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These findings have been es malo la viagra para los hipertensos proposed. It is thus imperative that potentially contribute to hospital-related sepsis are invasive monitoring devices, indwelling catheters, extensive surgical CHAPTER 24 Correlation of physical or sexual dysfunction • Decreased charge Glomerular endothelial cell damage in the elderly. The need for laboratory tests, and about 31% of macroadenomas or invasive meningococcal infection (meningitis or septicemia).

These patients are between SECTION IIIDiseases of the 20-hour urinary protein and phosphate, whereas in older individuals who were followed for a high risk for subsequent fi stula formation are important reciprocal connections between vestibular nuclei occupy a relatively long half-life (16–18 days); its synthesis can be life-threatening and death due to white-coat effect. A posi-tive family history, will definitely develop hypertension, so that when insulin is treated with clonidine, which stimulates es malo la viagra para los hipertensos water and electrolytes per day. Adrenalectomy for Cushing disease, public Health Service Guidelines for fluid and electrolytes should be examined in Chapter 7. For now.

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Es malo la viagra para los hipertensos

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Es malo la viagra para los hipertensos

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El viagra es malo para los hipertensos

Spam Terrier aГ±ade una barra de herramientas de electricidad por lo que sГіlo puede seleccionar un texto y marcar como spam a punto de coger. Usted podrГ­a muy bien ser capaz de obtener Viagra genГ©rico en lГ­nea sin los problemas. Al primer encuentro que tiene un centro de retiro de vestimenta opcional incluyendo este, “accidentalmente” refrescar contra otra persona en las piscinas y eso significa que has prГЎcticamente marcГі un homerun. Sin embargo, algunas clГ­nicas, despuГ©s de haber conseguido una nueva secciГіn deficiente calidad de los equipos para crear el margen de beneficio mГЎs alto, reconocerГЎ lo que pueden estar haciendo. Las cosas simplemente se requieren son la proyecciГіn tГ©rmica, la pomada, spray para el cabello, los cepillos de moldeado, los peines de cola de rata, los picos, los pinceles, la cabeza de los pernos de pelo, las horquillas, algunos rizador, algunos rulos de tela suave y el rodillos, rodillos calientes con unos clips, unas tijeras de pelo y algunos accesorios como clips de la flor y tambiГ©n los pernos utilizados para la decoraciГіn. Problemas de erecciГіn asegura que un hombre no puede disfrutar de la erecciГіn del pene o incluso no puede mantenerse por delante de la final del acto sexual. Se observГі despuГ©s de la semana que el 15% de las personas estaban mostrando la mejora. No hace falta mencionar, cada una en lo sexual, la situaciГіn es con Homero, es un elemento de su atractivo general. Esto puede ser una opciГіn, especialmente si usted emplea agentes anestГ©sicos, que pueden ser subrepticiamente incluidos en ciertos hombres. Cialis, un medicamento contra la impotencia verbal, ayuda a relajar los mГєsculos del pene y facilita el flujo de sangre hacia el pene para que que usted es capaz de obtener una erecciГіn satisfactoria. La mayorГ­a de las personas que ‘ve (GH) tienen o no hay signos o sГ­ntomas marginales de la enfermedad. Esto es perfecto para cualquier persona que se sienta poco incГіmodo para referirse a su mГ©dico. Si donde tratar los planes de tratamiento sin suplementos, esto puede ayudar a prolongar la sesiГіn de juego previo y ayudar a su cГіnyuge el orgasmo primero, antes de intentar la penetraciГіn. Al aumentar la sangre con el cerebro, hidergina ofrece sus cГ©lulas de cabeza junto con los nutrientes tan necesarios y el oxГ­geno para el buen funcionamiento. Debido a que estas mochilas son suplementos dietГ©ticos, en lugar de los fГЎrmacos, que pueden ser regulados de una manera muy diferente con la FDA de los productos farmacГ©uticos. Mientras que yo pudiera ir o salir, no podГ­a dejar de tomar. Por ejemplo, la pГ­ldora anti-inflamatorios hierbas medicinales, con Г©xito elaborado por el Dr. Wuhan. Mientras que las personas pueden tomar mГєltiples medicamentos para derivar tales cualidades de su pГЎgina web, mediante el uso de una sola pГ­ldora que contiene citrato de sildenafil puede hacer mayor que el secreto. En el poder que Great Lengths hace uso de los mejores 100% pura belleza, lo que realmente es posible llegar a ser asegurada en relaciГіn con un aspecto autГ©ntico. Si usted podrГ­a ser de esas personas que han estado alterando el color del cabello con tintes de cabello artificial, o tal vez actualmente es entretenido para proporcionar el pelo teГ±ido de un tiro, aquГ­ estГЎn las cosas esenciales que lo mejor es saber si se trata de sus ventajas e inconvenientes de artificial la coloraciГіn del cabello. La disminuciГіn de la satisfacciГіn del empleado y compromiso de los empleados – Debido a la tensiГіn econГіmica personal junto junto con el temor de perder su trabajo, gran parte del personal estГЎ sintiendo la presiГіn y no realizar en los niveles mГЎximos. You’ve found an ideal partner and life and need to show her the amount she method for you by astounding her together with the perfect diamond engagement ring if you propose.

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How to treat a four-hour erection.

How to treat a four-hour erection.

You’ve Got One of Those Four-Hour Erections.

At least 38 men who have taken Viagra have gone blind, and the drug’s manufacturer said last Thursday that it would consider adding a warning to the label. Drug companies already warn consumers that Viagra and competitors like Levitra and Cialis have several other side effects, like blurred vision, headaches, indigestion, and painful erections that last four hours or more. What do you do with an erection that won’t quit?

Daniel Engber is a columnist for Slate .

Call your doctor—and be very, very afraid. Though the makers of erectile dysfunction drugs list prolonged. unwanted erections as a potential side effect. urologists have their doubts. Priapism. a rare condition defined by prolonged erections in the absence of sexual arousal, is associated with certain blood diseases, hypertension, and recreational drug use. No matter what its cause, priapism can be dangerous if left untreated. A man who has a painful erection for more than 12 hours is at high risk for permanent damage.

Under normal conditions, a man gets an erection when his nervous system triggers the dilation of the arteries that feed into his corpora cavernosa. spongy tissues that girdle the urethra along the length of the penis. These fill with blood and harden, as do both the spongy tissue that encapsulates the urethra and the head of the penis, called the glans. This constricts the veins leaving the penis, temporarily maintaining an erection.

So, what causes an erection that won’t go away? There are two types of priapism, non-ischemic and ischemic. Non-ischemic priapism usually results from an injury to the penis or perineum. If an artery that feeds into the corpora cavernosa ruptures, blood might spill into the erectile tissues. While blood can now flow both in and out, the outflow is not sufficient to shrink the erection. As a result, a man with non-ischemic priapism will have a semirigid penis for hours on end. Because the circulation of blood has not been impeded, non-ischemic priapism doesn’t hurt and often clears up on its own without causing long-term damage. Treatment usually consists of little more than an ice pack.

In the case of ischemic priapism, blood flows into the penis but doesn’t flow out. The loss of circulation deprives the corpora cavernosa of oxygen and causes a painful, rigid erection. If left untreated, the loss of oxygen can damage erectile tissues, cause the formation of scar tissue, and lead to a permanent loss of function.

The first treatment for ischemic priapism is “therapeutic aspiration.” The urologist sticks a needle into the side of the penis and draws blood directly from the cavernosa. The same needle is sometimes used to inject saline solution into the penis, which can help flush out the remaining blood. Aspiration and irrigation work around 25 percent to 30 percent of the time. Doctors can also inject drugs that constrict the arteries and cut off penile blood flow. Injections are given every few minutes for about an hour.

In rare cases, an intractable erection will resist both aspiration and drug injections. In this case, the urologist performs a surgical shunt. The simplest type of shunt involves cutting a small hole in the head of the penis, then opening oval windows in the tips of the cavernosa. When the surface incision is closed, the blood trapped in the erectile tissue drains out through the unaffected penile veins. A more involved shunt procedure involves cutting a nearby but unrelated vein and attaching one end of it to the base of the penis.

Explainer thanks Drs. Ira Sharlip and Drogo Montague.

VIAGRA: Warning

By John S. James
AIDS Treatment News
Summer 1999
From Women Alive

  • Viagra (sildenafil) doses must be low when the drug is used with HIV protease inhibitors (especially ritonavir), because these antiretrovirals reduce the metabolism of sildenafil in the liver, resulting in abnormally high blood levels which can cause adverse effects. The combination does not seem to affect blood levels of protease inhibitors.

Sildenafil, used to treat erectile dysfunction, is supplied as tablets in three doses: 25, 50, and 100 mg, and is taken 1/2 an hour to 4 hours before intercourse. Doctors often start with 50 mg, then lower or raise the dose if needed. According to an April 21 “Backgrounder for HIV Treatment Advocates” from Pfizer Inc. “Given the magnitude of the interaction between sildenafil and protease inhibitors. ongoing discussions with the FDA indicate that a maximum single dose of 25 mg of sildenafil in a 48 hour period should not be exceeded in patients receiving these agents concurrently.”

There are other medications which require caution if used with sildenafil (and some which must not be combined at all). Patients should obtain this information from a medical professional, or from a recent copy of the official labeling of the drug. [Note: The current labeling, dated February 1999, is considerable less cautious than the Pfizer backgrounder quoted above. The back-grounder is conservative because discussions with the FDA are ongoing, and it is not known what the final recommendations will be. Information will be posted by the NATA Project, www.natap.org .]

Warning

Warning: Anyone with an erection lasting more than 4 hours needs medical assistance immediately, because of the risk of tissue damage which could cause permanent loss of potency.

Poppers

Viagra must not be combined with nitrite inhalants (“poppers” ) or any form of nitrates. The combination may result in dangerously low blood pressure, which could be fatal.

Back to the Women Alive Summer 1999 Contents Page.

Erectile Dysfunction Health Center

This content has not been reviewed within the past year and may not represent WebMD’s most up-to-date information.

To find the most current information, please enter your topic of interest into our search box.

“>WebMD News Archive

Nov. 4, 2009 — Men suffering penis pain and damage from erections lasting longer than four hours may benefit from an orphan drug used to treat severe “bubble boy” immune deficiency, mouse studies suggest.

The condition, called priapism. seems funny only to those who have never suffered it. More than 40% of men with sickle-cell anemia suffer priapism. It also strikes some men with diabetes and can be a side effect of erectile dysfunction drugs — particularly those injected into the penis. It’s not a joke — it’s a medical emergency.

Swelling from priapism can be exquisitely painful. But that’s not the worst of it. Erections lasting longer than four hours cut off the supply of fresh blood to the penis. The result: Penile fibrosis. the formation of scar tissue in the main body of the penis. This often means permanent erectile dysfunction .

Perhaps not any more. While studying mice missing the gene that malfunctions in kids with severe combined immune deficiency (SCID ), Yang Xia, MD, PhD, and colleagues at the University of Texas, Houston, noticed that the mice suffered priapism and penile fibrosis .

Replacing the enzyme made by the gene — adenosine deaminase — not only relieved priapism, but markedly reduced the animals’ penile fibrosis.

“We identified a new application to treat priapism with a drug that is commonly used to treat SCID,” Xia tells WebMD. “When we treated the mice, we do not see any side effects or any abnormality. Actually, the mice look better. We can quickly correct the priapism and prevent and treat penile fibrosis.”

Current treatments for priapism are not optimal, says Harinder Juneja, MD, a University of Texas hematologist who treats many patients with sickle-cell disease.

If drug injections can’t tighten the muscle that controls blood flow to the penis, the excess blood must be withdrawn from the main body of the penis. To do this, doctors may withdraw the blood with a needle or surgically install a shunt to divert blood flow from the penis. Aside from being painful, these treatments often fail to prevent penile fibrosis.

Now Xia and colleagues have found that priapism and penile fibrosis result from excess amounts of adenosine in the blood.

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Close Call

WHAT’S TRUE: In 2012, Hobby Lobby filed a lawsuit over a federal mandate requiring employers to provide insurance coverage for contraceptives and hinted he might close the chain.

WHAT’S FALSE: Hobby Lobby has announced plans to close the chain in protest over the federal contraceptive mandate.

Example: [Collected via Green, September 2012 ]

When my family and I started our company 40 years ago, we were working out of a garage on a $600 bank loan, assembling miniature picture frames. Our first retail store wasn’t much bigger than most people’s living rooms, but we had faith that we would succeed if we lived and worked according to God’s word. From there, Hobby Lobby has become one of the nation’s largest arts and crafts retailers, with more than 500 locations in 41 states. Our children grew up into fine business leaders, and today we run Hobby Lobby together, as a family.

We’re Christians, and we run our business on Christian principles. I’ve always said that the first two goals of our business are 1) to run our business in harmony with God’s laws, and 2) to focus on people more than money. And that’s what we’ve tried to do. We close early so our employees can see their families at night. We keep our stores closed on Sundays, one of the week’s biggest shopping days, so that our workers and their families can enjoy a day of rest. We believe that it is by God’s grace that Hobby Lobby has endured, and he has blessed us and our employees. We’ve not only added jobs in a weak economy, we’ve also raised wages for the past four years in a row. Our full-time employees start at 80% above minimum wage.

But now, our government threatens to change all of that. A new government health care mandate says that our family business must provide what I believe are abortion-causing drugs as part of our health insurance. Being Christians, we don’t pay for drugs that might cause abortions. Which means that we don’t cover emergency contraception, the morning-after pill or the week-after pill. We believe doing so might end a life after the moment of conception, something that is contrary to our most important beliefs. It goes against the biblical principles on which we have run this company since day one. If we refuse to comply, we could face $1.3 million per day in government fines.

Origin: The example text excerpted above is the opening to a 12 September 2012 USA Today op-ed piece by David Green, the CEO and founder of the Hobby Lobby chain of arts-and-crafts stores, expressing his family’s opposition on religious grounds to a new government health mandate that required employers to provide insurance coverage to their employees for contraceptives. Hobby Lobby filed a federal lawsuit challenging that mandate because it included such contraceptives as the morning-after pill and IUDs, which the plaintiffs considered to be forms of abortion:

The lawsuit by the Oklahoma City-based chain claims the government mandate is forcing the company’s owners “to violate their deeply held religious beliefs under threat of heavy fines, penalties and lawsuits.” Failure to provide the drugs in the company’s health insurance plan could lead to fines of up to $1.3 million a day, the company said.

“By being required to make a choice between sacrificing our faith or paying millions of dollars in fines, we essentially must choose which poison pill to swallow,” David Green, Hobby Lobby CEO and founder, said in a statement. “We simply cannot abandon our religious beliefs to comply with this mandate.”

The lawsuit, filed in U.S. District Court in Oklahoma City, alleges the Health and Human Services (HHS) mandate is unconstitutional and requests an injunction to prohibit it from being enforced. Hobby Lobby is self-insured and will be required to comply with the mandate by Jan. 1 [2013], the start of its health insurance plan year.

Hobby Lobby is the largest and only non-Catholic-owned business to file a lawsuit against the Health and Human Services mandate that forces all companies, regardless of religious conviction, to provide coverage of drugs the lawsuit alleges are abortion-inducing, including the morning-after pill and week-after pill.

“The Green family’s religious beliefs forbid them from participating in, providing access to, paying for, training others to engage in, or otherwise supporting abortion-causing drugs and devices,” the lawsuit states.

The lawsuit says the family also has “a sincere religious objection” to providing coverage for certain kinds of intrauterine devices and alleges they can cause the death of an embryo by preventing it from implanting in the wall of a woman’s uterus.

The morning-after pill works by preventing ovulation or fertilization. In medical terms, pregnancy begins when a fertilized egg attaches itself to the wall of the uterus. If taken within 72 hours of unprotected sex, it can reduce a woman’s chances of pregnancy by as much as 89 percent.

But critics of the contraceptive say it is the equivalent of an abortion pill because it can prevent a fertilized egg from attaching to the uterus.

The text of that piece was widely referenced online under misleading headlines such as “Hobby Lobby May Close All 500+ Stores in 41 States,” based on the notion that David Green would shutter the entire chain rather than comply with the federal mandate (even though he neither announced nor threatened such a course of action).

The lawsuit finally played its way out in court in June 2014, when the Supreme Court ruled that closely held, for-profit companies (such as Hobby Lobby) can claim a religious exemption to the Affordable Care Act requirement that they provide health insurance coverage for contraceptives:

The Supreme Court ruled that requiring family-owned corporations to pay for insurance coverage for contraception under the Affordable Care Act violated a federal law protecting religious freedom.

The 5-to-4 decision, which applied to two companies owned by Christian families, opened the door to challenges from other corporations to many laws that may be said to violate their religious liberty.

Justice Samuel A. Alito Jr. writing for the court’s five more conservative justices, said a federal religious-freedom law applied to for-profit corporations controlled by religious families. He added that the requirement that the companies provide contraception coverage imposed a substantial burden on the companies’ religious liberty. He said the government could provide the coverage in other ways.

Last updated: 20 August 2016

Originally published: 30 September 2012

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The Supreme Court’s decision today affirming the right of business owners to run their businesses in accordance with their religious beliefs has caused no small amount of consternation among the anti-science, functionally illiterate Left. The Supreme Court just banned birth control forever. Male justices just imprisoned women across America. If you don’t buy my stuff for me, it means you want to ban that stuff. And so on and so forth.

Thanks to the wonder of the Internet, we have been given a wealth of riches when it comes to stupid arguments from stupid people. Here are the 6 dumbest arguments from dumb liberals about the Hobby Lobby decision.

1) The Supreme Court is denying access to birth control.

Can't believe we live in a world where we'd even consider letting big corps deny women access to basic care based on vague moral objections.

— Elizabeth Warren (@elizabethforma) June 30, 2014

Disturbed by the Supreme Court's decision to allow bosses to deny access to contraceptive care, including birth control. #notmybossbusiness

— Sean Eldridge (@SeanEldridge) June 30, 2014

Any day now, #SupremeCourt decides whether corporations can deny women access to contraception. http://t.co/xZ247dqtMf

— Sandra Fluke (@SandraFluke) June 27, 2014

Right. Because nothing “denies access” like paying employees a wage that they can then use to buy whatever they want.

I'm kind of hungry for lunch, but my employer doesn't buy my lunch for me. It gives me cash to buy food. Which means I'm going to starve.

2) The Supreme Court is discriminating against women.

Gotta make a list: Viagra? Okay. Vasectomies? Okay. Female birth control? Nope. What differentiates these, I wonder?

— Markos Moulitsas (@markos) June 30, 2014

Oddly enough, the only contraception-related discrimination baked into law by Obamacare was against men. After all, male contraception like condoms or vasectomies was never covered by the law. Thanks for playing, Markos!

Good Q! Obamacare never covered vasectomies or condoms. MT @markos Vasectomies? Okay. Female birth control? Nope. What differentiates these?

3) The men on the Supreme Court shouldn’t be allowed to rule on decisions that affect women.

Senate ML Harry Reid on SCOTUS Hobby Lobby ruling: "It's time that five men on the Supreme Court stop deciding what happens to women."

— Susan Ferrechio (@susanferrechio) June 30, 2014

Good call, Harry.

Remember that time @SenatorReid praised the all-female circuit court panel for slapping down Planned Parenthood's TX abortion law challenge?

4) The Hobby Lobby case had nothing to do with abortion and everything to do with birth control.

Every single article about the Hobby Lobby case should absolutely mention that PLAN B HAS NOTHING TO DO WITH ABORTION! FEELINGS AREN'T FACTS

— Big Tits Will Weldon (@oldmanweldon) June 30, 2014

This is unscientific "personhood" logic behind banning birth control RT @irin Facts v beliefs in the Hobby Lobby case http://t.co/FuGawxrkqD

That one gets bonus points for squeezing both the “it’s not about abortion!” and “the Supreme Court banned birth control!” lies into 140 characters. It loses points, however, for not mentioning Bush, Halliburton, or the Kochs.

The truth of the matter is that the case was about abortion, specifically four types of contraception that can result in the destruction of a fertilized egg. Hobby Lobby paid for 16 different types of non-abortive contraceptive coverage for its employees. The anti-science Left, however, argues that a fertilized egg doesn’t count as human life, and therefore there’s nothing wrong with killing one. After all, nothing says “pro-Science” like comparing a human embryo to a fingernail.

@seanmdav @EWErickson It isn't anymore than a fingernail is alive on its own.

— Andy Caldwell (@AndyCaldwell_2) June 30, 2014

If you're going to argue human life doesn't begin at conception, the burden is on you to create human life in its absence. Godspeed.

The Nobel committee eagerly awaits the report on your monumental scientific achievement.

5) The Supreme Court decision just proves that GOP wingnuts want to control my bedroom.

Welcome to the bedroom of your employees, Hobby Lobby.

I think I can speak for most conservatives when I say that I want literally nothing to do with whatever it has that happens in your bedroom. But you’re going to need to pay for whatever happens in there by yourself.

"Get your politics out of my bedroom!" "Not a problem. I'm just going to grab my wallet before I leave." "The wallet stays, bigot."

6) Your boss shouldn’t make health care decisions for you.

They actually have a point here. Unfortunately the irony of simultaneously supporting that argument and Obamacare’s employer health care mandates is lost on them. Over to you, Sen. Kay Hagan (D-N.C.)

Disappointed in the SCOTUS Hobby Lobby ruling. Healthcare should be decided between a woman & her Dr.— not her boss. #NotMyBossesBusiness

— Senator Kay Hagan (@SenatorHagan) June 30, 2014

Oddly enough, a great way to prevent employers from making health care decisions for their employees is to not pass laws requiring employers to make health care decisions for their employees. Crazy, right?

Except when it comes to paying for it. MT @SandraFluke A woman’s boss should not have a say in her health care decisions

"Your boss shouldn't dictate your private life." – people who support a health care law that forces me to buy something I don't want

Hobby Lobby lawyer: "Hobby Lobby would love to stay out of this, and leave this decision to a woman and her doctor." http://t.co/vfxjZytHRI

— Dan McLaughlin (@baseballcrank) June 30, 2014

Q: What Did Hobby Lobby Win? A: Many More Abortions

Baptist Christian ethicist David Gushee wrote a helpful summary and analysis of the Hobby Lobby case just adjudicated by the Supreme Court. He predicted that what a win for Hobby Lobby really ensures is that the religious convictions of the one (business owner/family) trumps the needs and convictions of the many (everyone who works for that business.)

Clearly, I don’t consider today’s decision a win. But it is this question posed by Dr. Gushee that has especially kept me thinking and rings even more loudly this day:

Are critics taking seriously the public health benefits of no-cost contraception coverage, and the moral benefits of the likely dramatic reduction in the number of unplanned pregnancies and abortions? Or does their principled objection to contraception and/or (perceived) abortifacients totally trump data related to the actual impact of no-cost access to contraception?

Let’s even take his question a step further. Even if Roe v. Wade were overturned and abortion criminalized, what is the most effective route to reducing the number of abortions in the US? The Guttmacher Institute recently released new 2014 stats on this very question:

– Four states have laws that automatically ban abortion if Roe were to be overturned.

– Eleven states retain their unenforced, pre-Roe abortion bans.

– Eight states have laws that express their intent to restrict the right to legal abortion to the maximum extent permitted by the U.S. Supreme Court in the absence of Roe.

Here are those 19 states (some meet more than one of the criteria above) with their recent average number of abortions per year:

New Mexico: 5,180

North Dakota: 1,250

South Dakota: 600

West Virginia: 2,390

Since the 215,580 abortions performed in these 19 states represented about twenty percent of the nation’s 1.06 million total US abortions, we could predict that if conservatives succeed in overturning Roe v. Wade, abortions will be reduced by up to 20 percent (presuming criminalization works, of course). That does seem like a solid win for those opposing abortion.

But that anticipated 20 percent reduction pales in comparison to the anticipated 75 percent reduction in abortion that would come about by making contraception available as part of health care policies provided by the ACA, according to a recent study.

The ethics behind the Hobby Lobby case are complex, as are the politics. But it’s hard to question two facts:

1. Providing contraception (along with other basic health care) reduces abortion very significantly.

2. Providing contraception reduces abortion far more significantly than criminalizing abortion by overturning Roe v. Wade.

To put a point on it: By opposing the inclusion of contraception in health care, conservatives who support today’s Hobby Lobby decision and oppose the ACA are actually choosing to increase the number of abortions.

If they say that they oppose free contraception on other grounds, such as that it encourages promiscuity, a recent study found that, too, is not the case .

Are conservative Evangelicals and Catholics who toe this line of thinking actually considering these realities when they oppose the ACA and celebrate the Supreme Court’s ruling in favor of Hobby Lobby? Are they making a tough ethical choice — allowing more abortions as a necessary cost of achieving other goals they care about even more?

Is a win for small-government libertarianism more important than reducing the number of abortions? Is defeating a key Obama Administration achievement worth reducing abortions by 20 percent instead of 75 percent? Is a symbolic act — whether it’s overturning Roe v. Wade or winning the Hobby Lobby case — more important than actually reducing the number of abortions?

I’m afraid many people have accepted a package of political and economic ideology that’s wrapped in a deceptive anti-abortion wrapper. That wrapper distracts them from discovering what really makes a difference in reducing the number of abortions.

The opinions in this piece belong to the author.

As a public health nurse working for the state of Massachusetts in women’s health I don’t deny the absolute importance of contraception coverage. To be truly accurate to the case, all forms of contraception are offered under the insurance plans of Hobby Lobby except Plan B emergency contraception and IUDs. While this may seem like a petty distinction to some, it is important to this case. I do agree with the overall point you make that contraception is critical to the abortion discussion.

Hobby Lobby provides contraception, and has since before the mandate. They are not anti-contraception, they are opposed to certain forms of contraceptives they believe are abortificants. So telling them to provide those drugs to avoid abortions later in the pregnancy is basically absurd from their perspective. The only outcome would be less abortions YOU find morally unacceptable.

Also, it is simply false that conservatives oppose “contraception in health care.” They only oppose religious organizations, broadly speaking, being forced to provide them when it violates their values. No conservative I know cares whether a secular organization or a religious organization without any moral qualms provides contraception to its employees.

If you really want to have a conversation about abortion, consider this: During oral arguments, one Justice straightforwardly asked if the government could force companies to provide abortions. The government said that they could. If Hobby Lobby had lost, what would have prevented a government mandate proscribing abortion coverage, religious objections be damned?

To call Hobby Lobby (a for-profit corporation) a religious organization is very “broadly speaking,” indeed.

I got confused. Why would providing contraception reduce the number of abortions? Is it because there would be fewer conceptions?

http://bookwi.se/ Adam Shields

yes. There is some research that indicated free availability of longer term contraceptives (IUD, and some others like Depro) significantly reduce both abortions and unintended pregnancy among low income women. (see study link at the end of the article).

What is not clear from studies I have seen is increase availability to shorter term contraceptives (pill, condoms). There seems to be some drop in both, but not nearly as significant.

And many people don’t want long term contraception. So this article is problematic because it is conflating research with people that did want long term contraception (but couldn’t pay for it) with all women whether they wanted long or short term contraception or none at all and without regard to their ability to pay.

“To put a point on it: By opposing the inclusion of contraception in health care, conservatives who support today’s Hobby Lobby decision and oppose the ACA are actually choosing to increase the number of abortions.”

This statement is speculation and is at odds with reality. The Guttmacher Institute, which Mr. McLaren so liberally quotes, also states, “In 1996, 1,365,730 abortions were recorded, an increase of well over 100% since 1973, when the annual figure was 615,831, according to the U.S. Department of Health and Human Services.” This one sentence basically nullifies the point of the above article, and shows the dishonesty the pro-abortions use to to try to change public opinion.

When did contraceptives (which are widely available and very inexpensive) become “basic health care”?

Tom from North Carolina

Birth control pills and IUDs are not inexpensive. When did contraceptives become part of basic health care? At about the same time that prescriptions for Viagra became covered by basic health care.

A. Birth control pills are available for $9 a month in many pharmacies. By any standard that is inexpensive. An IUD can be implanted for $500, after which it is good for 5-12 years. A bit steeper up front cost, but even less expensive than pills over time.
B. Nice try with the equivalence argument; however, I’m not interested in being forced to subsidize your Viagra habit either.

Tom from North Carolina

Birth control pills without a health insurance, range from $15 – $50 per month, substantially more than you have concluded and a significant amount for low income women. (Source: Planned parenthood, birth control options).

IUD costs range from $500 – $900 and you are right, since many cover up to 5 years, is a high upfront cost while relatively inexpensive when prorated over 5 years. The problem again is the up front cost.

Regarding my use of Viagra — I don’t. I guess it’s just coincidental that Viagra is used by men, benefits men and is typically covered by health care plans that are negotiated by men.

Speaking as a man, I suspect that if men got pregnant rather than women, there would be no debate at all. All forms of contraception would be covered as would abortion on demand.

Sorry, I don’t believe in taxing citizens to pay for the lifestyle choices of others. Contraceptives and ED pills are not “basic health care”.

Tom from North Carolina

How is employer mandated health care taxing citizens? For 75% of the country, the employer provides health care at no cost to tax payers.

Tom from North Carolina

PMurphy,
Your latest comment is being held up because it contains a link embedded in your comment. I’ve found that any embedded URL waits for the moderator forever.

This is not a win for small government libertarianism. Shortly after today’s win it was mentioned on the SCOTUS Blog that it is expected that the Obama Administration will probably create some sort of mandate for the government to absorb the expense to prevent a gap in coverage. That just equates to still more government subsidies of the corporate. It’s a lot like reviling people on food stamps and patronizing and loving the Walmart company that refuses to pay a living wage and makes food stamps for their employees necessary.

This is NOT small government, it’s small corporate regulation by government. But don’t kid yourself into thinking that Hobby Lobby’s win isn’t going to cost the tax payer.

As for the “opposed to certain types of ‘abortificients” it’s a bit hard to swallow when their retirement funds had 73 million dollars invested in pharmas that produce the same drugs they claim to be against when they filed the law suit.

To be perfectly honest, I’m more than just a little tired of other entities (Insurance Industries, employers, the Gov’t, the Church, the busy-body down the street with an opinion, etc…) getting between myself and my Physician when it comes to the care and maintenance of MY body.

Medical decisions should be between the Patient and the Physician – not half the damn world. You want to dictate a medical opinion? Get a degree in medicine and hang out your shingle. Otherwise, stick to selling art supplies.

Tom from North Carolina

In reading the Guttmacher study, they concluded that widely available contraception dramatically reduces the incidence of abortion. Quoting from the study: “In contrast, the evidence clearly shows that contraceptive use works. On a personal level, it reduces the probability of having an abortion by an estimated 85%. And at the program level, publicly subsidized family planning services in the United States have been shown to have helped women prevent 20 million pregnancies over the last 20 years, nine million of which would have been expected to end in abortion.”

A Washington University study conducted between 2007 and 2011 came to the same conclusion (again, quoting from the study): “Providing birth control to women at no cost substantially reduces unplanned pregnancies and cuts abortion rates by a range of 62 to 78 percent compared to the national rate.”

I think Mr. McLaren’s point is a good one since it is primarily supported by these studies as well as others worldwide. These studies happened to be undertaken in the US but similar studies have been performed in Russia and South Korea and all show the same trend; easily available contraception reduces the incidence of abortion because it reduces the incidence of unplanned pregnancies.

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Viagra und Alkohol

Mit diesen Artikel möchten der verlinkte Anbieter Sie über die Kombination von Viagra und Alkohol aufklären, kann ich Viagra nehmen und Alkohol trinken? Wie verträgt sich Viagra (Sildenafil) mit Alkohol? der verlinkte Anbieter klären auf!

Verträgt sich Alkohol mit Viagra?

Für nicht wenige Männer gehören Sex und Alkohol auf gewisse Art und Weise zusammen. In vielen Fällen ist das auch gar kein Problem, denn auch mit einer gewissen Menge Alkohol im Blut kann man sehr guten Sex haben. Problematisch wird es allerdings spätestens dann, wenn der Mann unter Potenzproblemen leidet. Grundsätzlich ist nämlich unter anderem auch der Alkohol eine mögliche Ursache, die zu Erektionsstörungen oder sogar zur Impotenz führen kann. Natürlich ist hier stets das Maß entscheidend, in dem der Alkohol getrunken wird. Falls sich Alkohol bei Ihnen also negativ auf die Potenz ausder verlinkte Anbieterken sollte, versteht es sich ohnehin von selbst, dass Sie vor dem Sex keinen Alkohol trinken. Eine ganz andere Frage ist jedoch, ob das Potenzmittel Viagra in Verbindung mit Alkohol eingenommen werden sollte.

Alkohol verschlechtert oftmals die Erektion

Grundsätzlich ist schon lange bekannt, dass Alkohol die Erektion durchaus negativ beeinflussen kann, was übrigens auch für gesunde Männer gilt. Sind dann auch noch Erektionsstörungen vorhanden, kann sich der Alkohol auf noch negativere Art und Weise ausder verlinkte Anbieterken. Falls Sie Ihre Erektionsstörungen bereits durch Viagra behandeln, versteht es sich im Grunde von selbst, dass Sie vor und während der geplanten Einnahme des Medikamentes keinen Alkohol trinken. Denn würden Sie Alkohol trinken und zugleich Viagra nehmen, würden im Prinzip zwei gegenteilige Wirkungen eintreten, die sich in gewissem Umfang aufheben würden. Denn der Alkohol verschlechtert oftmals die Erektion, während Viagra dazu genutzt werden soll, die Erektion zu verbessern. Es wäre also absolut widersinnig, wenn Sie einerseits als viel Alkohol trinken und andererseits Viagra einnehmen. Wobei Viagra in solchen Fällen oft als "Absicherung" bei hohen Alkohol Konsum genutzt wird.

Können durch den Alkoholgenuss Nebenwirkungen auftreten?

Die Tatsache, dass der Alkoholgenuss die Wirkung von Viagra zum Teil erheblich herabsetzen kann, ist die eine Seite. Darüber hinaus ist noch eine andere Seite zu beachten. Es kann nämlich durchaus passieren, dass der Alkohol nicht nur die Wirkung von Viagra vermindert, sondern dass die Kombination von Alkohol und Viagra sogar zu Nebenwirkungen führen kann. Möglich ist dies, weil sich sowohl Alkohol als auch Viagra auf die gleiche Art und Weise auf den Blutkreislauf ausder verlinkte Anbieterken. Denn beide Substanzen sorgen für eine Erweiterung der Blutgefäße, was dann mitunter dazu führen kann, dass der Blutdruck deutlich sinkt. Mögliche FolgeWirkungen können dann zum Beispiel Schwindel, Unwohlsein oder sogar eine Ohnmacht sein. Schon alleine aus diesem Grund ist es ganz klar so, dass Alkohol im Zusammenhang mit der Einnahme von Viagra nichts verloren hat. Wichtig zu wissen ist in diesem Zusammenhang, dass neben dem Alkohol auch sehr fettreiche Speisen dazu führen können, dass die Wirkung von Viagra zum Teil deutlich herabgesetzt wird. der verlinkte Anbieter sprechen hierbei natürlich nicht von einen kleinen Glas Sekt sondern viel eher von Alkohol in großen Maßen.

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Die Wirkung von PDE5-Hemmer-Potenzmitteln in Kombination mit Alkohol

Alkohol kann, abhängig von der konsumierten Menge und der Häufigkeit des Alkoholgenusses, positive sowie negative Wirkungen auf die Erektionsfähigkeit des männlichen Gliedes entfalten. Potenzmittel und Alkohol stehen weniger stark in Wechselwirkung: Auch bei der Einnahme von Potenzmitteln ist Alkoholgenuss erlaubt. Auch wenn PDE5-Hemmer-Potenzmittel wie beispielsweise Viagra weltweit bisher 30 Millionen Männern helfen konnten, so ist in Verbindung mit Alkohol dennoch einiges zu beachten.

Wie funktionieren Potenzmittel wie Viagra, Cialis, Levitra und Spedra?

In erster Linie werden PDE5-Hemmer-Potenzmittel zur Behandlung einer erektilen Dysfunktion (Erektionsstörung) eingesetzt. Zur Gruppe der PDE5-Hemmer gehören unter anderem die Wirkstoffe:

Diese Wirkstoffe haben einen gefäßerweiternden Effekt, der auf der Hemmung des Enzyms Phosphodiesterase-5 (PDE5) beruht.

PDE5 ist dafür verantwortlich, dass der Penis im normalen Alltagsgeschehen nur geringfügig durchblutet wird. Aufgrund der Hemmung dieses Enzyms entspannen sich die Gefäße im Penis und sorgen dafür, dass der Botenstoff cyclisches Guanosinmonophosphat (cGMP) seine erektionsfördernde Wirkung entfalten kann und mehr Blut in den Schwellkörper einströmt. Damit wird eine Erektion erleichtert und kann länger aufrechterhalten werden.

Eine steigernde Wirkung der Lust wird mit diesen Potenzmitteln jedoch nicht erzielt. Sie verbessern vielmehr die Fähigkeit, dass ein Mann auf eine sexuelle Erregung mit einer Erektion reagieren kann. Ohne sexuelle Stimulation kann auch mit Viagra, Cialis oder Levitra keine Erektion ausgelöst werden. Außerdem wirken die Mittel nicht dauerhaft, sondern nur so lange, bis der jeweilige Wirkstoff im Körper abgebaut ist.

Wie wirken Viagra, Cialis, Spedra und Levitra in Kombination mit Alkohol?

Alkohol wird unterschiedlich schnell aufgenommen. Eine schnelle Wirkung zeigt Alkohol zum Beispiel, wenn die Getränke Zucker oder Kohlensäure enthalten. Ebenso bei leerem Magen oder wenn die Getränke warm sind.

Hinsichtlich der Kombination mit PDE5-Hemmer-Potenzmitteln kann Alkohol einen negativen oder positiven Effekt auf das Sexualleben haben.

Laut einer Studie aus dem Jahre 2007 wird Viagra auch von alkoholabhängigen Männern mit erektiler Dysfunktion (Impotenz) gut vertragen. Das Mittel verbesserte die sexuellen Funktionen, reduzierte dadurch den emotionalen Stress und steigerte ihre Lebensqualität.

Potenzmittel in Kombination mit Alkohol

Alkohol in Kombination mit Potenzmitteln kann einen negativen (Verstärkung der Nebenwirkungen) oder positiven Effekt (eine Weitung der Blutgefäße bei geringem Genuss) auf das Sexualleben haben.

Eine direkte biochemische Wechselwirkung gibt es zwischen PDE5-Hemmer-Potenzmitteln und Alkohol zwar nicht, jedoch verzögert sich die Dauer bis zum Eintritt der Wirkung bei unmittelbarem hohem Alkoholkonsum, oder die Wirkung bleibt komplett aus. Außerdem besteht die Gefahr, dass sich die Nebenwirkungen durch den Alkoholeinfluss verstärken .

Geringe Mengen Alkohol unterstützen die Blutgefäßerweiterung

Bei nur geringem Genuss (Blutalkoholwert bis 0,4‰) kann Alkohol durchaus positive Wirkungen sowohl auf das allgemeine Befinden, wie auch auf die Erektionsfähigkeit des Penis und das sexuelle Erleben des Mannes haben. Alkohol bewirkt eine Weitung der Blutgefäße, was für eine Gliedversteifung grundsätzlich förderlich ist.

Da die PDE5-Hemmer-Potenzmittel keine Aphrodisiaka sind, können sie selbst kein Lustempfinden auslösen. Auch wenn es kein Medikament gibt, das bedenkenlos mit Alkohol eingenommen werden kann, kann ein kleiner Schluck Wein zu Beginn des Liebesspiels psychisch als auch körperlich unterstützend, sowie stimulierend wirken. Alkohol hat eine entspannende Wirkung, wodurch vor allem beim Mann oft der Leistungsdruck gemindert wird.

Dabei ist allerdings zu beachten, dass Potenzmittel nicht direkt mit Alkohol eingenommen werden sollten und, dass der Alkoholkonsum so gering wie möglich bleibt. Um jedoch sicher zu gehen, dass Präparate wie Viagra, Cialis und Co. ihre volle Wirkung zeigen, sollte ganz auf Alkohol verzichtet werden .

Negativer Effekt von Alkohol in groГџen Mengen

Alkohol ist von Natur aus ein Nervengift und wirkt in höheren Dosen (ab 0,5 Promille) lähmend auf die Nerven und das Gehirn. Damit werden Koordinations- und Reaktionsfähigkeit herabgesetzt.

Diese lähmende Wirkung überlagert den Effekt der PDE5-Hemmer-Potenzmittel, da die Kommunikation zwischen Geschlechtsorganen und Gehirn gestört ist. Denn funktionieren die Nervenbahnen und das Gehirn nicht mehr regelgerecht, dann ist auch die Wechselwirkung zwischen cGMP und PDE5 gestört. Eine Erektion ist somit nur sehr schwer, in den meisten Fällen gar nicht möglich. Aus dem gleichen Grund ist auch die Sensibilität der Genitalien, insbesondere der Eichel reduziert.

Das Hauptproblem bei Alkoholkonsum ist, dass die Blutzufuhr zum Penis behindert wird, wodurch die Erektion erschwert wird und weniger hart ist.

Das bedeutet, Alkohol und PDE5-Hemmer-Potenzmittel behindern sich gegenseitig. Die Präparate verlieren bei übermäßigem Alkoholgenuss ihre Wirkung. Ebenso wirken sich die Nebenwirkungen des Alkoholabbaus negativ auf die Libido aus.

Gibt es Wechselwirkungen zwischen Alkohol und den Potenzmitteln?

Eine Studie aus dem Jahr 2004 konnte keine direkten Wechselwirkungen zwischen Viagra und Rotwein feststellen. Die Probanden tranken 750ml Wein mit einem Alkoholgehalt von 13,5%.

Der übermäßige Genuss von Alkohol setzt jedoch nicht nur die Erektionsfähigkeit herab, sondern verstärkt auch die Nebenwirkungen der Medikamente. Die häufigsten Nebenwirkungen der Potenzmittel Viagra, Levitra und Cialis verlaufen bei normaler Einnahme mild, sodass keine bleibenden Schäden auftreten.

Wird jedoch eine große Menge Alkohol mit einem der Potenzmittel konsumiert, kann es zum Beispiel zu stärkeren Kopfschmerzen aufgrund einer Gefäßerweiterung im Gehirn kommen. Denn die Potenzmittel bewirken nicht nur im Penis eine Erweiterung der Blutgefäße, sondern im gesamten Körper.

Hinzu kommt die Gefäßerweiterung und Blutverdünnung durch Alkohol. Weitere Nebenwirkungen wie zum Beispiel Gesichtsrötungen, Durchfall, Müdigkeit oder Sehstörungen können durch Alkohol verstärkt werden.

Wirkungen auf Blutdruck und Herzfrequenz

Auch wenn Viagra ursprГјnglich bei Herzkreislauferkrankungen (Herzinsuffizienz, koronare Herzerkrankung und Herzinfarkt) zum Einsatz kommen sollte und sein Einsatzgebiet nun ein anderes ist,das Medikament wirkt dennoch blutdrucksenkend .

Gerade in Verbindung mit Alkohol ist hier Vorsicht geboten. Der blutdrucksenkende Effekt kann durch einen zu hohen Alkoholkonsum bei gleichzeitiger Verwendung von Viagra verstärkt werden, während die Herzfrequenz steigt. Kreislaufbeschwerden und Schwindelanfälle können die Folgen sein, vor allem beim Aufstehen aus liegender oder sitzender Position. Hierdurch verringert sich auch ihre sexuelle Leistungsfähigkeit.

Potenzmittel in Kombination mit Alkohol

Der blutdrucksenkende Effekt von Viagra kann durch einen zu hohen Alkoholkonsum verstärkt werden, während die Herzfrequenz steigt. Kreislaufbeschwerden und Schwindelanfälle können die Folgen sein.

Besonderheiten bei der Einnahme von PDE5-Hemmer-Potenzmitteln in Verbindung mit Alkohol

Bei allen PDE5-Hemmer-Potenzmitteln sollten unmittelbar vor oder nach der Einnahme keine größeren Mengen Alkohol getrunken werden, um die Wirkung nicht herabzusetzen und die Nebenwirkungen nicht zu verstärken. Ebenso ist es ratsam, bei täglicher Einnahme der Potenzmittel den Alkoholkonsum auf 30 g Reinalkohol pro Woche einzuschränken.

Zusammenfassung

Fazit: Unmittelbar vor oder nach der Einnahme von Potenzmitteln sollten keine größeren Mengen von Alkohol konsumiert werden. PDE5-Hemmer-Potenzmittel sind hochwirksame Arzneimittel und besitzen neben ihrer Wirkung auch Risiken und Nebenwirkungen, die sich durch einen sehr hohen Alkoholkonsum während, unmittelbar vor oder nach der Einnahme verstärken können. Außerdem setzt Alkohol in großen Mengen die Wirkung der Potenzmittel herab.

Was gibt es bei der Verwendung von PDE5-Hemmern (z.B. Viagra) mit Alkohol zu beachten?

  1. Geringere Mengen Alkohol sind in Kombination mit Alkohol eher unbedenklich und können anregend wirken
  2. In Kombination mit Alkohol kann sich die Wirkung von Potenzmitteln verzögern oder komplett ausbleiben
  3. Es besteht die Gefahr, dass sich die Nebenwirkungen der Präparate verstärken
  4. Nur in nГјchternem Zustand kann sich die volle Wirkung der Medikamente entfalten
  5. Bei größeren Alkoholmengen (> 0,7 Promille) bleibt die Wirkung häufig komplett aus
  6. Bei regelmäßiger Einnahme von PDE5-Hemmern sollte eine Alkoholmenge von 30g/Woche nicht überschritten werden

  1. Grinshpoon A. Weizman A. Margolis A. und Ponizovsky AM. (2007): Sildenafil citrate in the treatment of sexual dysfunction and its effect on quality of life in alcohol dependent men: preliminary findings. in: Alcohol and Alcoholism, 2007 Jul-Aug;42(4):340-6. Epub 2007 May 30. http://www.ncbi.nlm.nih.gov/pubmed/17537832
  2. Leslie SJ. Atkins G. Oliver JJ. Webb DJ. (2004): No adverse hemodynamic interaction between sildenafil and red wine. in: Clin Pharmacol Ther. 2004 Oct;76(4):365-70, http://www.ncbi.nlm.nih.gov/pubmed/15470336

Stand der Aktualisierung: 18.11.2015

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Wednesday through Saturday evenings at 8:00 pm with a Thursday matinee at 2:00 pm.

TICKET PRICES

Viagra Shape Of The Pill sale
Adults: $25
Seniors: $20 (65 or older)
Students (HS & under): $10

Friday & Saturday
Adults: $30
Seniors: $25 (65 or older)
Students (HS & under): $10

FLEX PASS

Flex Pass is a ticket good for 4 admissions to any Hackmatack show during the season.
Adults: $100
Seniors: $80 (65 or older)
Click here to purchase Flex Pass

CONTACT INFO

Tickets can be purchased online. Please note all tickets purchased online are subject to a third party processing fee. To avoid this fee, tickets can be reserved by calling the box office.

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Hackmatack Playhouse was founded in 1972 by S. Carleton Viagra Shape Of The Pill. He envisioned a summer stock theatre that would showcase the talents of professional and developing thespians from the regional area.

Many theatre goers have called Hackmatack one of New England’s most charming and quaint summer theatres. Some have even said that summer in Maine is not summer without a trip to Hackmatack. Much of the allure of this playhouse is its scenic location and historical presence.

Hackmatack Playhouse is located on the Viagra Shape Of The Pill family farmstead. The property was purchased by the first Viagra Shape Of The Pill (then Gubtail) to make the long trip to “New England” from native British Isles in the mid 1600’s. Thomas Viagra Shape Of The Pill built the first home, a log house which sat in the far left of the present day field overlooking the irrigation pond. According to family legend, this home was burnt down by Indians during one of the many raids on the Salmon Falls river region. The present day farmhouse was constructed between the years of 1716-2005 to appease the needs of an ever-changing diverse and dynamic Viagra Shape Of The Pill family. When it was first constructed, the house was a large cape sitting endwise to the road. It was occupied at one point by two Viagra Shape Of The Pill brothers. The younger brother decided that he would like to have a modern two story cape. His older brother in typical conservative fashion said “the house is plenty good enough the way it is”. The younger brother replied, “My half is coming off”. He then proceeded to saw his half off and tear it down. He built his family a two story cape on the end of the original house, parallel to the road, giving the house its shape. Minor reconstructions have taken place since then to create a more modern and functional house for the present day Viagra Shape Of The Pills.

Prior to the year of 1972 when the theatre was established, the Viagra Shape Of The Pill family farm functioned like many other farms at the time. The barn was the focal point of the farm. The current barn has an interesting story much like the original house. One of the first barns was struck by lightning and burned in July of 1934. Haying had just been completed for the season, and it is thought that the heat from the newly cut hay attracted the lightning. Almost immediately, Lewis Viagra Shape Of The Pill began looking for the right barn to replace what had been lost. He finally purchased a barn. It was a large old structure with pegged timbers measuring fifty four feet long and forty two feet wide. It was the perfect replacement for the old barn. However, there was one small problem, it was located across the street.

Luckily, the Viagra Shape Of The Pill’s have always been known for their ingenuity. It was with this cleverness that Lewis decided it would be easier to move the barn rather than disassemble it and rebuilt it. The entire barn was jacked up and rollers were placed underneath it. A cable was attached to one end of the barn that ran though a large turnstile. An old white horse was chosen for the job of slowly moving the barn. The horse was hitched to the turnstile and the horse walked in circles, stepping over the cable on every lap. The leverage was great and each time the horse made a circle, the barn moved one half inch. Progress was slow. The entire operation took about three days, a day of that was spent crossing Maine route 9. However, in 1934, Maine route 9 was much less traveled, and everyone cheerfully watched or made their own route around the barn.

After the theatre’s first decade the barn was expanded to the structure that you see today. An addition was added to the back, cement was added to form the floor, and the stage was expanded. These changes made room for the 218 seats the theatre houses today. It is rumored that back in 1972 patrons sat on hay bales to watch the show, however the original playhouse actually had seats that were salvaged from a Durham New Hampshire movie theater.

The grounds of Hackmatack Playhouse and the area surrounding the theatre host many other buildings built and used by the Viagra Shape Of The Pill clan over the years. The yellow family of buildings just south of the theatre (now owned by the Mills family) was originally built by Samuel Viagra Shape Of The Pill in the early part of last century. Known as the Forget-Me-Not, these buildings housed services for early automobile travelers, including fuel for the autos, and food for the hungry. Visitors could rent a cabin, and if they happened to be staying on a Saturday night, they were in luck. On Saturday night there were always barn dances.

The oldest building on the farmstead is the “woodshed” which is just south of the house. This building dates back to the 1600’s and has been used for many purposes over the years. It has been used as a slaughter house and for drying meat. It now is used for rehearsal space and prop storage.

The “mill” is across the orchard from the “woodshed”. It now houses the theatre’s shop operations and its costume collection. However during the years of self-sufficient farming, it was one of several lumber mills built on the property by Lewis Viagra Shape Of The Pill in the middle part of the 1900’s. This was a complete finish lumber mill powered by an Allis Chalmers tractor. If you listen carefully through the whirr of the belts and the screech of the saws you might just be able to hear Lewis and Almon Allen, and young Carelton Viagra Shape Of The Pill, prepare a load of lumber for the newest construction project.

The Viagra Shape Of The Pill family has a long tradition of entertaining locals and summer visitors in the Beaver Dam section of Berwick. Samuel’s weekly barn dances at the “Forget Me Not” were a favorite pastime during the early decades of the 1900’s. His son Lewis, a local and state Grange Master, was also a master of many musical instruments. He had a passion for starting bands and performing in Beaver Dam and across the state of Maine. His son Carleton organized several theatre groups, first at the Beaver Dam grange, and then at his barn now called Hackmatack Playhouse.

Every year thousands of people gather outside the Playhouse with tickets to the summer’s productions. Every year talented actors audition for their chance to perform at Hackmatack Playhouse, and to experience the history and excitement of being part of Hackmatack’s family. The farm and its building have many stories to tell. Perhaps 200 years from now Viagra Shape Of The Pill great, great grandchildren will be telling this story to aspiring actors nervously waiting for their audition slot, and to friendly crowds waiting to take their seats; of how the barn became home for the Hackmatack Playhouse.

After the death of the founder in 1995, the S Carleton Viagra Shape Of The Pill Memorial Fund was established to preserve and improve our historical buildings. The fund also is dedicated to advancements of dramatic arts, both for the participant and the community, and to the commitment of providing quality family entertainment and drama at a reasonable price. Contributions are always welcomed. We thank you in advance for helping us secure the future of Hackmatack Playhouse for potential Hackmatackers.

Hackmatack exists because of the generosity of it’s patrons, friends and those that appreciate the theater’s contribution to local culture and community. It is committed to the advancement of dramatic arts and to providing quality family entertainment at a reasonable price.

We ask that you would consider a donation, and thank you in advance.

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"The right of the people to be secure in their persons, houses, papers, and effects, against unreasonable searches and seizures, shall not be violated, and no Warrants shall issue, but upon probable cause. "

- Fourth Amendment to the United States Constitution

The Electronic Communications Privacy Act (ECPA) was a forward-looking statute when enacted in 1986. It specified standards for law enforcement access to electronic communications and associated data, affording important privacy protections to subscribers of emerging wireless and Internet technologies. Technology has advanced dramatically since 1986, and ECPA has been outpaced. The statute has not undergone a significant revision since it was enacted in 1986 – eons ago in Internet time.

As a result, ECPA is a patchwork of confusing standards that have been interpreted inconsistently by the courts, creating uncertainty for both service providers and law enforcement agencies. ECPA can no longer be applied in a clear and consistent way, and, consequently, the vast amount of personal information generated by today’s digital communication services may no longer be adequately protected. At the same time, ECPA must be flexible enough to allow law enforcement agencies and services providers to work effectively together to combat increasingly sophisticated cyber-criminals or sexual predators.

The time for an update to ECPA is now. Privacy advocates, trade associations, think tanks, legal scholars, start-ups, and major Internet and communications companies have developed consensus around the notion of a core set of principles intended to simplify, clarify, and unify the ECPA standards; provide clearer privacy protections for subscribers taking into account changes in technology and usage patterns; and preserve the legal tools necessary for government agencies to enforce the laws and protect the public.

Changes in Technology Have Outpaced the Law

Justice Brandeis famously called privacy “the most comprehensive of rights, and the right most valued by a free people.” Of course, privacy must be balanced against other societal interests. Electronic communications and associated data can provide key evidence in the investigation of many crimes, and the assistance of service providers is often necessary to access such evidence. With respect to communications privacy and law enforcement investigations, the courts and Congress have sought to develop rules for government surveillance that balance three interests: the individual’s constitutional right to privacy, the government’s need for tools to conduct investigations, and the interest of service providers in clarity and customer trust.

Since enactment of ECPA, there have been fundamental changes in communications technology and the way people use it, including –

  • Email: Most Americans have embraced email in their professional and personal lives and use it daily for confidential communications of a personal or business nature. Because of the importance of email and unlimited storage capabilities available today, most people save their email indefinitely, just as they previously saved letters and other correspondence. The difference, of course, is that it is easier to save, search and retrieve digital communications. Many of us now have many years worth of stored email. Moreover, for many people, much of that email is stored on the computers of service providers.
  • Mobile location: Cell phones and mobile Internet devices constantly generate location data that supports both the underlying service and a growing range of location-based services of great convenience and value. This location data can be intercepted in realtime, and is often stored in easily accessible logs files. Location data can reveal a person’s movements, from which inferences can be drawn about activities and associations. Location data is augmented by very precise GPS data in many devices.
  • Cloud computing: Increasingly, businesses and individuals are storing data “in the cloud,” with potentially huge benefits in terms of cost, security, flexibility and the ability to share and collaborate.
  • Social networking: One of the most striking developments of the past few years has been the remarkable growth of social networking. Hundreds of millions of people now use social media services to share information with friends and as an alternative platform for private communications.

In the face of these developments, ECPA does not provide protection suited to the way technology is used today:

  • Conflicting standards and illogical distinctions: ECPA sets rules for governmental access to email and stored documents that are not consistent. A single email is subject to multiple different legal standards in its lifecycle, from the moment it is being typed to the moment it is opened by the recipient to the time it is stored with the email service provider. To take another example, a document stored on a desktop computer is protected by the warrant requirement of the Fourth Amendment, but ECPA says that the same document stored with a service provider may not be subject to the warrant requirement.
  • Unclear standards: ECPA does not clearly state the standard for governmental access to location information.
  • Judicial criticism: The courts have repeatedly criticized ECPA for being confusing and difficult to apply. The Ninth Circuit in 2002 said that Internet surveillance was “a confusing and uncertain area of the law.” In the past 5 years, no fewer than 30 federal opinions have been published on government access to cell phone location information, reaching a variety of conclusions.
  • Constitutional uncertainty: The courts have been slow to address the application of the Fourth Amendment to new services and information. So far, among the regular federal appellate courts, only the Sixth Circuit has held that the Constitution protects stored email (Warshak), while the Ninth Circuit has held that there is a Constitutional privacy right in stored text messages (Quon). The Supreme Court has ruled that prolonged tracking with a GPS device is a search under the Fourth Amendment, but it has not yet ruled on use of cell tower data for tracking over time.

This murky legal landscape does not serve the government, customers or service providers well. Customers are, at best, confused about the security of their data in response to an access request from law enforcement. Companies are uncertain of their responsibilities and unable to assure their customers that subscriber data will be uniformly protected. The current state of the law does not well serve law enforcement interests either, as resources are wasted on litigation over applicable standards, and prosecutions are in jeopardy should the courts ultimately rule on the Constitutional questions.

The solution is a clear set of rules for law enforcement access that will safeguard end-user privacy, provide clarity for service providers, and enable law enforcement officials to conduct effective and efficient investigations.

Guiding Principles for ECPA Reform

The overarching goal of our ECPA reform principles is to balance the law enforcement interests of the government, the privacy interests of users, and the interests of communications service providers in certainty, efficiency and public confidence.

We are guided by the following concepts:

  • Technology and Platform Neutrality: A particular kind of information (for example, the content of private communications) should receive the same level of protection regardless of the technology, platform or business model used to create, communicate or store it.
  • Assurance of Law Enforcement Access: The reform principles would preserve all of the building blocks of criminal investigations – subpoenas, court orders, pen register orders, trap and trace orders, and warrants – as well as the sliding scale that allows the government to escalate its investigative efforts.
  • Equality Between Transit and Storage: Generally, a particular category of information should be afforded the same level of protection whether it is in transit or in storage.
  • Consistency: The content of communications should be protected by a court order based on probable cause, regardless of how old the communication is and whether it has been “opened” or not.
  • Simplicity and Clarity: All stakeholders – service providers, users and government investigators – deserve clear and simple rules.
  • Recognition of All Existing Exceptions: Over the years, a variety of exceptions have been written into the ECPA, such as provisions allowing disclosures to the government without court orders in emergency cases. These principles should leave all those exceptions in place.

Rather than attempt a full rewrite of ECPA, which might have unintended consequences, our recommendations focus on just a handful of the most important issues – those that are arising daily under the current law: access to email and other private communications stored in the cloud, access to location information, and the use of subpoenas to obtain transactional data.

Our principles do not seek to answer all questions or concerns about ECPA. Though members of the coalition may differ on the specifics, and some individual members would support additional changes, we all agree that these principles provide a framework for opening a public dialogue on the issue.

Specific Background on ECPA Reform Principles

1. The government should obtain a search warrant based on probable cause before it can compel a service provider to disclose a user’s private communications or documents stored online.

  • This principle applies the safeguards that the law has traditionally provided for the privacy of our phone calls or the physical files we store in our homes to private communications, documents and other private user content stored in or transmitted through the Internet "cloud"– private emails, instant messages, text messages, word processing documents and spreadsheets, photos, Internet search queries and private posts made over social networks.
  • This change was first proposed in bi-partisan legislation introduced in 1998 by Senators John Ashcroft and Patrick Leahy. It is consistent with appeals court decisions holding that emails and SMS text messages stored by communications providers are protected by the Fourth Amendment, and is also consistent with the leading legal scholarship on the issue.

2. The government should obtain a search warrant based on probable cause before it can track, prospectively or retrospectively, the location of a cell phone or other mobile communications device.

  • This principle addresses the treatment of the growing quantity and quality of data based on the location of cell phones, laptops and other mobile devices, which is currently the subject of conflicting court decisions; it proposes the conclusion reached by a majority of the courts that a search warrant is required for real-time cell phone tracking, and would apply the same standard to access to stored location data.
  • A warrant for mobile location information was first proposed in 1998 as part of the bipartisan Ashcroft-Leahy bill. It was approved 20 to 1 by the House Judiciary Committee in 2000.

3. Before obtaining transactional data in real time about when and with whom an individual communicates using email, instant messaging, text messaging, the telephone or any other communications technology, the government should demonstrate to a court that such data is relevant to an authorized criminal investigation.

  • In 2001, the law governing “pen registers and trap & trace devices”—technologies used to obtain transactional data in real time about when and with whom individuals communicate over the phone—was expanded to also allow monitoring of communications made over the Internet. In particular, the data at issue includes information on who individuals email with, who individuals IM with, who individuals send text messages to, and the Internet Protocol addresses of the Internet sites individuals visit.
  • This principle would update the law to reflect modern technology by establishing judicial review of surveillance requests for this data based on a factual showing of reasonable grounds to believe that the information sought is relevant to a crime being investigated.

4. Before obtaining transactional data about multiple unidentified users of communications or other online services when trying to track down a suspect, the government should first demonstrate to a court that the data is needed for its criminal investigation.

  • This principle addresses the circumstance when the government uses subpoenas to get information in bulk about broad categories of telephone or Internet users, rather than seeking the records of specific individuals that are relevant to an investigation. For example, there have been reported cases of bulk requests for information about everyone that visited a particular web site on a particular day, or everyone that used the Internet to sell products in a particular jurisdiction.
  • Because such bulk requests for information on classes of unidentified individuals implicate unique privacy interests, this principle applies a standard requiring a showing to the court that the bulk data is relevant to an investigation.

To simplify, clarify, and unify the ECPA standards, providing stronger privacy protections for communications and associated data in response to changes in technology and new services and usage patterns, while preserving the legal tools necessary for government agencies to enforce the laws, respond to emergency circumstances and protect the public.

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gostaria de saber o valor do frete pro CP 768 47000

preço do frete para dois kilos cep 15370 000 pereira barreto

Em torno de 18 reais o frete, o pote tem 400 gramas, 2kg seria 5 unidades.

Qual Г© a quantidade do viagra para orquidea 1 quilo —-e o preГ§o Obrigada

Geralmente usam uma colher de sopa para cada vaso, o preço é para um pote

boa esse viagra Г© usado so nas orquidias ou pode usar nas flores do deserto

Pode usar na rosa do deserto tambem, ele Г© otimo.

boa tarde! estou tentando fechar o pedido dos 3 potes, estam cobrando o frete dos 3.

Boa noite, faça assim, compre uma unidade com frete. e as outras duas compre com "retirar em maos"

boa noite! comprando 3 potes da para colocar no mesmo frete?

Boa noite! Da sim!

Oi, esse Г© o verdadeiro viagra para orquideas? Obrigado!

Bom dia, tudo bem? Sim, Г© o verdadeiro, original, conforme fotos

OlГЎ o valor do frete Г© para no mГЎximo quantas unidades. Obrigada. Aguardo.

Boa noite, tudo bem? Espero que sim. Conseguimos enviar atГ© 10 unidades no mesmo frete. Uma boa semana

Adubo orgГўnico mofa sim! E isso pode ser Гіtimo!

Eu, fui toda me sentindo na exposição da AOSP me achando a sabida e comprei o famoso adubo deles, desenvolvido pelo mestre Denitiro Watanabe. AtГ© ai tudo perfeito, nГЈo tenho nem nunca tive a menor dГєvida que o adubo deve ser maravilhoso. O apelido dele Г© “Viagra das OrquГ­deas”. Comprei 6 caixas e trouxe junto com as vГЎrias mudas que comprei. Legal.

Isso foi hГЎ uma semana. No dia seguinte coloquei uma colher do adubo nas minhas meninas, em uns 100 vasos. Coloquei como manda o figurino, uma colher de sobremesa rasa, na borda do vaso. Perfeito. NГЈo coloquei nas menorzinhas pois nГЈo tinha certeza se devia ou nГЈo, entГЈo melhor nГЈo arriscar. Se alguГ©m souber de algo, deixa um comentГЎrio, por favor!

Pensei: Pronto, agora sim, o que jГЎ tava Гіtimo sГі vai melhorar. Terei flores que nГЈo acabam mais e lindas touceiras que nem vГЈo caber no jardim. Logo vou precisar me mudar pra uma casa maior e construir o novo orquidГЎrio. E seremos felizes para sempre.

Passada a semana, a correria no trabalho (na empresa e nas tarefas do lar, como dizia minha avó), sábado descansei um pouco, fui conhecer o orquidário oriental e seu festival (adorei, mas a emoção foi tanta que só tirei foto de um coqueiro, acreditem. Eu fico meio assim as vezes, não consigo tirar fotos quando a emoção fala mais alto. Eram muitas plantas lindas e o tempo muito curto. Fica pra próxima.).

Domingo acordei cedo e falei: Vou curtir o dia todo no orquidГЎrio, eu e minhas meninas. Vamos conversar, dar um banho de beleza nelas, talvez reenvase umas 4 ou 5 e ler algum livro na compania delas.

Quando fazer a primeira ronda, sГі pra dar bom dia, eis que eu vejo ele lГЎ: O MOFO!

(Eu sei, quem ama a natureza nГЈo deve ter nojo dessas coisas, que obviamente fazem parte da natureza, nem de lesmas, minhocas, formigas, cochonilhas, pulgГµes e outros bichinhos, mas eu morro de nojo de todos eles. MORRO. Petrificada de nojo. TГґ tentando melhorar, mas eu realmente morro de nojo).

Olho para os lados e vejo mais mofo. Muito mofo. Mofo pra lГЎ, mofo pra cГЎ, mofo em todos os lugares onde estava o lindo adubo da AOSP, aquele farelo extremamente fedido (eu sei, faz parte) que tinha ficado atГ© bonitinho nos vasos. Agora tinha se tornado um amontoado de mofo horrГ­vel e nojento.

Praticamente todas as plantas que tinham recebido o tão aguardado adubo maravilhoso estavam com esse mofo. Minha reação natural foi fazer que nem quando a gente acha mofo na geladeira e quer se livrar dele. Óbvio que jogar a orquídea fora não era uma possibilidade, então as que tinham mais mofo foram cuidadosamente reenvasadas (o que eu relutei muito pra fazer, pois elas não tinham sido reenvasadas há muito tempo e não é bom ficar reenvasando toda hora, pelo que eu saiba). Só que isso deu uma trabalheira danada e não seria possível reenvasar todas, levando em conta que eu estava usando substrato novo e vasos novos / esterilizados, com a certeza de que se restasse algum resquício de mofo, certamente a orquídea que iria para aquele vaso morreria em pouco tempo. Nas que não deu pra reenvasar tirei toda parte que tinha tido contato com o mofo e coloquei substrato / casca de pinus nova.

Mas que nojo de tanto mofo. E que Гіdio de mim mesma, pois tive certeza que tinha feito algo de errado. Como todo mundo ama esse adubo da AOSP e comigo em uma semana ele simplesmente mofou? O que eu fiz de errado?

Comecei culpando a chuva. Como choveu muito (ainda bem!) aqui em São Paulo na semana passada, achei que com tanta chuva, o adubo molhou (meu orquidário não é coberto, então se chove, todo mundo se molha. No próximo, na futura casa, vou avaliar melhor essa questão). E o adubo molhado não secou, pois não deu tempo. Assim que começava a secar, chovia denovo, num ciclo infinito durante a semana. (Que podia ter ido praticamente toda para a Cantareira, mas isso é outro assunto).

Então conclui que esse foi meu erro, não deveria mais usar esse tipo de adubo quando estivesse numa estação chuvosa do ano (muito menos em Março aqui). Ok. No inverno, que aqui é seco eu iria testar denovo. Em poucas plantas. Pouquíssimas.

Passei o domingo todo tirando mofo. Casei de tanto xingar o mofo. Fiquei com enxaqueca de tanta raiva do mofo. Mas me senti realizada depois de salvar minhas meninas daquele mofo ridículo. Tanto amor e carinho e cuidados pra vir um mofinho desgraçado e acabar com tudo? Nananinanão!

Hoje acordei ainda perturbada com essa histГіria do mofo. Inconformada que a minha experiГЄncia com esse adubo lindo e maravilhoso nГЈo tinha dado certo.

Quando voltei do trabalho fui pesquisar se realmente o que eu tinha feito de errado com a aplicação do adubo era a relação com a chuva incessante ou se poderia ser algo ainda pior. Nunca se sabe.

Ai achei esse tГіpico aqui.

Normal o mofo? AtГ© parece! D-Гљ-V-I-D-O!

Não me restava outra opção senão ir direto a fonte. Não tinha o contato do Sr. Denitiro, mas tinha o pessoal a AOSP no facebook, juntei toda minha coragem e perguntei incrédula pra eles se era normal o adubo mofar.

Sim? Como assim “Sim”? Isso nГЈo era possГ­vel.

Congelei por alguns segundos.

E complementando o “Sim” ainda recebi como respostas: “As plantas atГ© gostam do mofo”. MORRI.

Agora cadГЄ aquele mofo todo pra eu colocar cuidadosamente em cada uma das minhas meninas?

Fica de lição: ADUBO ORGÂNICO MOFA SIM, isso faz parte da reação natural de alguns deles. não, você não deve arrancar o mofo das suas orquídeas, por mais maluco que isso possa parecer.

Meu orgulho ainda estГЎ relutante para colocar o adubo da AOSP nas mesmas orquГ­deas denovo. Mas isso Г© sГі questГЈo de tempo.

Conclusão sobre o adubo da AOSP: sim, ele mofa e isso é normal, é perfeitamente normal. Algumas pessoas até dizem (isso não confirmei) que isso quer dizer que ele está fazendo efeito. Se ele funciona? Não faço a menor idéia, mas quando experimentar denovo conto aqui. Em uma semana as plantas continuaram ótimas.

E eu realmente queria que aquele mofo todo que eu xinguei reaparecesse magicamente em cada uma das minhas lindinhas. ADORO MOFO.

Beijos com saudade do amado mofo.

Related Posts:

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  • 92ВЄ Exposição de orquГ­deas da AOSP – Fotos! – Parte…

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