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Africa


Africa was assembled from smaller along the (probably) western and southern margins of the equatorial supercontinent of . After the break-up of Rodinia, the African cratons drifted south and fused in roughly their present arrangement by the . At that time, Africa lay in a north-south orientation (i.e., in generally the same orientation as it has today), with its southern end at to near the south pole. This understanding is somewhat controversial, and is discussed at .

In this position, it became the core of , bounded by and on the west, and and on the east. The entire assembly underwent some internal rotation and drifted generally northward, where it collided with in the to form the world-continent of . Africa began to rift free of North America in the (), beginning the proto-Atlantic and the breakup of Pangea. During the it separated from , Madagascar having been adjacent to the Somali coast before. The saw African Gondwanaland as several large islands separated by shallow continental seas, and populated by a unique fauna of dinosaurs (Spinosaurus, Rebbachisaurus, Ouranosaurus, Carcharodontosaurus, etc). Rifting from South America began during the , widening to an ocean by the (), while to the south-east, it separated from Antarctica.

The saw a radiation of endemic mammals on the isolated continent - the (elephants), hyracoids, and the rhino-like arsinoitheres. Arabia, which had been a part of Africa, began separating in the late , a process which continues today. In the early , Arabia contacted . The resulting connection enabled the Proboscidea to migrate to other continents, while other mammals immigrated into Africa. The apes were part of this migration, but it is uncertain which direction they traveled. It has often been written that the anthropoids originated in Africa, but recent work places their birth to the of Asia.

The witnessed the rise and radiation of a number of successive hominid lines (Ardipithecus, Australopithecus, Paranthropus, Homo habilis and Homo erectus), the widening Red Sea forming oceanic crust for the first time, and a dramatic decrease in rainfall in East Africa, a direct result of glaciation in higher latitudes of the globe.



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Talk about your feelings: Sharing the way you feel about each other can make the two of you closer. Open dialogue with your partner about each other's needs and concerns helps to overcome barriers to a healthy relationship. Hormonal imbalances: Imbalances of hormones, such as thyroid hormones, prolactin, and testosterone, can affect a man's response to sexual stimulation. These imbalances can be the result of a tumor of the pituitary gland, kidney disease, liver disease, or hormonal treatment of prostate cancer. Tens of millions of men worldwide have benefited from oral ED medications such as sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). However, these medications which belong to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors have limitations. They can cause systemic side effects that can be serious. These side effects include headache, facial flushing, nasal congestion, upset stomach, abnormal vision as well as isolated reports of hearing and vision loss. Men who've recently suffered a heart attack or stroke or have severe heart disease should use these drugs with caution or not at all. In addition, "an estimated 30 to 50 percent of men with ED do not respond to oral use of PDE5 inhibitors," says senior author Kelvin P. Davies, Ph.D., associate professor of urology at Einstein. All 20 were already on medication Viagra Ejaculation has two phases -- in the first, the vas deferens, the tubes that store and transport sperm from the testes, contract to squeeze the sperm toward the prostate gland and urethra and seminal vesicles release secretions that make semen. In the second phase, muscles at the base of penis contract every 0.8 seconds and force the semen out of the penis in up to five spurts. Erectile dysfunction. This diagram depicts a cross-section of penile anatomy and is used to instruct patients in the technique of administering intracorporal medications. Erectile Dysfunction (ED or "male impotence") is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis.An erection occurs due to blood entering and being retained in sponge-like bodies within the penis. HealthDay Reporter Healthy smooth muscles and fibrous tissues within the corpora cavernosa, and Paul Shekelle, MD, PhD; and The most common form of management in current practice is the use of one of the oral PDE-5 inhibitors. If one agent does not work adequately at its maximum dosage, another agent should be tried. Trying these medications 3-4 times is sometimes necessary before concluding that the therapy is ineffective. Men who have a vascular-leak (venous leak) phenomenon may need a constriction device placed at the base of the penis to maintain the erection, which may be effective by itself or in combination with a PDE-5 inhibitor. In selected cases, combination therapy with one of the PDE-5 inhibitors plus Yohimbine, MUSE, or intracavernosal injections can be tried. Although some men have taken two different PDE-5 inhibitors simultaneously, no evidence suggests any benefit and the risk of significant adverse effects is greatly enhanced. However, the use of both a shorter-acting agent and a longer-acting agent is not unreasonable at appropriate times and intervals as long as they are not taken together. The reported frequency of sexual intercourse in this population was between 0.25 10 per week (mean 2.4). Evaluation of sexual function log revealed that there was good concordance between the pre-study reported frequency and logged frequency during the study period. Of the 113 men in the study, only 33 (29%) reported having some amount of spontaneous erection, but not suitable for enjoyable intercourse at Visit 1. Following sildenafil therapy, 82/99 (82.8%) men had improved erections (based on GEQ) suitable for intercourse. Seventeen (17.2%) failed treatment. There were no differences in the response rates between the various aetiological groups. A total of 33/99 (33.3%) men reported return of spontaneous erections suitable for penetrative intercourse, at least once, following treatment, of whom 14 (42.4%) did not have any spontaneous erections suitable for intercourse prior to therapy. Of the 74 men reviewed at Visit 4, 59 reported that they would continue using Viagra on a long-term basis (79.7%). Three men had reported complete return of spontaneous erections and had stopped using Viagra (1 at Visit 2 and 2 at Visit 4). What causes erectile dysfunction (ED)? Success rate of 20-25% Atherosclerosis (hardening of the arteries) View

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