Penis size
Most men do not think rationally about viagra cialis online pharmacy pharmacy size.
  • Research has shown that men do not have a clear idea of the size of their own penis. Looked at from above, it appears shorter than it really is.

  • Men do not have a clear idea of what average is.


What's normal?

According to the Kinsey Institute, many American men mistakenly think the average erect penis is 25 cm (almost 10 inches) long, and worry that they do not measure up. Here are the results of three surveys.
Firstly, the University of California researchers measured the penises of 80 normal men and published their results in the Journal of Urology in 1996. They found that:
  • without an erection (limp), the average length was 8.8 cm (just under 3.5 inches)

  • the average flaccid (limp) penis could be stretched to 12.4 cm (about 4.75 inches)

  • the average length when erect was 12.9 cm (just over 5 inches).

Of the men studied, many had penises that were larger or smaller than the average. They also found that the length of the penis when limp does not predict the size when erect – smaller penises expand more when erect. So, the researchers found the average erect penis to be about 13 cm long, regardless of whether it is 5 cm or 10 cm long when it is limp.
Secondly, in 2001, the condom manufacturer Durex asked men visiting its website to take part in a penis size survey, and just under 3000 men responded. They measured themselves and reported the results to the website. The average erect length was 16.3 cm (6.4 inches), and the average circumference (measured round the penis at its widest point) was 13.3 cm (5.2 inches). It is difficult to know how reliable these measurements are – there might have been some wishful thinking involved. The survey also showed that a long penis is not usually thick. Durex says, “While the ‘mythical’ well-endowed man with a very long and very wide penis does exist, there are not that many of them about.”
Thirdly, a survey of research has produced the following information (European Urology 2008;54:1042-50):
  • when limp, an adult penis is between 7.6 cm and 13.0 cm long (3–5 inches approx)

  • when limp, the normal girth (i.e. measured round) of an adult penis is between 8.5 cm and 10.5 cm (3¼-4 inches approx)

  • when erect, the normal penis length is between 12.7 cm and 17.7 cm (5-7 inches approx) 

  • when erect, the normal girth of an adult penis is between 11.3 cm and 13.0 cm (4½-5 inches approx).


Shoe size and penis size

It is a myth that men with large feet have larger penises; researchers have found no correlation (British Journal of Urology International 2002;90:586–7).

Lose a paunch

If you are carrying a few excess pounds on your abdomen, the first part (called the root) of your penis will be buried in the fat. This makes it look shorter than it really is. Losing weight will make the penis grow!

Penis enlargement

The shaft of the penis can be made thicker by injecting fat under the skin of the penis. The fat will have been removed by liposuction from another part of the body, usually the thigh or abdomen. The glans (the tip of the penis) stays the same size, and so it may look a bit out of proportion. The fat tends to be absorbed by the body, so the injections have to be repeated two or three times a year. The fat can sometimes form unsightly nodules, and there can be puckering of the skin and scarring.
Another method is dermal grafting. Strips of skin and underlying fat are removed from beneath the buttocks; the upper layer of skin is taken off and the rest of the tissue is implanted along the shaft of the penis under the skin. As a result, there may be some scar tissue along the shaft of the penis.
The penis can be made longer by a surgical operation in which the ligaments that attach the penis to the pubic bone are cut. This makes the penis hang down about 2.5–5cm (1–2 inches) further when it is limp, but the size of your erection will not be increased. Also because it no longer has the support of the ligaments, the erect penis will not point as high as before. The operation can be risky, because important nerves that carry sensation can be damaged and infection or bleeding can also occur, and unsightly scarring is common. If you are considering this operation, make sure that you find a reputable surgeon (look at the section on cosmetic surgery). This may be difficult, because not many surgeons are willing to do this operation, because of the problems associated with it.
A safer approach is to have a ‘suprapubic lipectomy’ to remove fat from the lower abdomen above the root of the penis. This makes the whole length of the penis more visible.
For more information, Dr Phil Hammond discusses Helix marks and penile enlargement in his Expert guide.

iPad tablet More U . S . Doctors
CALIFORNIA - Market online pharmacy are no longer only dominated by Apple iPad thanks to a phenomenal product that was launched 2010 . But Apple seems to not be afraid of competition , after more than 70 percent of doctors in the United States ( U . S . ) claims if iPad is the primary choice for professional purposes. An online survey of 341 U . S . professional doctor in February 2011 revealed that 79 percent of them would choose for iPad their job needs . It was reported by Cellular News , Thursday ( 3 / 3 / 20110 ). That figure is much higher than other options , namely a Windows PC ( 12 percent ) and Android- based tablets ( 9 percent ) . Among medical workers who already have the iPad , 59 percent of them claim to use the device to the needs of their work. Including receiving and checking the latest information, completing paperwork, as well as an important tool to their standard practices. The survey also revealed that approximately 38 percent of U . S . medical workers will have at least one unit of the iPad , 2012 . " This study shows that Apple' s iPad would be a more important part in the life of a day - day medical workers , in order to increase productivity and stay updated with the latest developments in the medical world , " said Mark Benthin COO Aptilon . " Following the increasing number of users iPad among medical workers , Aptilon expect to see increased opportunities for interaction between industry professionals with medical workers who seek relevant medical content , using their tablet, " added Benthin . (okezone)

Electronic Medical Records: Universal Electronic Health Records - The Right Thing to Do?
Electronic Medical Records: Universal Electronic Health Records - The Right Thing to Do?

The January 21 New England Journal of Medicine contains an article entitled “Accelerating the Use of Electronic Health Records in Physician Practices.” Two physicians from the Columbia University Medical Center wrote it. The article says the North Shore viagra System on Long Island has announced it will pay an incentive of up to $40,000 for each physician in its network to adopt its EHR – paying 50% of the cost to physicians who install an EHR that communicates with the cialis and up to 85% of the cost if the physician also shares de-identified data on the quality of care.

The article contains a figure showing this data.

Physicians who have not adopted EHRs by size of group.

• 1-3 doctors, 92%
• 4-5 doctors, 88%
• 6-10 doctors, 78%
• 11-50 doctors, 71%
• 50 doctors or more, 49%

EHRs Not Popular Among Doctors Who Deliver Most Care

All told, 85% of doctors in practices of 10 or less have not adopted EHRs. It is important to note these doctors supply 85% to 90% of American health care.

These numbers caused the authors to observe,” The decision by North Shore to provide a financial incentive as well as the software license suggests that many physicians still do not believe that current –generation EHRs will offer a return on investment directly to physicians.”

In the minds of the government and information technology establishment, EHRs are the only way to go, the key to physician efficiency and effectiveness and to better care.

Their minds are made up. Yet after nearly 10 years of EHR promotion, physicians remain profoundly skeptical about their use and are installing EHRs in limited numbers. Less than 15% have installed EHRs despite all the hype and promise of incentives.

Politically-Incorrect Questions

In any event, the NEJM numbers caused me to ask a series of politically incorrect questions: Is it possible that the physicians are right – that EHRs are not the right thing to do? Is it possible EHRs will not offer a return on investment, will not improve care, will not lower costs, will invade patient privacy, will disrupt practice efficiencies, and will be used to second-guess physicians?

Is it possible, in short, that EHRs are not what they are cracked up to be?

Drucker Aphorisms

The late Peter F. Drucker, 1909-2005, was famous for making pithy observations like these: "Efficiency is doing things right, effectiveness is doing the right thing." "Doing the right thing is more important than doing things right." "Management is doing things right, leadership is doing the right thing?"

Are EHRs, widely acclaimed as being the key to practice efficiency, really effective? EHRs may be “doing things right” among the political and wonk gentry, but are EHRs “the right thing to do” for practicing physicians? Are they more trouble than they are worth? Is it possible EHRS are not worth the $20 billion proposed to be spent on EHRs? Is it possible the herculean effort to implement universal,inteoperable EHR adoption between hospitals and doctors will be a failed boondoggle of the first order and a monumental waste of taxpayer money? Is it possible EHRs will drive up costs with no quality gain?

Just Asking

I am just asking. Somebody has to ask the tough questions.

Before you answer, keep in mind we are nearly a decade into this effort, and physicians who deliver care are still profoundly skeptical of EHRs in terms of efficiency and effectiveness. Could they be right?

Thursday, 24 March 2011

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Três pessoas são presas e 11 farmácias interditadas em Carpina e Ipojuca
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Três pessoas foram presas e 25 farmácias, notificadas, em uma operação da Agência Pernambucana de Vigilância Sanitária (Apevisa), nas cidades de Ipojuca, no litoral sul, e Carpina, na zona da mata norte do estado, que resultou na apreensão de quase 5 mil caixas de medicamentos. Do total de estabelecimentos, 11 foram interditados e 15 tiveram apreensões de remédios controlados, que eram vendidos de forma inadequada, com uso de receituários irregulares, fora da validade, contrabandeados do Paraguai ou mesmo armazenados incorretamente. A polícia ainda investiga o possível envolvimento de uma médica na ação.

As autuações foram realizadas no âmbito criminal e também administrativo. Todos responderão por tráfico de drogas, como são considerados os medicamentos controlados. “Em todas as farmácias vistoriadas nessa semana foram encontradas irregularidades, mas nem todas foram fechadas. Foram 16 autuações e 6 notificações, além dos locais onde havia crime”, explica o gerente geral da Apevisa, Jaime Brito.

Se condenados, os três proprietários dos estabelecimentos onde foram verificados crimes, apenas por este crime, podem cumprir penas que variam de 5 a 15 anos de reclusão. Em Ipojuca, João Amaral de Oliveira, 65, foi flagrado vendendo o remédio para disfunção erétil order cialis falsificado e deve ter a pena agravada.

Já em Carpina, Everaldo Barbosa da Costa, 51 anos, ainda deve responder por crime de contra a saúde e economia públicas, mediante relação de consumo. Daxciane Coelho Silveira, 34, proprietária de duas farmácias na mesma cidade, ainda pode responder por contrabando, uma vez que comercializava o ‘Pramil’, remédio de disfunção erétil que teve a venda proibida no Brasil e que é produzido de forma ilegal no Paraguai.

As investigações começaram há dois meses, quando foram identificadas irregularidades na movimentação de produtos de seis estabelecimentos das duas cidades junto ao Sistema Nacional de Gerenciamento de Produtos Controlados. Apenas em uma farmácia de Carpina, 500 caixas de Artane, indicado para mal de Parkinson e normalmente utilizado como potencializador do efeito de drogas, foram encomendadas e repassadas à população sem o devido registro, em um prazo de apenas dois meses. A média nacional é de apenas 10 caixas por farmácia em um mês.

De acordo com a delegada Maria Helena Couto Fazio, do Departamento de Repressão ao Narcotráfico, durante a ação ainda foram encontrados talões de receituários médicos carimbados e assinados, supostamente pela médica Erivalda dos Santos Ramos. O fato também configura crime e a profissional deverá prestar depoimento para verificar se há envolvimento nos crimes ou se as receitas haviam sido falsificadas com seu nome.

Erivalda dos Santos atualmente trabalha no Hemocentro de João Pessoa, na Paraíba, e não tem registro junto ao Conselho Regional de Medicina de Pernambuco (Cremepe) e, no entanto, nos receituários, a origem indicada na prescrição seria do Hospital Belarmino Correia, em Goiana, na Mata Norte do estado. “Já verificamos que o registro é de uma pessoa ‘real’, que não foi falsificado. Resta saber se a autoria da prescrição foi, de fato, da médica em questão”, explica a delegada.

Balanço - Ao todo, foram apreendidas 4.985 caixas de medicamentos, com uma média de 20 comprimidos cada, tanto pela polícia, quanto pela Vigilância Sanitária. Entre os principais produtos estão o Rivotril, Lexotan e Diazepan e outros psicotrópicos, anticonvulsivantes e anorexígenos. A ação fez parte de uma busca pela fiscalização, por parte da Apevisa, de medicamentos controlados a exemplo do Artane e do Desobesi, um inibidor de apetite também utilizado por condutores de caminhões para manter-se acordados em longas viagens (popularmente conhecido como ‘Arrebite’).
A última operação do gênero foi deflagrada em fevereiro deste ano em Serra Talhada, no sertão do estado, até então principal fornecedor de drogas controladas de forma irregular no estado. Somente do remédio Desobesi, de um total de 118 mil caixas comercializadas em Pernambuco, 102 mil foram vendidas por apenas três farmácias da cidade. O segundo polo, Carpina, foi desarticulado nesta terça-feira.

Por Ed Wanderley



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