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Over the years I have written a number of books, more than have been published. I have never written a book because a publisher has suggested that I do so; all my books are based on ideas that I have had and submitted to a publisher, with the book largely formed, if not complete. Normally, I work on multiple projects simultaneously, sometimes for many years. The longest running project I have dates from 1986 and will be complete in 2010 and ready to be turned into a book and other media. The books listed below are those that are complete, which will be offered to publishers when it seems appropriate. I have included excerpts from each of these books, an introduction or possibly chapters and a conclusion. As time passes, if there is interest, I may post additional material that relates to each book.
In the case of the photo/story books such as The Golden Age Of Jazz, I plan to post individual photographs and stories on a regular basis until the complete book is available on line. I will follow this with similar projects involving celebrity portraits and other selected subjects.
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Interventions Patients were randomized to receive sildenafil (n=136) or placebo (n=132) as needed, but not more than once daily, for 12 weeks. Patients took the study drug or placebo 1 hour before anticipated sexual activity. The starting dose of sildenafil citrate was 50 mg, with the option to adjust the dose to 100 mg or 25 mg based on efficacy and tolerability, to be taken as needed.
"This is the same as any other part of the body. It's what we in vascular surgery refer to as the 'use it or lose it' concept," said Dr. Hossein Sadeghi-Nejad, an associate professor of urology at UMDNJ New Jersey Medical School Hackensack University Medical Center. "Sexual activity will promote maintenance of normal erectile function down the line."
Evaluating the patient for diabetes with a hemoglobin A1c measurement is a useful screening test.
Is the Implant Safe?
Erectile dysfunction (ED) is the repeated inability to get or keep an erection firm enough for sexual intercourse.
When should I see a doctor?
Beware of commercial claims of what herbal products can do. Look for scientific-based sources of information.
If you think erectile dysfunction (ED) strictly affects the aging population, think again. As it turns out, ED affects up to 30 million males of all ages in the United States each year, according to the National Institutes of Health (NIH).
Only a small percentage of men may be candidates for this surgery, in particular young men suffering from ED as a result of trauma to the penis and surrounding areas. If you fall into this category, talk to your doctor to see if vascular reconstructive surgery is right for you.
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Vardenafil (Levitra) can cause hypotension (abnormally low blood pressure, which can lead to fainting and even shock) when given to patients who are taking nitrates. Patients taking nitrates daily, even patients taking nitrates only once a day, should not take vardenafil. Most commonly used nitrates are medications to relieve angina (chest pain due to insufficient blood supply to heart muscle because of narrowing of the coronary arteries). These include nitroglycerine tablets, patches, ointments, sprays, pastes, and isosorbide dinitrate and isosorbide mononitrate. Other nitrates such as amyl nitrate and butyl nitrate are found in some recreational drugs called "poppers".
Replacement androgens are available in oral, injectable, gels and transdermal preparations. Oral therapy is the least effective and the most likely to be associated with hepatotoxicity, even though this is a relatively small risk. Parenteral therapy is most likely to restore androgen levels to the reference range, but this therapy requires periodic injections, usually every 2 weeks, to sustain an effective level. Peak and trough levels are suggested when using injectable agents to avoid symptomatic troughs and supernormal peak levels. Weekly injections using lower doses can be used to minimize the wide swings in blood levels with less frequent dosing. Skin patches deliver a sustained dose and are generally accepted by patients. Androgen creams (AndroGel and Testim) are now available for daily topical use for male hypogonadism and have the advantage of minimizing the peaks and troughs of injectable agents. However, they require daily dosing and are relatively expensive.
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Erectile dysfunction. The Medicated Urethral System for Erections (MUSE) is a small suppository placed into the urethra with this device. The suppository is very small, and patients often question whether anything is in the device.
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