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Many individuals judge the quality of their exercise session from the amount of pain they experience afterwards. These individuals are convinced by the old adage “No Pain No Gain”. Research on Delayed Onset Muscle Soreness (DOMS) has demonstrated that here may in fact be some truth to this phrase. Recall in a previous article presented on this website dealing with Delayed Onset Muscle Soreness, we discussed the high probability that muscular pain after exercise results from actual muscle damage. This damage is viewed by the immune system as would any other injury and as a result, an inflammatory response is initiated to start the healing process. Several substances and chemicals are released during an inflammatory response and are thought to enhance the sensation of pain by excessively stimulating the nerve endings in the damaged tissue. So since pain is associated with muscle damage, in some cases it may be a fair indicator of a “good workout” or running session. The repair and healing of damaged muscle allows for hypertrophy or enlargement of the muscle fiber by the addition of myofibrils, thus increasing the cross sectional area. Excessive muscle pain that continues for more than several days or continuously however is not desirable, as this is often an indicator of athlete overtraining or over-reaching. It must be stressed that if pain is experienced, it should be a “good” pain that is, not originating in the joints and should resolve within a couple of days. As exercise becomes more regular and the exerciser more accustomed to it, it will be noticed however that it becomes increasingly harder to elicit the same painful muscle response. The reason for this is unclear at this time but it is suggested that an exercise session that causes DOMS has a protective effect on subsequent exercise - lasting several weeks. Again it is unclear the exact mechanisms behind this protective effect. In conclusion then, a regular exerciser should not place a high value on the “No Pain No Gain” evaluation of their workout, as their muscles will be less susceptible to the effects of DOMS. Rather it is suggested to concentrate on other factors such as strict technique and exercise variety so as to avoid undue stress on the joints and overtraining of single muscle groups. free penis enlarement video enlargement penis pill vimax homemade penis enhancement natural penis enlarement technique do penis enlargement pill really work home penis enlagement natural penis enlargement and lengthening penis enlarement tip
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The Prostate: Part I – BNP What is situated below a body of water, has four zones and is commonly associated with venial pleasures. No it is not some romantic European city, but rather a walnut sized male organ that serves important procreative functions. It also happens to be an organ that plagues men as we age. This organ or gland is the prostate. This is the first of two articles on the male prostate. This article will focus on a disease process that affects older men, something we refer to as benign prostatic hyperplasia (BPH). BPH is a non-cancerous growth in the size of the prostate gland that impairs the flow of urine out of the bladder. The second article will focus of prostate cancer. But first a little about the small yet important male organ. The gland is located just below the bladder. It usually measures one inch by one-and-a-half inches (approximately the size of a walnut). It surrounds the urethra (the tube that takes urine out of the bladder). It is responsible for producing a fluid important in male sexual function. In the past the prostate was described as having “lobes”, but today we refer to it as having concentric zones. These zones are important both on an anatomical as well as histological level. We can separate pathology along these zones as well. For instance most all cancers occur in the peripheral zone while the benign process of enlargement occurs almost exclusively in the transitional zone (which only occupies about 5% of the total prostate volume). The prostate gland is also made up of different cell types. Cancer cells develop from the epithelial cells, but it is the interaction with stromal cells that is important in the behavior of the cancer. BPH develops from an interaction between these cells as well, but it is complex and poorly understood. Testosterone and other hormones and their interactions with this gland are hot topics of research in understanding prostate disease. The prostate gland produces most of what is found in the male ejaculate. The average volume is about 3 mL. This is less than a teaspoon and only 1% of it is sperm. The majority of the semen volume is made of products of the seminal vesicles and the prostate. The male ejaculate is very rich in potassium, zinc, citric acid and fructose. Along with these substances it also contains prostaglandins. There are many other unusual substances found in the semen. Not all is know about their function or purpose. This important male organ is a complex mix of anatomical structures and cell types that make it possible for human reproduction. However beyond the reproductive years of men, this organ becomes one of burden rather than usefulness. We will discuss the finer points of BPH and how to best avoid it and if plagued with it, treatment options. BPH typically affects men from their fourth to fifth decade of life and beyond. Several hormones come into play that have a drastic effect on the transitional zone (the zone that is most central and surrounding the urethra). Namely a metabolite of the male androgen Testosterone called Dihydrotestosterone (DHT) plays a big part on the enlargement of cells of the prostate and the encroachment on the urethra. There are several signs and symptoms that correlate with BPH and they are: slow urinary flow, the urge to urinate all the time, nighttime urination, enlargement and distension of the bladder with continuous urine leakage (incontinence) and urinary obstruction. Autopsies suggest that more than 90% of men older than 70 years have BPH. The average age for symptomatic development is about 65 years for white Americans and about 60 years for African-American men. Ways to prevent the effects of DHT on the prostate gland and the ensuing enlargement are via medications that block the enzyme 5-alpha-reductase, which converts Testosterone to DHT. Proscar is such a drug commercially available through a pharmaceutical company. Proscar works on blocking the effects of androgens on the epithelial cells and can actually shrink the size of the prostate making some of the symptoms of BPH resolve. Alternatively two FDA approved drugs that aid in symptoms of BPH (but act differently than Proscar) are Hytrin and Cardura. Both Hytrin and Cardura are drugs in the alpha1-blocker class. Originally researched as a centrally acting blood pressure reducer for patient with hypertension, it was discovered that this drug would actually relax the prostate tissue surrounding the urethra making symptoms of BPH resolve. Side effects generally include low blood pressure, dizziness, and nasal stuffiness. While neither of these two drugs will “cure” or reverse the process, they certainly do provide symptom relief for the patient plagued with BPH. Another way to treat this disease and a more natural approach is the use of herbs know for their anti-androgenic effects on the prostate. These include the well-studied Saw Palmetto herbal extract that blocks 5-alpha-reductase in the same manner as the prescription drug. Saw Palmetto taken in a standardized dose of 160mg twice daily has shown increased urine flow, with minimal side effects. Saw Palmetto is an herb indigenous to the Lowcountry of Georgia and South Carolina. Pygeum Africanum is shown to do the same yet it is not as effective and there is a fair degree of stomach symptoms. Pygeum is derived from an African evergreen tree. Stinging Nettles (Radix urticae) is another herb used widely in Europe for prostate health that has been shown to lower the residual urine volume in men with enlarged prostates. These phytotherapeutics (plant derived medicines), used and described by the Egyptians as far back as the 15 Century B.C., have a common compounds called phytosterols. The most effective phytosterol is beta sito sterol for BPH. None of the medications or herbs has been shown to prevent prostate cancer. These prescription medications and herbs are for the treatment, reduction in size or prevention of the benign process of enlargement of the prostate. Prostate cancer prevention and treatment is by other means and the subject of the next article. Besides the herbal and drug therapies there are a few surgical therapies worth mentioning. These include the most common transurethral resection of the prostate or TURP. This is where under the care of an urologist the constricted urethra within the prostate gland is “reamed out” thus mechanically or surgically widened the opening. A variant of this is the transurethral incision of the prostate (TUIP) where an incision rather than resection of the tissue is performed. A suitable procedure for patients with prostates 100 mL in volume. This involves an abdominal operation and removal of the whole prostate. Of course symptoms mentioned above for TURP are of greater frequency with this more radical procedure. There is also thermotherapy (a type of microwave treatment) that alleviates irritative symptoms, but not much is available in long-term results in the medical literature. And finally stent placement is an option. This can be used in selected cases of patients with a poor general condition and in the non-operative candidate. Symptoms of BPH include: Obstructive symptoms: Hesitancy in initiating voiding (trouble getting started) Weak urinary stream, prolonged voiding Post-voiding dribbling (mild incontinence) Sensation of incomplete emptying Nocturia (night time urination) Overflow incontinence Acute urinary retention (very painful condition) Irritative symptoms: Dysuria (discomfort in urination) Frequency Urgency Scoring BPH: The American Urological Association Symptom Index (AUASI) and International Prostate Symptom Score (IPSS) are now considered the gold standard measurement tools for the assessment of BPH symptoms and response to treatment. Both questionnaires can be used by a physician in a clinical practice to quantify the subjective symptoms of BPH and monitor therapies. Part II in this series will cover annual examination of the prostate, blood testing, prostate cancer. It will also cover prevention and treatment of prostate cancer. Reference: http://www.prostatehealth.com Lowe, FC. Et al, Phytotherapy in treatment of benign prostatic hyperplasia: a critical review. Urology 48:12-19, 1996 Dreikorn, K. et al, Stellenwert von Phytotherapeutica dei der Behandulng der benighnen Prostatahyperplasia. Urologe (A)34:119-129, 1995 Fitzpatrick, J.M. et al, Phytotherapeutic Agents in Management of Symptomatic Benign Prostatic Hyperplasia. Urological Clinics of North America. 22:407-412, 1995 Wilt T, Ishani A, Mac Donald R.. Serenoa repens for benign prostatic hyperplasia. The Cochrane Database of Systematic Reviews 2002, Issue 3. Art. No.: CD001423. DOI: 10.1002/14651858.CD001423. [Research by Sagalowski and Wilson, 1998] © 2005 penis elargement fact easy enhancement free penis surgery way penile girth enlargement vimax penis enlargement cream vigrx free penile enlargment video prosolutionpills pennis enlargement product penis enlagement pic before and after
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Jan 21st 2006 Exactly 3 years from today I died. Then I was just another teenager, blinded, seeking direction, thirsty for knowledge, beautiful things, all the time holding hard a rope that directed me in the good and the bad. It wasn’t suicide, or normal biological death. To be completely honest, I do not know what kind of death it was, why I died, nor was there anyone or anything that caused it. All I know is that I died, and with me died the little teenager, the blindness, those insecure illusive directional arrows, and the hard rope broke. The thirst for knowledge and the beautiful things remained there forever. I daresay they became stronger, deeper, and somehow sucked the contrast, tone and values away from everything else imaginary. Even from death itself. I still remember vague sequences from that sad day for the people who knew me. It was raining. The sky, or something that looked like one, had gray nuances and the wind deformed softly their empty eyeshades, freezing their sad numb faces and bringing tears of sorrow. For me was completely different. I felt secure watching my coffin surrounded by people. By people... And as everyone cried I felt for the first time happy, somehow… I cannot never explain it fully how I really felt. Is it right to feel happy when someone dies? And when you see yourself inside the tomb, should you smile? What would ‘the world’ say? Does that make me evil? I remember that I left them for a while doing their own rituals… Suddenly it became dark, very dark, and I also remember myself not being scared, but surprised. I was always being told that in the end, if you’re a good person you’ll see only white. Again, I thought: ‘Was I a bad person?’ Part 1 – God Is Evil I started walking, maybe for a very short time, until I saw three doors. I stared at the first one. It said HEAVEN. I open it and enter inside. The first thing that catches my attention is a priest. I cannot see his face, but I do not think too much detail of this is needed anyways… He is holding a child in his lap and apparently is playing with him something. A new game, I think, because I cannot recall memories of myself when I was much younger playing with sexual organs and other’s genitals. The priest’s voice started to get louder though, and the kid did not seem to be having much fun. I stepped forward; they both saw me. I simply looked at them. The priest covered his face, ‘God forgive me!’, and run. I didn’t bother, just continued walking, thinking about the priest my good catholic parents had hired for my funeral… On another corner lay a dark colored man and, believe it or not, sitting on a chair there was Jesus Christ talking to him. Up in a big golden throne was God. I walked up to them, but I did not say anything to Jesus. Apparently, since the first moment I was dead, the being I dedicated my whole short life seemed to me just an emotional poet who sacrificed everything for human literature. ‘Hello, my son. Welcome home!’ ‘Why did you kill me God?!’ I said simply. My question surprises the other man and as he stands up he asks: ‘Yeah! Hey God, I never asked you… why did you let me die too? You are evil god!’ ‘My good son… You were praying while TITANIC was taking you deep down the pacific. You should have swim. I gave you your brain so you can learn how to swim! You are an ignorant fool!’ ‘But… but… I thought that you gave me my brain, my body, my whole life so I can believe and follow your path.’ God is quiet. After a while he smiles and answers: ‘Forget about that. Now you are here with me.’ I look at the man indifferently: ‘That is right. You can wonder all day in the magnificent holy fields of Heaven, listening to quiet and peaceful beautiful melodies; no more stupid people from whom you can get second hand smoke. Now you are going to enjoy Eden’s fresh air. Give it a try and maybe you will find Led Zepplin here.’ ‘Wow! That sounds cool! Hey God, is that true?’ ‘Yes, my son’ comes his voice. ‘Thank you father! I had always faith in you. Bless thy word, the Holy Spirit and…’ ‘But there is no more sex.’ I add with a diabolical smile. God gives me a look that can make even the devil run away… and then says to the man: ‘Sex is for the animals like the Devil. Animals are only good for food, plus they evolve. Did you know that catholic priests and nuns are not allowed to reproduce or get married?’ I give another smile to these words. God raises his voice more. ‘They are devoted to me, so I shall give them peace here. If you carnal pleasure I will send you in Hell to the Devil. There is the place for it, and that is like going back to life. Misery! He is very evil for every good thing that he gives to you! Always! Come on my son (God winks at him) you have been living in earth for 32 years…’ As God finishes the man becomes sad and all I can hear are the words ‘GOD YOU ARE EVIL!’ I walk away. I know I will not find any answers here. Part 2 – Other forms of religion are evil The second door opened easily as the first one. On the golden placate was written ‘Allahu Akbar*’. I enter and I see two silhouettes talking quietly inside a cave. ‘I am sorry Mohammed. I’ve been bad, a cheater, killer, liar, evil… Forgive me.’ ‘I’m sorry, but it is up to Allah to decide’ (crying; murmuring the Kuran) ‘By the way, your niece, I heard, is posing “artistic” nudes for the GC!’ The other guy gets very angry and starts to scream. ‘And I thought you were the Good One! But you are evil too! Allah, Allah…’ ‘Please, estakfurulla, bismilah… I just mentioned a fact, just to open a conversation, you know, until he comes for your final judging.’ ‘Okay, okay. I am sorry Mohammed, but you are a little bit evil; just a little bit. (He shows his pinky’s nail) ‘Most of us Muslims live in poor countries; we have to grow to grow beard even when it’s hot; our women have to be covered in black head over heels. They are never independent. Sometimes we beat them up to death just for showing without consent their lips in public when they eat. They do not say anything. And what’s this mental tradition of cutting the skin of the penis? It hurts man… And not to mention the 5-times-a day- praying. Come on! (Whispers in the others ear) Did you know that Christians, Catholics and others pray to their God only once a day, usually, before they go to sleep? I kind of envy them…’ ‘Are you questioning Allah’s rules?!’ ‘No, no! I’d be evil to do that, I accept everything for Allah’ ‘Then are you being evil to yourself?!’ he asks. The other does not answer just bites his dirty nails. ‘How many wives does He allow you now?’ the questioning continues. ‘Only four. He took my other four because he said I did too much killing’ The person who was questioning before looks around once or twice and says: ‘That’s kind of evil if you think about it. You’ve got to have fun once in a while, you know… That’s what females are made for…’ I smile and leave as they continue to talk. Part 3 – Humans are evil There it is. The last door… It looks beautiful and seductive from the outside. It doesn’t have a name. I wonder why… To my surprise I do not see anything else except a very artistic, big, blood on canvas painting of The Universe and some kind of book. I get closer to admire the many colors** and the beautiful red tones used. It was amazing and it opened my eyes even more. The details were stunning. People Killing Cheating Lying Stealing Committing adultery Taking advantage Being hypocrites Sexually abusing I look down at the black space, on the corner of the canvas. The signature reads HUMAN. I smile again; this time a more intelligent smile. Suddenly I am reminded of the book. I open it and realize that it is a guestbook. I start to read: ~ People will ignore their misfortunes and their interests when they are in competition with their pleasures. ~ The world is a dangerous place to live, not because of the people who are evil, but because of the people who don't do anything about it. ~ There surely is in human nature an inherent propensity to extract all the good out of all the evil. ~ Men never do evil so completely and cheerfully as when they do it from religious conviction. ~ Death? Why this fuss about death. Use your imagination, try to visualize a world without death! ... Death is the essential condition of life, not an evil. ~ Battle not with monsters lest ye become a monster and if you gaze into the abyss the abyss gazes into you. I cannot stop smiling. I take the pen and write on a blank page with a grotesque calligraphy Human Nature Is Evil Then I sing my name into the infinite list and realize that there is more to come. I close the book and everything becomes white, clear. I am back at my funeral. People are crying sadly. I smile; a diabolic evil smile...