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The causes can be physical or psychological. It is also possible for an initially physically led cause for impotence to attract psychological issues too. Physical Causes for Impotence or Erectile Dysfunction 1) Brain Damage If the head had suffered trauma and/or brain has been damaged, then there is a possibility that the signals required for a healthy erection will not occur and impotence will result. 2) Diabetes There is a higher possibility that someone with diabetes will suffer with impotence also. Conversely, and loss and or an inability to maintain an erection may be an indicator of diabetes. 3) Glandular Glandular issues and those connected to the thyroid may have an adverse effect on love-making and lead to erectile dysfunction. 4) Drugs Some drugs, both prescriptive and recreational may have side effects, one of which could be erectile dysfunction. Drugs that are prescribed for high-blood pressure may often be the cause of a loss of erection and therefore impotence. Some drugs prescribed for psychiatric conditions such as depression may also be a cause. 5) Injury to the Penis or Surrounding Area Sometimes damage, whether temporary or otherwise to the penis may lead to a temporary loss of erection or discomfort if the area is tender. Psychological Causes of Impotence – Erectile Dysfunction This refers to the way a man either thinks about what an erection and/or sex means to them or what they associate with the act of love-making. 1) Negative Conditioning A man may have learnt from parents or other persons of influence that sex is in some way wrong or bad or have some other negative connotations. In attempting to perform sex these influences may reduce arousal and replace it with negative feelings leading to a loss of erection and impotence. 2) Criticism A partner may have criticised a man either before after or during love-making. The next time the man makes love he may have that criticism on his mind. He will want to avoid being criticised again and may feel under pressure. The result of all this may be a loss of his erection. 3) Fear of Loss of Erection Sometimes a man loses his erection during love-making which is perfectly normal. If the man believes this is not supposed to happen he may feel under pressure to keep his erection throughout love-making. This leads to anxiety and anxiety does not help maintain an erection. 4) Alcohol Many men experience temporary impotence if they have been drinking excessively. This experience or memory may play on their minds and they may feel anxious during the next time they make love. Even though alcohol may not have been consumed on this subsequent occasion the man may lose his erection if this previous memory plays on his mind. 5) Partner or Marital Difficulties If there is an issue or problem in the relationship, this may well have an impact on love-making and the result may be temporary impotence. Unfortunately the partner may compound the issue by saying something like “you don’t love me anymore” after the man loses is erection. 6) Routine – Loss of Excitement In the majority of relationships the couple can settle down into a routine for love-making and one or both partners may lose interest because the initial excitement is no longer there. Each partner does the exact same thing during love-making and so it becomes more mechanical with less emotional input. If the sexual interest lessens impotence may result Impotence and Erectile Dysfunction Conclusion All of the above and more can lead to a fear of losing an erection. If the pattern is repeated during subsequent love-making this can have a negative and compounding impact on a man’s thoughts about making love. Often avoidance may be used as a strategy to cope. Unfortunately avoidance rarely resolves or releases a fear or impotence. penis enlargement surgery photo manual penis enlagement herbal natural penis enlargement homemade penis enargement penis enhancement cream buy place vig rx herbal penis enlargement homemade penis enargement

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The breast is a vital part of the female body; it's shape, size and perception affects the self-esteem and confidence of a woman. This perhaps is the reason for the surge in the number of women going for breast enlargement surgery, clinically known as Augmentation Mamoplasty, in recent times. Records have it that breast enlargement surgery is the third commonest type of cosmetic surgery performed in the United States and the number of women undergoing breast augmentation has increased over twenty percent in the last couple of years. Despite the apparent risk involved with breast enlargement and the obvious adverse effects, the number of people undergoing this surgery has always been on the rise. Breast enlargement surgery could cause breast pain, breast hardness or numbness in the nipples that won't go away for months or in some cases, years. It could cause infections that would warrant the removal of the implant, until the infection is cleared. The implant could leak or rupture, wrinkle or change in shape resulting in more surgery to correct or remove the faulty implant. It is even said that the presence of implant in a breast makes it technically difficult to detect cancerous growth in the breast with a mammogram. Yet all these reasons haven't caused women to reconsider their quest for a better breast through surgery. One therefore wonders what these women expect to get from breast enlargement surgery. Modern society places so much emphasis on body shapes, curves and looks and this seem to be the driving factor in most cosmetic surgery. Most women want to look like the women they see in movies or magazines. We all have an idea of what an ideal body should look like, but in most cases, these imaginings can never be transferred to reality, no matter how hard we manoeuvre, adapt or change the natural body shape, there is a limit to what can be achieved with cosmetics. With breast enlargement surgery, for instance, it is important to state here that the results that you get after surgery may not necessarily correspond to what you have in mind as the ideal breast shape. The procedure will definitely improve breast shape, size, look and perhaps, firmness. But it is better to have a realistic expectation from the procedure. The outcome of breast enlargement surgery depends on so many individual factors, hence the difference in the results you get, meaning that you are not very likely to come out looking like your ideal Hollywood figure. The more realistic your expectations, the more fulfilled you will be after the procedure. The outcome of a breast enlargement surgery would depend on factors like health, the structure of your chest, shape of your body, the type of surgical procedure and the size of implant. Prior experience with breast surgery and the skill and experience of the surgical team would also play a role in the end result. The bottom line is that, though most women find their self esteem, courage, confidence and social acceptance after a breast enlargement procedure, you are more likely to be better off after the surgery if you expect less from the procedure. There is nothing as heart breaking as spending a few grand of your hard earned money only to discover that you didn't really get what you expected. If breast surgery is what you want, then go for it, but be reasonable in what you expect from it. penis enhancement excersizes permanent penis elargement top rated penis enlarement pills vimax penis enlargement surgeries enlargment forum free matter penile size penis enhancement secret plastic surgery penile enlargement does vigrx work penile enlargment testimonials

THE RESPIRATORY SYSTEM Intake of oxygen and removal of carbon dioxide are the primary functions of the respiratory system. The respiratory system carries out these life-sustaining acts in close coordination with the circulatory system. Most of the time, we remain blissfully unaware of these automatic functions. The respiratory organs deliver oxygen to the circulatory system. The circulatory system transports the oxygen to all body cells. Oxygen is used by cells to liberate the energy needed for cellular activities. The respiratory system also removes carbon dioxide. Thus, the circulatory system prevents the buildup of this lethal waste byproduct in the body tissues. Irreversible damage to tissues can occur if the respiratory system is halted even for a few minutes. This can cause failure of all the other body systems. The consequence is death! NOSE COMMENCES THE RESPIRATORY PROCESS The respiratory system begins from the nose. It ends in the lungs. The respiratory system is broadly divided into two parts, viz., the upper and the lower respiratory tracts. The upper respirator tract is made up of the nose and the throat (pharynx). The lower respiratory tract includes five organs. They are the voice box (larynx), and the windpipe (trachea), bronchi, bronchioles and the lungs. The trachea splits into the two branches called bronchi. The bronchi further gets divided into further smaller branches called bronchioles. The lungs are a pair of spongy saclike organs. The bronchioles, bronchi, trachea, larynx, pharynx and the nose transport air to and from the lungs. It is the lungs that interact with the circulatory system for delivering oxygen and removing carbon dioxide from the lungs. THE RESPIRATION PROCESS Respiration is a two-pronged process. It involves the respiratory and the circulatory systems. Respiration connotes the coordinated functioning whereby the cells are delivered oxygen and the lethal carbon dioxide is removed. The first phase: The nose begins the first phase of respiration. This is done with inhaling or inhalation (breathing in). The process brings in air along with oxygen from outside the body into the lungs. From the lungs, oxygen goes via the blood vessels to the heart. The heart pumps the oxygen-rich blood to all parts of the body. The first phase of respiration ends with the oxygen moving into the cells from the bloodstream. The second phase: The second phase commences after the oxygen gets into the cells. The cells use the oxygen to produce energy. This independent process is called cellular respiration. It produces the byproduct -- carbon dioxide. The accumulated carbon dioxide now moves from the cells to the bloodstream. Next, the bloodstream transports the carbon dioxide to the heart. Then, the carbon dioxide-laden blood is pumped back to the lungs. The third phase: Again the nose comes into picture during this stage. The lungs push the byproduct to the nose from where it is exhaled or breathed out. This is the final or the third stage when the body gets rid of the carbon dioxide. At the end of the third stage or the entire respiratory cycle another one starts automatically. OTHER FUNCTIONS OF THE RESPIRATORY SYSTEM The respiratory system further regulates the balance of acid and base in tissues. This balancing act is crucial for the normal functioning of cells. It protects the body against disease-causing organisms and toxic substances inhaled with air. The respiratory system also houses the cells that detect smell. Moreover, the respiratory system assists in the production of sounds for speech. THE OLFACTORY NERVE The brownish olfactory nerve is also called olfactory receptors. The olfactory nerve inside the nose is the main nerve of smell. The olfactory region is made up of thick nasal soft mucous membrane. Its brownish color is because of a pigment. The olfactory nerve ends in minute varicose fibers (several small branches). These fibers ultimately conclude in the epithelial cells. Mentionably, the epithelial cells project into the nasal free surface. The olfactory nerve is the first to know of any chemicals that may enter the nasal passages. The receptors immediately trigger off a signal to the brain. This creates the smell perception. THE ESOPHAGUS Esophagus is a muscular tube. The esophagus carries food from the throat to the stomach. The esophagus and the pharynx situated behind the mouth swallow the food and move it to the stomach. The stomach temporarily stores the food, mixes it with digestive juices, and carries out some digestion. The esophagus also holds the stomach contents in place. Actually, this function is carried out by the lower esophageal sphincter. This sphincter is a muscle. It is located at the lower end of the esophagus. THE PHARYNX The pharynx is a passageway for both air and food. The pharynx connects the nose and mouth with the windpipe (trachea) and the food pipe (esophagus). The pharynx is a muscular tube. The pharynx is located within the neck. The pharynx is lined with a mucous membrane. The pharynx is approximately five inches (13 cm) in length. The pharynx lies in the front of the spinal column. The upper portion of the pharynx is known as nasopharynx. The name arises as it begins in the back of the nasal cavity.. The lower part is oropharynx. It points to that area in the back of the mouth. The pharynx ends at the epiglottis. Epiglottis is a flap of cartilage. Epiglottis prevents food from entering the trachea. However, the epiglottis allows the food to enter the esophagus. Two eustachian tubes connect the pharynx to the middle ear. These eustachian equalizes the eardrums air pressure. The pharynx can be infected via the mouth as well as the nose. Sore throat involves pharynx infection (pharyngitis) or throat inflammation. Pharyngitis can be due to infectious mononucleosis, herpes, and viral infections. The viral infections are German measles (rubella), influenza, and common cold. It can also be caused by bacteria like staphylococcal, streptococcal, chlamydial, and diphtherial. These bacteria multiply cause sore throat by multiplying rapidly within the pharynx. Tonsils and Adenoids Among the adults the pharynx contains the tonsils, while among the children the pharynx contains the adenoids. Tonsils: Tonsils are lymphoid tissues at the back of the throat. Tonsils form a tissue ring around the pharynx or the throat. Tonsils are cells. Tonsils are similar to the bloodstream lymphocytes. Tonsils are embedded in fibrous connective tissues. Tonsils are covered by a single epithelium layer. The lymphoid cells are phagocytic. The cells protect the pharynx from bacteria that can cause diseases. Tonsils may become inflamed and chronically or acutely infected. This condition is called tonsillitis. It is generally caused by streptococcus infection. During tonsillitis and streptococcal, the tissues surrounding the tonsils form pus. Then a whitish coat forms over the tonsils which can appear as white specks. This state is called quinsy. When the pharyngeal tonsils become inflamed they become abnormally large. They are called adenoids. Acute cases of tonsillitis are often treated by antibiotics like penicillin. Chronic recurrent tonsillitis may be treated by tonsillectomy (surgical removal of the tonsils). Adenoids: Adenoids are lymphoid tissue at the back of the throat. Adenoids usually shrink and disappear by adolescence. Enlargement of this tissue is common among children. Such a state can interfere with breathing. Symptoms of enlarged adenoids include restless sleep, snoring, breathing via mouth, and a nasal voice. Earlier, these tissues were removed in children. It was thought that inflamed adenoids led to recurrent colds and infections. Nowadays, this condition is recognized as benign. As a result, there are lesser adenoidectomies. THE LARYNX From the pharynx, the inhaled air moves to the larynx. The larynx is about five inches (13 cm) in length. The larynx is located in the central part of the neck. The larynx is made up of several layers of flexible but tough cartilage, a tissue. Mentionably, during puberty the males experience a protrusion of the cartilage. This enlarged prominent extension at the neck is called the Adam’s apple. FUNCTIONS OF THE LARYNX The larynx primarily transports air to the wind pipe (trachea). Besides, the larynx also helps in producing the sounds. The epiglottis -- a leaflike thin tissue portion of the larynx -- further prevents the food from entering the trachea (thus obviating the possibility of choking). Moreover, the cilia cells as well as the mucous membrane of the larynx also filter air. The cilia cells take the airborne substances towards the pharynx where they are swallowed. The epiglottis: The epiglottis stem is attached to the top and the front portions of the larynx. When the epiglottis remains in a vertical position, it acts like a trap door. This happens during the breathing process. But as a person starts swallowing, a reflexive action forces the epiglottis and the larynx to move near each other toward each other. This coming closer of the epiglottis and the larynx forms a protective seal. As a result, the fluids and food are specifically sent towards the food pipe (esophagus). When the reflexive action doesn’t work: What happens when the reflexive action doesn’t function is that the food can enter the larynx. This happens when one eats the meal fats or when one laughs while swallowing. The result is that there will be a recurrent cough impelled choking effect. At times this apparently simple choking effect can even be life-threatening. The cough is the body’s reflexive action to clear the larynx of the impediment. Whenever such choking takes place, someone must thump the back portion between the shoulder blades several times. This will help the person to get over the choking effect. The Heimlich maneuver: The Heimlich maneuver clears the windpipe of obstructions like food or fluid. The first-aid providing person applies thrusts in quick and in upward motion at the patient’s abdomen. The objective is to expel the object stuck at the trachea (windpipe). Standing behind the victim, the person keeps both his arms across the patient’s waist. Then, he places the fist of one hand below the rib cage and a bit above the navel. All the while, he keeps the thumb against the patient’s body. He uses the other hand for holding the fist and for applying pressure. Next, he puts quick pressure on the abdomen. The pressure is put in an inward and an upward motion. This fast recurrent action forces the lung air to get rid of the substance blocking the windpipe. However, in cases where the patient cannot stand still, is overweight, faints following the choking effect, the Heimlich maneuver is done in a different manner. The patient is made to lie face down. The first-aid provider carries on the process with the heel of a hand. Important: Nonetheless, it is important that the person does not put undue pressure on the rib cage. This is especially true when the patient is a child or an elderly person. Too much pressure can break ribs. Pertaining to pregnant woman or overweight people, the first-aid provider must place his hands only on the lower half of the breastbone (sternum) while carrying out the maneuver. In acute choking, tracheotomy (a surgical procedure) is undertaken to carry out bypass of the larynx. This operation brings in air to the trachea. TRACHEA, BRONCHI, AND BRONCHIOLES The trachea is another tube measuring approximately six inches (15 cm). The trachea is located below the larynx. From the larynx the air passes on to the trachea. About 20 sturdy C-shaped cartilage rings constitute the trachea. These rings help to keep the trachea open. In the process, air gets transported unhindered. While the unfastened cartilage is located at the trachea’s back portion, their ends are linked to each other by muscle tissues. Bronchi & bronchioles: The trachea base is situated at the portion where the neck meets the body trunk. At this juncture, the trachea splits into the right and the left bronchi. These bronchi transport air to the right and left lungs respectively. Inside the lungs, these bronchi again break up into smaller tubes -- the bronchioles. In fact, the respiratory system’s cleansing process is carried out by those bronchioles that are situated at the initial part, bronchi, and the trachea. These organs carry out the cleansing process via the mucous membrane linings as well as the ciliated cells. These cilia and the lining push the mucus upward towards the pharynx. Alveoli & capillaries: Alveoli are minute sacs inside the lungs. Most of the alveoli are lung tissues. Alveoli are formed by the bronchioles as they divide several times. The alveoli along with the bronchioles resemble a tree. The alveoli are only 0.02 inches (0.5 mm) in diameter. There are about 150 million alveoli in each lung. The alveoli carry out a dual function. While providing oxygen to the circulatory system, they also remove carbon dioxide from the lungs. The thin elastic alveoli walls expand when air moves into them. The walls collapse to exhale the air. The alveoli remain in clusters like the grapes. Each cluster is surrounded by capillaries. The capillaries are thin-walled and form a dense net of tiny hairs. The alveoli wall air is generally located 0.2 microns away from the blood carried by the capillary. Mentionably, the alveoli have more oxygen concentration then the capillaries. So, oxygen disseminates to capillaries from alveoli. Through the capillaries, oxygen goes to the larger vessels. These vessels then transport the oxygenated blood to the heart. Next, the heart pumps the cleaned blood to the other parts of the body. Macrophages: Among the alveoli are interspersed many macrophages. The macrophages are blood cells. These large white cells act as the last sentinels of the respiratory system among the alveoli. The macrophages segregate the foreign elements which may have passed through the earlier filtration process. This last line of defense ensures that the alveoli are not infected. Carbon dioxide disposal: The cells from across the body dump Carbon dioxide as a waste product. It is dumped in the bloodstream. The blood carries Carbon dioxide into the heart. From the heart, the Carbon dioxide moves to the alveolar capillaries. Notably, the capillaries have more concentration of carbon dioxide than the alveoli. So, carbon dioxide gets diffused into the alveoli from the capillaries. 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Cardiovascular Disease (CVD) is the leading cause of death for both men and women in the US. One in four people are afflicted with some form of the disease, which amounts to roughly 61 million Americans. CVD is attributed to 42% of all deaths, taking almost 1 million lives each year. Common, yet serious, conditions that fall under the CVD umbrella are: atherosclerosis, angina, high blood pressure, high cholesterol, heart attack, heart failure, stroke and arrhythmia. If cardiovascular conditions are detected early on, the odds of combating their effects and possibly reversing them altogether can be increased significantly. Understanding Cardiovascular Disease Cardiovascular Disease encompasses all diseases related to the cardiovascular system, including dysfunctional conditions of the heart, arteries and veins that supply oxygen to vital life-sustaining areas of the body such as the brain, the heart itself and other vital organs. Atherosclerosis Atherosclerosis is the most common of the cardiovascular conditions and lies at the root of most of the major diseases affiliated with the heart. Atherosclerosis is the hardening and narrowing of the arteries caused by the slow buildup of plaque on the inside walls of the arteries. Coronary Artery Disease (CAD), occurs when atherosclerosis results in a partial or total blockage to the coronary arteries, which supply blood to the muscles of the heart. CAD is the most common underlying cause of heart attack. Angina is the medical term used to describe chest pain or discomfort that occurs when the heart muscle does not get enough blood. Usually the pain starts in the chest behind the breastbone but may also occur in the arms, shoulders, neck, jaw, throat, stomach or back. Angina can be a sign of an impending heart attack. Heart attacks occur when a clot in the coronary artery blocks the supply of blood and oxygen to an area of heart muscle. Often, the blockage leads to cardiac arrhythmia, an abnormally high or abnormally low heart rate that causes a severe decrease in the pumping function of the heart and may bring about sudden death. A Stroke is caused by an inadequate oxygen flow to the brain. Strokes that don’t result in death can be mild, known as Transient Ischemic Attacks (TIA), or they can be severely damaging to the brain, causing paralysis and cognitive malfunction. Heart Failure Heart failure usually develops slowly, often over years. Some people may not become aware of their condition until symptoms appear years after their heart began its decline. Symptoms of heart failure include shortness of breath, difficulty breathing, fatigue, swelling of the ankles and feet, and weight gain due to water retention. Cardiovascular Disease Risk Factors With so many people affected by cardiovascular disease, it is important to be familiar with the associated risk factors. High Cholesterol- Cholesterol is an important factor in brain function, and is the structural material from which the hormones progesterone, testosterone, estrogen, DHEA and cortisol are made. Proper ranges of cholesterol are important to the prevention of cardiovascular disease. Total blood cholesterol above 200, LDL cholesterol above 130, HDL cholesterol below 35 and lipoprotein levels greater than 30 are all indicators of problematic cholesterol. High Blood Pressure- High blood pressure, or Hypertension, often results from excess fat or plaque buildup because of the extra effort it takes to circulate the blood. Blood pressure levels at or below 120/80 are considered to be within the normal range. 140/90 or higher is considered to be within the high range. Blood pressure levels ranging from between 120-139/80-89 fall within the range of pre-hypertension, which means that you are more likely to develop high blood pressure unless you take action immediately to prevent it. Diet- A healthy diet is essential. You should eat five to seven fruits and vegetables a day, whole grains, a handful of nuts, and low-fat meats, chicken and fish cooked in olive oil or other excellent tasty oils. Avoid sugars and processed foods. Diabetes- Persons with diabetes lack the necessary hormone, insulin, to break down digested sugars, or are resistant to its effects. As a result, a person with diabetes is at the same level of risk for having a heart attack as a person who has had a prior heart attack. Stress- When the body is consistently under a lot of stress, it releases too much of the hormone cortisol. This puts an extra strain on the heart as the blood pressure rises and the body retains too many excess fluids. Lack of Exercise- Fall in love with exercise! The heart is like all other muscles in the body. In order to stay in good shape and function properly, it needs to be exercised. Exercise will help control other risk factors such as obesity, high blood pressure, diabetes and stress management. Diagnosing Cardiovascular Disease Until recently, the ability to detect heart related conditions was limited and the ability to detect early onset was virtually impossible without the use of expensive and potentially dangerous procedures. Due to the advancement of technology and decades of valuable research, a new diagnostic machine, the CardioSpec, has recently been made available to physicians to detect cardiovascular disease with greater accuracy and specificity in less than 2 minutes and without the need for invasive procedures. The CardioSpec is highly effective in diagnosing seven types of cardiovascular disease - coronary artery disease, heart attack, left ventricular dysfunction, left ventricular enlargement, conduction abnormalities, arrhythmia, and pulmonary heart disease - with more than a 90% accuracy rate. The diagnostic system works by evaluating the function of the heart directly, detecting subtle changes in the hearts function or injuries caused by obstruction of small coronary arteries, which cannot be detected by catheterization or angiography. Early detection of cardiovascular disease could mean the difference between life and death. If you have any of the risk factors associated with CVD, see your physician as soon as possible. After a thorough evaluation, your physician can determine if you have CVD and begin to develop a treatment plan that works for you. CVD does not have to be a life sentence and with some significant lifestyle changes, you can be on the road to recovery. But the first step is ACTION. 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