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Like , the Soluta appear to have never been overly diverse but occur over a long stratigraphic range, from the to the . Caster (1967); Parsley (1997). Also like Stylophora, the main body of Soluta is an asymmetrical flattened . However in Soluta the theca possesses two appendages at roughly opposite ends, one significantly larger than the other. Almost all researchers agree that the smaller appendage is anterior and represents a feeding arm, while the larger appendage (the "") probably functioned as a propulsive tail.
The arm is generally clearly divided from the theca. It is contained by four rows of plates with the plates smaller along the dorsal side, probably indicating an . The exact location of the mouth is unknown, but is undoubtedly near the base of the arm. The anus was near the posterior ?right of the theca. Another opening near the arm is interpreted as the .
The stele is divided into three parts, the closest to the theca tapering through the to the furtherest from the theca. In the reconstruction used here, the stele is homologous with the stylophoran tail, as suggested by its position and tripartite division. The possession of an ambulacrum suggests a more crownward position than Stylophora.
Needless to say, other reconstructions would indicate other positions. If the stylophoran appendage is interpreted as an , it may correspond to the solute arm rather than the stele. Caster (1967) regarded the Stylophora and Soluta as independently derived from ancestors with the solute arm and stele both representing derived arms. Under the "" hypothesis, some solutes were "" while others were stem less crownward than Stylophora. Jefferies (1997). This theory also differs in reversing the suggesting orientation so that the ambulacral side of the arm is ventral.
In the earliest solute genera, and , the distal end of the stele bears a , though in juveniles only in Castericystis. All other solutes were free-living. They probably lay flat on the sediment, living as passive filter feeders. Later species show a tendency to reduce the size of the arm and develop a more bilaterally symmetrical theca.
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Unstable angina (chest pain due to coronary artery disease that occurs at rest or with minimal physical exertion)
Vascular surgery for erectile dysfunction is rarely performed and is generally considered experimental. Risks include nerve damage and the creation of scar tissue, both of which are causes of impotence. Surgeons experienced with these procedures may be difficult to find.
In men 40 years of age or older, a breast examination, digital examination of the prostate and a PSA level (prostate specific antigen) should be done to exclude breast and prostate cancer before starting testosterone treatment since testosterone can aggravate breast and prostate cancers. Patients who have breast and prostate cancers or are suspected of having them should not use testosterone.
More drastically, inflatable or rigid penile implants may be fitted surgically. Implants are irreversible and costly.
About 85 percent of women experience at least one premenstrual symptom every month, according to the American College of Obstetricians and Gynecologists. For most women PMS symptoms are mild, however about 20 to 30 percent of them suffer from moderate to severe symptoms.
"No in-vivo studies in an animal model have been performed at this regard, so a lot of work must be done. We would like to test in vivo [with animals] the molecule to understand if it really works in humans," said study lead author Mario Dell'Agli, of the University of Milan's laboratory of pharmacognosy. "At this stage of the research, we cannot say if the molecule we have synthesized possesses less side effects with respect to Viagra. However, this derivative seems to be in vitro [in lab tests] more selective than Viagra, because it targets [an enzyme involved in blood flow to the penis] more precisely."
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There have been rare reports of priapism (prolonged and painful erections lasting more than 6 hours) with the use of oral PDE5 inhibitors such as vardenafil, sildenafil and tadalafil. 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 penile tissue and lead to permanent loss of potency. If there is prolonged erection (longer than 4 hours), immediate medical assistance should be sought.
Erectile dysfunction. This penile tumescence monitor is placed at the base and near the corona of the penis. It is connected to a monitor that records a continuous graph depicting the force and duration of erections that occur during sleep. The monitor is strapped to the leg. The nocturnal penile tumescence test is conducted on several nights to obtain an accurate indication of erections that normally occur during the alpha phase of sleep.
OBJECTIVE: Depressed men commonly have erectile dysfunction, and men with erectile dysfunction are frequently depressed. Since the etiologic and modulatory relationships between depression and erectile dysfunction have been poorly characterized, a 12-week, randomized, double-blind, placebo-controlled trial was conducted at 20 urologic clinics to evaluate the effects of sildenafil treatment in men with erectile dysfunction and mild-to-moderate comorbid depressive illness. METHOD: Men (N=152, mean age=56 years) with erectile dysfunction for =" src="/math/ge.gif"6 months (mean=5.7 years), a DSM-IV diagnosis of depressive disorder not otherwise specified, and a Hamilton Depression Rating Scale score =" src="/math/ge.gif"12 (mean at baseline=16.9) were randomly assigned to flexible-dose treatment with sildenafil citrate or matching placebo. Interviewer-rated and self-report instruments were used to assess changes in sexual function, depressive symptoms, and quality of life. Conservative criteria were used to classify erectile dysfunction treatment response and nonresponse. RESULTS: Sildenafil was strongly associated with erectile dysfunction treatment response. Fifty-eight men met the conservative criteria for response (48 given sildenafil, 10 given placebo), and 78 men did not respond (18 given sildenafil, 60 given placebo). Mean decreases of 10.6 and 2.3 in Hamilton depression scale scores were seen in treatment responders and nonresponders, respectively; 76% of treatment responders showed a =" src="/math/ge.gif"50% decline in Hamilton depression scale score versus 14% of nonresponders. Quality of life was similarly improved in treatment responders. CONCLUSIONS: Sildenafil is efficacious for erectile dysfunction in men with mild-to-moderate depressive illness. Improvement of erectile dysfunction is associated with marked improvement in depressive symptoms and quality of life.
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Surgery that removes the tumor can result in impotence, if the nerves that control erection are damaged during the procedure, according to the U.S. National Cancer Institute. The patient also could suffer short-term incontinence while he recovers from surgery.
Even if you're not up for it, sex can be a natural - and pleasurable way to relieve PMS symptoms. But it's no miracle cure. You'll still need more support to feel better, and keep your sex life and relationship on track.
Tim Roddy, M.D., a urologist in Edmonds, Wash., agrees that the pressure of sitting on a bike seat can cause the problem: "A man can squeeze off some of the vital arteries and nerves necessary for normal sexual functioning by sitting on a hard bicycle seat too long," he says.
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