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Glenside is my country home located on the edge of the Pocono Plateau in rural Pennsylvania. The vintage-1880 former country stagecoach inn is situated on thirty-five acres, of which at least thirty are old growth hemlocks and pines, with a sprinkling of various hardwoods. Apart from the house and out buildings, Buckey Run, a large one-acre pond that was formed when the run was dammed over a century ago, and a usually roaring waterfall, visually defines the property. The closest store is ten miles away. This is the only place I have ever taken nature related photographs on a regular basis.
All the seasons are interesting around the pond and along Buckey Run, but winter is my favorite and many of these photographs feature ice and snow. The other seasons are represented, but severe weather and its results are much more fun than the serenity of an August afternoon, reflecting in a hammock. I’m much more interested in the seasonal reflections in the pond.
Severe weather means snow and ice storms, sudden thaws, falling trees and everything else I rarely encounter in New York City. Buckey Run is normally a modest little stream; in most places it is no more than twelve feet wide, often smaller. With sudden thaws and severe rain it has swollen to seventy-five feet wide near the house and seventy-five yards back in the woods. It can become a roaring river in a matter of hours, as it makes its way to the to the pond, over the waterfall and into the Lehigh River, across the road.
I’ve taken hundreds of photographs of this unique property over the years and these are among my favorites.
In DSA, the images are acquired digitally. The computer creates a mask from lower-contrast x-rays of the same area and digitally isolates the blood vessels (this is done manually through darkroom masking with traditional angiography).
Natural Remedies For Impotence
Methods: Published literature on this topic was identified by using MEDLINE (1966 to May 2007), EMBASE (1980 to week 22 of 2007), Cochrane Central Register of Controlled Trials (second quarter of 2007), PsycINFO (1985 to June 2007), AMED (1985 to June 2007), and SCOPUS (2006). The literature search was updated by searching for articles in MEDLINE and EMBASE published between May 2007 and April 2009. Searches were limited to English-language publications. This guideline grades the evidence and recommendations by using the American College of Physicians' clinical practice guidelines grading system.
By Martin F. Downs
Diagnosis Non-ischemic priapism due to a ruptured left helicine artery, intermittent penile turgidity and erectile dysfunction.
Newer medications may reduce risks
Figure 1. Flow diagram of patient population in the study.
Fig. 1: Anatomy and mechanism of penile erection. The erection pathway can be triggered by direct genital stimulation and by auditory and visual stimulation, which act in concert to increase penile blood flow. The penis has a highly specialized anatomical structure that allows a massive increase in blood flow to be trapped within the inelastic layers surrounding the penis (the tunica albuginea), which causes rigidity and expansion of the cavernosal smooth muscle. Photo: Christine Kenney
Physiology of Erection
Should men be checked for infertility?
* The ability to get erections on demand, whenever you want. Get it up and keep it up!
Erectile dysfunction (ED) affects between 15 million and 30 million men in the United States. Many men suffer nerve damage-related ED after surgery for prostate cancer.
Do you recommend a medical specialist, such as a urologist, an endocrinologist, a psychiatrist, or a sex therapist? Why or why not?
"It's hard to deal with them, because we are so overwhelmed by these advertisements," he said. "But I don't think we should reject them out of hand. We should think of what they say about illness and health."
According to the National Institutes of Health, approximately 5 percent of 40-year-old men and between 15 and 25 percent of 65-year-old men experience ED on a long-term basis.
"Take better care of yourself. Make sure you're not obese, eat well, exercise, and if you have diabetes or hypertension, make sure they're well-controlled," advised Lipshultz, who added that by addressing lifestyle factors, you may not need medication to treat erectile dysfunction.
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