils such as tuna, salmon, mackerel, sardine, and other oils such as flaxseed oils, borage, and primrose oils can be a good diet. You should at least take one tablespoon of these oils per day. Some oils that are found in some food such as salads, canola oil and olive oils can be useful as well. You should include avocado oils and nut oils as they are helpful in treating the disease as well. • Do not just take any antibiotic without any prescription from a doctor. Antibiotics and cortisone-type prescriptions should not be taken as possible, as some of these drugs are harmful and can increase the growth of these microorganisms. • Regular intake of yogurt about two to three servings a day can also help in curing the infection. Yogurt contains a special ingredient called acidophilus that is a powerful and proven ingredient for treating the infection. These are the diets that a yeast infected patient should take. However, before taking these diets it is advisable that you should consult your physician first for a more thorough medical diagnosis and assistance. Note: This article may be freely reproduced as long as the AUTHOR'S resource box at the bottom of this article is included and and all links must be Active/Linkable with no syntax changes. compare penis elargement pills penis enlargment exercise plus review vig rx penis elargement tool pro solution permanent penile enlargement vimax penis enlargment com enargement penis penis pump truth about penis enlargement pills

We can thank the media and legislators for bringing the risk of anabolic steroid side effects to the forefront. Despite the exaggeration of the risks of using these drugs, steroids can still pose problems for users. Keep in mind that the risk of developing side effects is usually in proportion to the length of the steroid cycles and the size of the stacks being followed. To keep things clear we've separated the potential side effects into those experienced by men, women, and teenagers. Men Despite steroids being derived from the male sex hormone, testosterone, males who use these drugs may ironically develop the feminizing side effect, gynecomastia. Also called bitch tits, this condition is recognized by a swelling of the nipple region to the point that it may take on the appearance of female breasts! This unsightly condition occurs because one of the breakdown products of steroids and testosterone is the female hormone estrogen. And as males also have estrogen receptors the elevated estrogen levels may start producing female like effects - including gynecomastia - in men's bodies. Although this is probably the most severe cosmetic effect, there are others including " Reduced sperm count " Impotence " Development of breasts " Shrinking of the testicles " Difficulty or pain while urinating Women It's not surprising that women who take the drugs may develop masculinizing anabolic steroid side effects. After all steroids are derivatives of the male hormone testosterone. These include the following: " Facial hair growth " Deepened voice " Breast reduction " Menstrual cycle changes " Clitoral enlargement Both sexes When individuals stay on extended steroid cycles, the risk of developing side effects increases. Both sexes can experience the following, which range from the merely ugly and unsightly to the life-threatening. They include: " Acne " Water retention " Rapid weight gain " Clotting disorders " Liver enzyme irregularities " Elevated cholesterol levels " Tendon damage from proportionally stronger muscles " Mood swings Teenagers No discussion on steroid side effects would be complete without mentioning teenage usage of these drugs. Anabolic steroids can pose several serious health issues to teens. These drugs have been known to fuse the growth centers (epiphyseal plates) in teenagers bones; and once closed they cannot reopen. The end result is that the adolescent may end up shorter than his or her natural genetic height. Steroids have also been linked to severe mood swings. This could have severe repercussions as the teenage years are naturally marked by fluctuations in moods. Although not proven, there have been a few cases where the usage of steroids may have contributed to the suicide of a few teens. It's because of the previous anabolic steroid side effects that teenagers should under no circumstances use these drugs. Addiction? Despite the limited evidence, it is possible that steroids may cause addiction. Some studies suggests that heavy users of anabolic steroids may experience some of the classic symptoms of addiction including uncontrollable cravings, difficulty in terminating usage, and withdrawal symptoms. For many users of these drugs, coming off the "juice" can be very traumatic as they begin to lose their esteem building muscular size and strength. This loss of a key component of their identity can leave them suffering many of the same symptoms and side effects as those using common street drugs. Side effect free! Wouldn't it be great if there were supplements available that produced steroid-like muscle-building effects without side effects? Well guess what - there is! They are called steroid alternatives and they are fast becoming the choice of bodybuilders everywhere. Users report steroid-like gains in muscular size and strength without side effects. You owe it to yourself to check them out today! © Bob Howard 4/14/2006 © Bob Howard 4/15/2006