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Learn about Erectile Dysfunction and Sildenafil Citrate Online

Have you ever wondered how sildenafil acts within your body to help you solve your problems with erectile dysfunction?  Thanks to the instant availability of the Internet and computer devices, you will now be able to learn about ED and sildenafil citrate online right at your fingertips.

If you are curious as to how PDE5 inhibitors such as sildenafil work inside your body, then you can browse on search engines by simply typing in the search box the words sildenafil citrate online.  When you read about the mechanics of the action of sildenafil citrate online, you will learn that it helps protect the enzyme cGMP (short for cyclic guanosine monophosphate) from being degraded by the cGMP-specific PDE5 (short for phosphodiesterase type 5 enzyme) which are evidently located in the penile corpus cavernosum of men.  The free radical NO (short for nitric oxide) found in the penile corpus cavernosum adheres itself to what are called the guanylate cyclase receptors, which then results to the occurrence of elevated amounts of cGMP, thereby leading to the vasodilation or relaxation of the smooth muscles of the inner lining cushions of the helicine arteries (tendril-like arteries of the penis importantly involved in the process of its erection).  Once the smooth muscles relax, it will result to vasodilation and therefore there will be an increased supply of blood flowing into the penile spongy tissue, and the end result would be a successful penile erection.

Additionally, what you would also learn about sildenafil citrate online is that its special molecular makeup is somewhat similar to cGMP (located in the penile corpus cavernosum as well) and functions as an aggressive binding element of PDE5 in the penile corpus cavernosum, which results to more concentrations of cGMP and even better occurrences of erections. Avery important information that men will learn through reading about sildenafil citrate online is that sildenafil will be rendered useless without the introduction of one or more sexual stimuli, since only a sexual stimulus will be the only factor that can initiate the activation of the nitric oxide and cGMP inside a man’s body. Read more…

Suffering from administrative distress?

Fight back against paperwork-induced burnout

"I adore seeing patients, but what will drive me out of family practice eventually is the paperwork."

Sound familiar? If you spend hours each day filling out paperwork for which there’s no billing code, and if you spend your evenings and weekends completing form after endless form, and it's driving you up the wall — well, you're not alone. Recently, a team of Saskatchewan researchers set out to measure just how bad the problem has become.

In a study published In March's Canadian Journal of Psychiatry, psychiatrist David Keegan and researchers Rein Lepnurm and Wallace Lockhart measured what they called the "daily distress" of doctors. They asked physicians across the country about their professional and personal lives: anger at colleagues, frustration with demanding patients, ability to sleep soundly, whether work responsibilities interfered with home lives, etc.

The study's results (PDF) were, well, deeply distressing. According to their measures, slightly more than 50% of doctors experience very serious distress several times a month; another 37% are in distress at least once a week.

Read the rest of this article, from the June issue of Parkhurst Exchange, online here.

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1 comments:

  1. sharon7 July, 2009 11:54 AM

    RE: administrative burnout for doctors

    Considering:

    1. their own list of limitations in the report

    2. reporting " findings" is not the same as reporting solutions

    3. discussion needed on the development and ways to use an assessment tool

    4. the strange remark "“adaptive character trait of compulsiveness” . Is that in a textbook somewhere?

    Suggestion:

    Use printed clinical carepaths with checklists and comment beside each "performance' step. Add a time spent box.

    Then at some future time... use the results for the formation of a "cheat sheet' for routine visits....

    Then.. use data collected to formulate an argument for "billing changes" based on time spent ( either to funder or patient )

    Delete