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It is not uncommon due to changes in taxonomy for a single name to be used to cover different contents. For instance, in the traditional Wetmore classification of birds, the order included a group of families of long-legged wading birds, including and . In the Sibley & Ahlquist classification based on DNA-DNA hybridisation, the was expanded to cover a much larger group of taxa, including representatives from Wetmore's orders , , , etc. Therefore, use of the name "Ciconiiformes" could possibly cause confusion as to which set of taxa is being indicated. Where that is likely to be a problem, the word sensu (Latin, "in the sense of") can be used. Thus, Ciconiiformes sensu Wetmore indicates the former meaning, while Ciconiiformes sensu Sibley & Ahlquist indicates the latter.

In many such cases, there may be two primary competing uses of the term, with the coverage in one meaning entirely contained within the coverage of the other meaning. In these cases, authors may use the terms "sensu stricto" (in the narrow sense) and "sensu lato" (in the broad sense) to distinguish the two. Hence, in the above example, Wetmore's Ciconiiformes would be Ciconiiformes sensu stricto, while Sibley & Ahlquist's would be Ciconiiformes sensu lato.

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Reality: ED is treatable at any age, and increasing numbers of men are becoming aware of this fact. Treatment options are available, regardless of whether the cause is found to be physical or psychological. In some cases, surgery may be an option. However, there are many non-surgical treatments available, most of which work by increasing blood flow to the penis. The Food and Drug Administration (FDA) has approved oral drugs, such as Cialis and Viagra, as one type of treatment. In addition, devices such as vacuums and implants are available. Some people have found success with sex therapy or herbal remedies. In other cases, properly managing the underlying disease or substituting certain prescription medications resolves the problem. Oftentimes, a man suffering from ED simply needs to eat better, exercise, and quit smoking in order to eliminate the condition. Inflatable implants consist of paired cylinders, which are surgically inserted inside the penis and can be expanded using pressurized fluid (see figure 3). Tubes connect the cylinders to a fluid reservoir and a pump, which are also surgically implanted. The patient inflates the cylinders by pressing on the small pump, located under the skin in the scrotum. Inflatable implants can expand the length and width of the penis somewhat. They also leave the penis in a more natural state when not inflated. There have been rare reports of priapism (prolonged and painful erections lasting more than 6 hours) with the use of PDE5 inhibitors such as sildenafil, vardenafil, and tadalafil, especially when sildenafil is used in combination with injection of medications into the corpora cavernosa or intraurethral suppositories. Patients with blood cell diseases such as sickle cell anemia, leukemia, and multiple myeloma have higher than normal risks of developing priapism. Priapism untreated can cause injury to the penis and lead to permanent impotence. Therefore, sildenafil should not be used in combination with intraurethral suppositories and corpora cavernosa injections. If there is prolonged erection (longer than 4 hours), immediate medical assistance should be obtained. Alprostadil: The Recent Development Could I be depressed? Depression is linked to both ED and heart disease. Viagra does come with potential side effects, and some men might not appreciate experiencing a temporary respite from erectile dysfunction at 30,000 feet. Still, a sleep specialist called the research promising. Are there physical causes of erectile dysfunction? A prior history of cigarette smoking, heart attacks, strokes, and poor circulation in the extremities suggest atherosclerosis as the cause of the erectile dysfunction. Diminished sensation of the penis and the testicles, bladder dysfunction, and decreased sweating in the lower extremities suggest diabetic nerve damage. Loss of sexual desire and drive, lack of sexual fantasies, gynecomastia (enlargement of breasts), and diminished facial hair suggest low testosterone levels. Make time to be alone together: Try taking a bath together, sharing a candlelight dinner, taking a walk, or just holding each other in bed. Treating heart disease risk factors Pain, hematoma and prolonged erection are reported adverse reactions that may limit compliance. Prolonged erection (more than four hours' duration) and priapism (more than six hours' duration) were reported in just 4 percent and less than 1 percent of patients, respectively.13 In a study of patients receiving intracavernosal injections of alprostadil for erectile dysfunction, 56 percent discontinued therapy within one year, and 68 percent discontinued within two years.14 Intracavernosal alprostadil is contraindicated in patients with penile deformity, patients having conditions that predispose them to priapism (sickle cell disease or trait, leukemia, multiple myeloma, polycythemia or thrombocythemia), those with a known hypersensitivity to alprostadil or those who have been advised for medical reasons to avoid sexual intercourse. 08.01.2010 | Author: | Posted in Mens Issues 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. Inflatable implants consist of paired cylinders, which are surgically inserted inside the penis and can be expanded using pressurized fluid (see figure 3). Tubes connect the cylinders to a fluid reservoir and pump, which also are surgically implanted. The patient inflates the cylinders by pressing on the small pump, located under the skin in the scrotum. Inflatable implants can expand the length and width of the penis somewhat. They also leave the penis in a more natural state when not inflated. Cialis, Levitra, and Viagra work by a similar mechanism to cause erections. There are subtle differences in how long the drug works and how quickly it works. Levitra works a little longer than Viagra. They both take effect in about 30 minutes. With Levitra, the effects last for about 5 hours. With Viagra, the effects last approximately 4 hours. Psychosocial examination Medical diagnosis canadian viagra online Erectile Dysfunction Discussed With respect to neurological causes, involvement of any nerve group, either central or peripheral, may lead to erectile dysfunction. Cerebral diseases lead to decreased sexual interest, possibly through over-inhibition of spinal centres. Among patients with spinal cord injury, 95% of those who have upper motor neuron lesions are capable of reflexogenic erections, 25% of patients who have lower motor neuron lesions are capable of psychogenic erections, and more than 90% of patients who have incomplete lesions of either kind retain their erectile function.21 Direct injury to the cavernosal nerve and blood supply commonly occurs during therapy for prostate cancer; erectile dysfunction is present to some extent in 80% of patients so treated, whether by surgery or external beam radiation therapy.22 Liver and kidney function tests: These blood tests may indicate whether ED may be due to your kidneys or liver functioning improperly. The spider venom also works to increase nitric oxide levels but through a different mechanism, Nunes said. Scientists are a long way from using the venom as the basis of a new erectile dysfunction medication, but they are hopeful, said Nunes.

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