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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…

Nova Scotia doctors approve new contract with government

A new agreement between Nova Scotia's physicians and the provincial government has been approved by Doctors Nova Scotia's membership, the organization announced today.

The five-year agreement, retroactive to April 1, was approved by a 71% vote.

In a news release, Doctors Nova Scotia president Dr Don Pugsley (left) said:

"This agreement is different. Rather than simply offering an across-the board fee increase, this agreement supports system change... The physicians of Nova Scotia asked us to find ways to support them in providing care that is innovative and better focused on patient needs. [...]

"This agreement will help ensure patients have access to the care they need, when they need it, whether their condition is simple or complex. This agreement also facilitates our ability to work with other health-care professionals to deliver collaborative care.

“It won’t solve all of our health-care issues, but it’s a step in the right direction. It will strengthen our ability to deliver the highest quality patient care – a high priority for our members.”
Doctors Nova Scotia announced that the new agreement, which will be in effect until March 31, 2013, includes:
  • a focus on encouraging doctors to provide a broad spectrum of care to their patients;
  • new funding to help retain rural specialists;
  • funding to support collaborative care with other health-care providers;
  • more funding to support general practitioners who provide comprehensive care, chronic disease management and in-hospital care; and
  • funds to address unforeseen issues that may arise throughout the life of the agreement.
This new contract follows the provincial government's new strategy that was released in January as a report called the Provincial Health Services Operational Review, or PHSOR for short. (Strangely, it's pronounced 'fa-ZORE' by those in the know. Really.)

You can read more about that strategy in this article from the National Review of Medicine's February 2008 issue. In our article, Dr Pugsley endorsed the review, saying, "Certainly we believe it's past time for change and modernization of the healthcare system in Nova Scotia."

Today's approval of the new agreement with the government, he says, is another step in that direction.


Photo: Doctors Nova Scotia

Check out our website: www.nationalreviewofmedicine.com

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