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Primates are a category of mammals that include humans, apes, lemurs and monkeys. Covering over 185 species, they range from lemurs -with hardly any resemblance to humans- to chimpanzees, which are clearly our own kin. In size, they range from the tiny 60 g bush baby to the huge 200 kg gorilla. Primates are characterized by a complex brain, good binocular vision and means of grasping. In addition, they experience long periods in the womb, followed by slow maturation and elongated lifespan. Africa has the privilege of hosting 51 primate species in habitats varying from forests to savannah woodlands. And new primate species are still being discovered. One of the latest additions is the highland mangabey monkey, whose domicile is the Udzungwa Mountains of southern Tanzania. Scientists were delighted, but nevertheless puzzled when they reported the finding in May 2005; "This exciting discovery demonstrates once again how little we know about our closest living relatives, the nonhuman primates. A large, striking monkey in a country of considerable wildlife research over the last century has been hidden right under our noses," said Russell Mittermeier of the IUCN-The World Conservation Union's Species Survival Commission. Sensing our fascination with nonhuman primates, artists have in response created fictional characters that have turned out to be immensely popular. The most successful of this genre is the story of "Tarzan of the Apes". This romance features an orphaned English lord who was adopted by a female ape and brought up in the African jungle. The writer Edgar Rice Burroughs brought Tarzan-one of the best-known literary characters, to life in 1921. Tarzan, an ape-man character has over the years generated over 40 movies, and numerous radio shows, television programmes and comic books. Primate characters reflect mans complex nature more closely than other animal characters in fiction and mythology. Come to think of it: in this respect, the naughty tree-swinging monkey is more deserving of our respect than haughty king lion. Non-human primates are confined to the tropics, where 80% of them live in rain forests as the dominant mammals. East Africa has few patches of tropical forests where you find the great apes, but the entire region supports many other primate species. Only a few species are not dependent on trees and can survive in savannah and sub desert areas. These include baboons, vervet monkeys and chimpanzees. Not surprisingly, travellers to east Africa are most likely to come across these three species. But most primates still depend on trees or cliffs for security. Only the two most intriguing primate species sleep on the ground-man and gorilla. We shall not discuss these two species in this article and shall cover them in separate features. For now, we shall only able to look at the four most common primates found in East Africa; bush babies, monkeys, baboons and chimpanzees. Primates have complex social organizations and the majority live in female-bonded groups. Scientists speculate that this works as an alliance against aggressive males. Females stay on in their natal group even after maturity, while males exit the group. Feminist fundamentalists may perhaps take a hint in this arrangement? Chimpanzees make an exception to this rule. Very much like humans, female chimps seek an alliance with a male protector, which is recognised and respected by other males. A common feature among primates is evolution of the "primate hand."This is a prehensile hand that is used for climbing and eating, and tool making in the case of apes. Some primates- especially baboons and apes, have such well-developed dexterity of the hand that the tips of the thumb and forefinger meet at right angles. In apes, the dexterity of the hands is very close that of humans -and chimps are a good example. Primates, just like humans, use social grooming as a form of contact communication. Travellers will witness this practice among baboons and vervet monkeys. Grooming is useful for social bonding and is effected by use of the mouth and hands. At a more practical level, it is also used to clean the body of parasites, such as ticks. Grooming underlines hierarchies; a junior member of a group will happily groom its betters. Reproduction in primates is quite varied, but there is much in common with humans. Monkeys and apes, for example, actually do menstruate. A key difference however, is that many primates have distinct breeding seasons. The young are dependent on the mother, but less so than human infants. They enjoy the protection of a fur coat and are able to climb and reach the mothers' teats and cling to her while being transported. Males generally play a marginal role in parental care. Bush babies are a big group of primates, comprising about 18 species found Africa, and of which 11 species live in East Africa. This is one of the smallest but most successful of the primates. There are two main types: the lesser bush baby and the greater bush baby. Both are widely distributed and found in the forested national parks of East Africa. During the day, they hide to avoid harm from eagles and large snakes. In lodges located close to dense forest, such as Shimba Hills in Kenya, bush babies are at night attracted to the dining rooms by sugar and sugary products. They otherwise feed mainly on tree gum and insects. Their technique of catching insects is either by leaping and grabbing or by creeping to within grabbing distance. They have distinct vocal sounds and the name bush baby originated from the piercing baby-like cries or advertising calls of the greater bush baby. Adult males advertise the most, especially in the mating season. Bush babies are easy to like-perhaps on account of their baby-like cries and small innocent looking faces. They are active only after sundown. Extremely agile and sprightly, they use their elongated hind limbs to execute spectacular leaps between trees. Distended finger and toe pads enable them to cling unerringly, leap after leap, to even the most slippery branches. The other small primates like bush babies are pottos. Being small and nocturnal, you will hardly ever see them. Only one species is found in East Africa -in south and west Uganda, far northwest Tanzania and western Kenya in the Mount Elgon and Kakamega forests. Pottos wear a woolly brown jacket and have large protuberant eyes, small rounded naked ears, short muzzles and short stubby tails. They weigh between 0.8 - 1.6kg. Monkeys are a category of dog-shaped primates. They stand and move horizontally on four legs, with head directed forwards and downwards. Consequently, the form and movement is also doglike, particularly for the more terrestrial ones like baboons. Their bottoms are padded with bare "scars" that may appear like wounds. These are called callosities, and their colouration varies with the reproductive season. The phenomenon is most prominent among baboons and is quite puzzling to many travellers. There is a clear distinction in form and structure of the genders in monkeys. This is especially so among baboons, in which females are clearly smaller in body size - by as much as 50% compared males. The posture and movement of monkeys is often a reflection of their social status. The confident monkey appears relaxed and walks with its limbs extended and back level. It surveys its realm casually and is at ease while resting. On the other hand, subordinates walk with back hunched, limbs rather bent and tail low or curved downwards. Dominant males are known to exaggerate their status by walking with a swagger and squatting with obvious ostentation. This behaviour is the subject of many metaphors in African folklore. Monkeys are generally social, though they exhibit occasional rivalry. When attempting to intimidate a rival, a monkey stands at its tallest, with the effect that it looks bigger than it realy is-, which of course is precisely the point. "Filling yourself like a male monkey" is a common teenage statement in Africa, and originates from this practice. Many travellers will have noticed that adult male monkeys like exposing their genitals to impress or maybe intimidate other males. Baboons are especially notorious for this rather unwholesome exhibitionist behaviour. Do not be offended when you find a dominant male, sitting apart on high vantage point, facing away from the troop as he scans the surrounding with legs spread apart to expose the penis. This is a particularly noticeable thing about baboons, or perhaps it is what humans cannot avoid noticing- being so well trained to look down upon such immodest displays. Among the monkeys species found in East Africa are the blue or syke monkey, the vervet monkey and the colobus monkey. Sykes are dark, stoutly built and have round facial disk and no beard. They weigh up to 12kg, with males larger and heavier than females. The body is covered by thick long fur with a brown patch of bristling hair. Sykes are quite widespread in East Africa and can generally be sighted in all forested national parks. But as they as not aware of park boundaries, you will also see them in thick forests and forest reserves outside the parks. They are however slowly being confined to national parks due continuing degradation of protected forests. Sykes mostly feed on fruits and leaves and occasionally insects and flowers. The vervet monkey is light coloured with a black face; males have a pale blue scrotum. This monkey weighs between 5 and 9kg. The vervet is adapted to practically all woodland habitats, outside equatorial rain forests. It does not venture very far from the safety of trees, on which it also depends for food. You will commonly find it on forest edges and is typically associated with riverine vegetation and acacia trees. These monkeys are very friendly to people and almost serve as de facto receptionists in most national parks. When a vertet hops onto your car as you arrive at park gate, it is looking after its own interests. Humans like to feed monkeys and it hopes to save the lots of energy and the risk involved in natural foraging in the bush. However, it is illegal to feed monkeys or any wildlife in all parks in East Africa. Also be warned- these monkeys can bite if scared. Their teeth and claws can inflict serious injuries and you should therefore avoid close bodily contact. Vervet monkeys are omnivorous and consume a wide range of plant materials like fruits, seeds, sap, and flowers. They also feed on invertebrates and have sometimes balance the vegetarian fare with vertebrates such as lizards and nestling birds and their eggs. They are often found in the same areas as baboons with which they share many foods, water holes and sleeping trees. The baboon is however not good company for vervets; it is without mercy for its smaller relative. When they compete for food, vervets are supplanted and baboons will occasionally feed on young vervets. Vervet monkeys are territorial and live in troops of between 8-50 members. Their troops are organized in a hierarchy of families whose members sleep, forage and rest together. Males move out as they reach maturity at about the age of 5 years, while females remain in a female-bonded society. They pass on hereditary privileges: a mother's rank predetermines that of the daughter. The baboon is the other very common primate in the savannahs of East Africa. It is a large, terrestrial monkey with a dog like head. Indeed its scientific name is, papio cynocephalus -here cynocephalus means "dog-headed." They weigh up to 50 kg, with males reaching up to twice the weight of females. Their limbs are sturdy, nearly equal in length while hands and feet are short and wide with stubby digits. The females have very prominent sexual swellings. Baboons in East Africa appear in two common species - olive and yellow baboons. Next to humans, baboons are the best adapted of the terrestrial primates. For this reason, they are the most widespread African primate- to be found from savannah to arid habitats, so long as there is water and trees or just cliffs. Most travellers will see baboons on the highways, in many places across the region. They live well enough outside protected areas, such as national parks. They are serious crop pests and are even classified as vermin -not wildlife- but in parts of Kenya. A baboons' menu include grasses, flowers, fruits, seeds and shoots. In the dry season, they uproot grasses and feed on the underground stems, a niche they share with no other mammal except warthogs. Beware that baboons are fierce fighters and with group work can confront and scare off a sharp predator such as leopard. Because of their well-developed taste for fruits and other foods humans are partial to, baboons tend to stalk visitors in national parks. In some cases they supplement their diet with vertebrate prey: fish, lizards and young of ground nesting birds, and bird or crocodile eggs. Baboons live in troops ranging from 8 to over 200 animals, but typically average about 40. Troops tend to avoid one another but may occasionally share resources. Their social organization is highly complex and variable; they are able to display emotion and can communicate motivation. Females remain in the troop, with a reproductive strategy grounded on male supremacy. The colobus monkey is another common primate that is the subject of many parables in Africa. The black and white colobus are especially priced for their beautiful coat, which has traditionally been used as ceremonial attire. The colobus is found only in Africa and has a long tail and hairs. The body weight reaches up to 23 kg. Both the black and white species are well adapted and have inherited many kinds of forest woodlands throughout East Africa. They live up at the trees and rarely descend to the ground. This rather shy animal is not easily sighted in the open and you are more likely to see or hear them in thick woodlands and forested parks. The apes are a category of primates represented in Africa by gorilla, chimpanzees and bonobo. Genetically, they are the closest primates to man. The apes have very advanced social and communication systems. They come close to humans in the use of facial expressions and body language; using both arms and hands. Apart from mother-infant contact, apes groom each other in the usual primate fashion- rank determines who grooms whom. Apes are particularly adept at tactile communications; that is use of touch. They seek and give reassurance by touching each other - just like we do -on the most sensitive areas like hands, face and genitals. Apes are slow to mature, with the young reaching adolescence at about the age of 8 years. Females bring forth their first fruits in their early teens, much earlier than males who rarely start procreating before reaching 15 years. All apes build nests- in this case, a platform on which to sleep securely at night: chimps up the trees and gorillas on the ground. Generally all the apes are endangered and vulnerable. The problem is that they occur naturally in very small densities and face immediate threat of habitat loss throughout their ranges. The situation is further compounded by the fact that they perpetuate themselves at a rather slow pace. The other risk is the bush meat trade that goes on in some parts of Africa, which takes them out in large numbers every year. The situation deteriorated after the 1980's, when many previously inaccessible tracts of rainforest were opened up for logging. Although apes are not known to eat humans, there are reports of their killing human babies in western Uganda - especially in Bwindi and Kibale forests. This phenomenon is as yet unexplained and is very puzzling to primate researchers Chimpanzees are large, hairy and tailless; females weigh between 30-40 kg, while males can reach 180 kg. They have big heads, flattened face with a small nose and forward facing eyes. They have same number and type of teeth as man. The chimp is indeed our closet living relative, sharing 98% of our genes and much of our behaviour. The chimp and mountain gorilla are the only great apes found naturally is East Africa. Seeing chimps in the wild is an exhilarating experience. And Uganda is the best country in the world to view chimps in their natural habitat. In Uganda, you encounter chimps at Queen Elizabeth National Park and Kibale and Budingo forest. In Tanzania, you see them at Gombe National Park, to the north west of the country. Kenya has no naturally occurring chimps population, but at Nanyuki in the central region, there is a sanctuary for chimps rescued from the illegal trade going on in parts of central and West Africa. Chimps are mainly found in rainforest and wet savannah. They are less robustly built than gorillas; their arms are shorter, reaching just below the knees and the hands and fingers are long with short thumbs. The feet are adapted for grasping, with long, stout opposable big toe. Chimpanzees feed mainly on fruits mostly gathered from trees and the young leaves of plants. They also feed on flowers, pith, and bark and also derive additional nutrients from insects and some meat too- young antelopes, goats, and other primates such as young baboons and colobus monkeys. Chimps are articulate tool users- a clear sign of a hard working brain. They can pick up small objects between thumbs and side of the index finger. They possess the acumen to prepare and use grass stems and sticks to fish for insects. A female on heat may mate with several males. It gives birth to a single off spring, which is independent after about 4 years. The chimps are individualistic and do not live in cohesive groups like gorillas or monkeys. They live in communities, with up to 100 animals sharing a common home range. But they never assemble in a single troop. Jane Goodall, in her book "The Chimpanzees of Gombe", has shown that chimps, in common with humans, engage in some very disagreeable behaviour. Males occasionally rape females and engage in internecine warfare. Dr. Goodall has reported that from early 1974, a brutal four-year war raged in Gombe between two chimp groups that resulted in the decimation of one group. The best way to see the primates of East Africa is by taking a combined Kenya and Uganda safari. On such as safari, you will of course see the other wildlife East Africa is famed for, but be sure that the locations where primates are found are covered. On safari, wear light cottons and linen. But also pack some warmer clothing, as the evenings and early mornings can be quite chilly. Some rainwear is advisable between March and June and October and December. You should bring along a decent pair of sunglasses and a pair of binoculars. They are very useful for spotting animals and you will be the envy of your less knowledgeable traveling companions Copyright © Africa Point real penis enlargment herbal pnis enlargement pills pnis enlargement surgery photo enlargment penis pill vimax com elargement penis penis pump penile enlargement technique penis enhancement device penile enlargment operation pnis enlargement before and after
The subtle energies of the body, Polarity Therapy, Tantra and cultivating sexual energy Empirical science has yet to prove the existence of the subtle anatomies. Yet the mystical traditions have articulated them for millennium. The Sepherot of the Kaballistic Tree of Life, the meridians of the Chinese acupuncture system and the chakras of the Ayurvedic system are examples. They all convey the knowledge of a subtle energy which they assert is the link between the spiritual realms and life as we know it. Each uses their unique language and concepts to describe the precipitation of the mind of God into energy and into physical manifestation. The Chinese call this energy ‘chi’, ‘ki’ by the Japanese and ‘prana’ by the Hindus. The Kahunas of Hawaii call it ‘mana’; Christ called it ‘light’. The system of Ayurvedic medicine has evolved over the past 5,000 years. It is based on the Hindu scriptural Veda’s, which are the world’s oldest documented spiritual writings. Ayurveda offers a highly specific description of the subtle anatomy. It recognizes five sheaths, or layers of energy through the body. They are described from the most dense to the most subtle. The first and outer most layer is the bones, muscle and skin. The next, more, subtle sheath is respiration. Next in subtlety is the sheath of cognition, associated with the nervous system and the thinking mind. Next is the sheath of discretion, which relates to our moral choices and their consequences. Most subtle of all is the chakra system; the interface between the cosmic vibrations of creation and the grosser anatomical systems of the physical body. Chakra, from the Sanskrit, means ‘wheel of spinning light.’ The ancients taught there are seven chakras in the body. They are located just in front of and along the spinal column. These generators and reservoirs of energy are also areas of consciousness. The first five chakras are associated with an element of nature (earth, water, fire, air, or ether) and with one of the senses (smell, taste, sight, touch and hearing). All of the chakras are associated with a tonal quality, a numerical and alphabetical value, and a color. When the chakras are in tune the body, mind and spirit experience harmony. Charles and Caroline Muir offer an analogy: Consider the chakras as the strings of a guitar. Each string vibrates at a different frequency and gives off a different note. Over time the strings may resonate sharp or flat, and they require tuning. When they are in tune, the sound the guitar produces is harmonious. Similarly, when the chakras are in tune, one achieves harmony. The Base chakra is found at the coccyx bone at the tip of the spine. It resonates with the earth element, the adrenal glands of the endocrine system and the sense of smell. It rules the organs of structure such as bones, muscles, and connective tissues as well as elimination. There is a correlation between the earth element and our need for structure and safety in the world. The second chakra is found at the sacrum. It resonates with the water element, the reproductive glands and the sense of taste. It rules the fluids of the body such as blood, lymph, sexual secretions and tears. It correlates to sexuality and all creative energies. There is an interesting link between the sense of taste and sexuality in this chakra. Mantak Chia, in his book Taoist Secrets of Love, states: Many people confuse the hunger for food and sex as being similar biological desires that are both necessary for survival. Clearly they are connected, as many people feeling sexual frustration turn to food for gratification. An imbalance in ching (sex) energy ranks as a major cause of obesity---when you are sexually frustrated, food is the easiest substitute. The third chakra is found at the solar plexus. It resonates with the fire element, the Isle’s of Langerhan (which produce insulin in the pancreas) and the sense of sight. It rules the organs of digestion and metabolism. This chakra correlates to the assertion of and the abuse of power. The fourth chakra is found at the heart. This is the center for the Air element, the thymus gland and the sense of touch. The heart chakra rules respiration and immunity. With the arms it addresses how we bring the world to us and how we share ourselves with the world. It correlates to a sense of altruistic love in the world. The fifth chakra is found at the throat. It rules the Ether element, the thyroid and para-thyroid glands, the organs of speech and the sense of hearing. The throat chakra correlates to “speaking one’s truth” and to taking action based on that truth. The last two chakras transcend the denser elements and senses. These are the subtlest energetic harmonics. The sixth chakra, often called the 3rd eye, is found between the eye brows. It relates to the 6th sense of psychic and paranormal experience. It is associated with the pituitary gland of the endocrine system and is the source of spiritual vision. The Crown Chakra is found at the top of the head and it relates to the pineal gland. This is the seat of mystical experience. It is the place where the mind releases all boundaries and concepts and experiences life in its full unity. There are a number of energy therapy systems such as Reiki and Therapeutic Touch. In my own journey I have found Polarity Therapy to be the most effective way to effect the chakra energy system. Polarity Therapy is the life’s work and teachings of Dr. Randolph Stone. Dr. Stone was a doctor of osteopathy, a doctor of naturopathy and a chiropractor. He would treat clients for symptoms and then notice that they returned with the same chronic pains and illnesses. As well trained as he was he felt he was missing something. His curiosity led him to study mystical healing modalities across the world. Richard Gordon describes Dr. Stone’s search: In China and France he studied acupuncture and herbology. In the orient, he learned reflexology and other eastern massage techniques. In the course of his work, he stumbled across the ancient Spagyric art of healing as taught by the great Doctor Paracelsus von Hohenheim, who had studied in Arabia. This provided Dr. Stone with essential knowledge of subtle electromagnetic fields of the body. Over the course of sixty years, Dr. Stone integrated this wealth of knowledge into a system he named Polarity Therapy. Dr. Stone realized that successful healing must take place on the energetic fields as well as the physical level. That’s why chronic pain and illness often return when treatments just address the physical symptoms. Polarity utilizes gentle touch, rocking and deep pressure point work to release blocked energy in the energy fields. Dr. Robert K. Hall, MD teaches it this way: the work calls forth the spirit found at the very core of an individual. The essence of that core is Love. To experience true healing all the trauma and fear that is layered over that core of love must come out. That’s what we at the Lomi School call ‘working through the body.’ Many therapeutic models do their work ‘on’ a body, or something you ‘do’ to people. Working through the body calls forth the very essence of spirit. Cultivating sexual energy The Eastern traditions recognize that sexual energy can be a potent source of spiritual energy. The Kaballist’s have their ‘Sex Magic,’ the Taoists have their erotic rituals and the East Indians and Tibetans have Tantra. Tantra is the art and science of cultivating sexual energy and directing it to spiritual transformation. Deepak Chopra says, “Tantra is the closest you can get to magic or alchemy or transmutation. Tantric rituals are basically spiritual disciplines that allow you to trap and transform power. When properly understood, tantra is one of the most dynamic and consistent paths to enlightenment. Of course, sexuality is a component of it. Tantra acknowledges that sexual energy is the most powerful energy in the universe because it is the creative energy in the universe.” I think exploring the concepts and practices of Erotic rituals are important for westerners. We have a deep sexual wounding from our Judeo-Christian heritage. Our sexual natures were first denied when Adam and Eve “saw their nakedness” as they were evicted from the Garden of Eden. The teaching of original sin is a body centered, sexual one. Erotic rituals teach us to hold our bodies as sacred. To experience sexual energy as the cosmic creative gift that it is. A primary key in Tantra is an ability to be present with your partner; to focus with eye-contact, to match the rhythms of the breath, or meditate together. Tantra also teaches the importance of mastering the orgasm. Women have four levels of orgasm: the clitoral orgasm, the vaginal orgasm, multiple orgasms and the amrita, or divine nectar. Men are taught to master ejaculation. Rather than lose their sexual energy out through the penis the orgasmic energy is directed up the chakras. Thus men become capable of multiple orgasms. Tantric rituals are most effective in committed long-term relationships. The defenses and barriers of our personality are healed in the safety, intensity and intimacy of our primary relationships. My friend Sean Michael used to say, “Intimacy means In-To-Me- See.” Keith Hennessy defines intimacy as, “An un-armed encounter between two individuals.” Both of these describe the expression of a self without the armor of defenses, a vulnerability of just being with another person. Commitment is needed to create the container that allows all the personality defenses to present themselves. Safety and vulnerability come as those defenses are consciously healed. Mastering erotic energy has two primary results. As the art of love making it creates ecstatic satisfaction. It also generates intense energy for healing on all levels of body, mind and spirit. As a teacher and a professional body-worker, I think it wise to add: a spiritual and body-centered transformation can be a personal journey and/or work with a teacher or professional. The practices that involve a teacher, a therapist or facilitator are not to be used for cultivating sexual energy. Healthy, consensual sex is defined as sex between two individuals who share an equal balance of power. This excludes professional relationships such as Doctor/Psychotherapist and patients, Lawyer/Massage therapist and clients, or teachers and students. Sex between a client and professional is abusive. Erotic rituals invoke powerful energetic experiences. Utilized unconsciously they negatively effect relationships and spiritual evolution. vimax penis enlargement herb penis enlarement video penis elargement pump safe penis enlagement buy penis enlagement pills pennis enlargement surgery picture pnis enlargement video penis enargement before and after picture pnis enlargement before and after
One of the most confusing things about being diagnosed with early stage prostate cancer is choosing if and how to treat it. Unlike other cancers that have one or two standard treatment options, acceptable approaches for prostate cancer are more numerous. Each has different pros and cons and the decision about how to proceed needs to be customized to each man, depending on his age, his general health, and the severity of his early prostate cancer. Treatment options · Radical prostatectomy is the surgical procedure that removes the prostate gland. The operation is traditionally performed through a vertical incision made in the pelvis. The man needs to be admitted to the hospital and recover for several days. The most worrisome potential long term side effects are urinary incontinence and impotence. A new technology is available: robotic laparoscopic prostatectomy. This method entails making five small incisions instead of one larger one. The recovery is expected to be faster and easier than with the traditional procedure. · Radiation therapy has a cure rate comparable to that of surgery. The two forms of radiation therapy are external beam and brachytherapy, pronounced bray-kee-ther-uh-pee. o External Beam Radiation Therapy entails the use of a radiation treatment machine, most commonly, a linear accelerator. Using sophisticated treatment planning computers and devices built into the linear accelerator, the radiation beams deliver a very precise dose of radiation to the intended area while sparing the normal surrounding structures, such as the rectum and bladder. By using 3-D conformal radiation therapy, the radiation beams conform to, or match the shape of the tumor. Intensity modulated radiation therapy, also known as IMRT, is a refinement of 3-D conformal radiation therapy. It uses multiple, tiny beamlets, instead of a single radiation beam. IMRT beamlets can be understood by visualizing it as multiple, tiny mosaic tiles of different hues of blue; the tumor receives the dark blue beamlets, whereas the tissue near the rectum and bladder receives the beamlets of the palest shade of blue. This way, the intensity of each tiny beamlet is modulated. IMRT has enabled radiation oncologists to deliver much higher doses of radiation therapy to the prostate with fewer complications to the rectum, resulting in higher cure rates. Temporary and early side effects include the need to urinate frequently, diarrhea, abdominal cramping, and fatigue, which is usually not severe. Side effects that can develop months to years later include urinary incontinence and erectile dysfunction, albeit a significantly lower incidence than with surgery. With the advent of IMRT, the risk of rectal injury that can cause rectal bleeding is uncommon. o Prostate Seed Implants introduce multiple radioactive pellets smaller than grains of rice into the prostate gland. The prostate gland then receives a substantial dose of radiation, but the surrounding tissues receive virtually none. This option is very attractive to men who are concerned about maintaining potency. Also, for men who do not have a significant risk of the cancer penetrating through the capsule that envelopes the prostate, a prostate seed implant can serve as the only form of therapy. However, men whose tumors fall into a higher risk category cannot be treated solely with a prostate seed implant, and need to supplement it with external beam radiation therapy, albeit a briefer course of treatment than in men who receive only external beam radiation therapy. The disadvantages of brachytherapy include the fact that the radioactive seeds take several weeks to decay to the level of background radiation; during this time, men need to refrain from getting close to pregnant women and small children. Also, there is a low risk of rectal irritation in the short and long run. Infrequently, the need to urinate frequently can persist. Incontinence and impotence are relatively rare. The risk of a channel forming between the urinary tract and the rectum, also known as a rectal fistula, can cause urine to leak through the rectum. This complication is rare, fortunately, and can be repaired surgically. · Cryosurgery involves freezing the prostate tissue with liquid nitrogen. Via the guidance of an ultrasound probe inserted in the rectum, needles are guided into the prostate, by piercing the skin between the scrotum and the anus. Short term side effects include blood in the urine for several days, soreness of the surgical area, swelling of the penis and scrotum, urinary burning, and frequency of urine and bowel movements. Late complications include nerve damage that can result in impotence and rarely, the formation of a fistula. Also, the long-term success rate is not well known. · Hormone Therapy is also known as androgen deprivation therapy (ADT). Prostate cancer thrives on testosterone. By depleting testosterone, prostate cancer cells die. ADT has never been demonstrated to be a curative modality, but it is useful in holding the disease at bay for some time. Its other role is in shrinking the prostate prior to surgery or radiation therapy. Side effects are those of “male menopause”, such as hot flashes, weight gain, decreased mental acuity and depression. Other potential adverse effects include osteoporosis, anemia, breast enlargement, fatigue, diminished good cholesterol and loss of muscle mass. · Watchful waiting is a reasonable choice for men who have a short life expectancy, as well as for those men who have very slowly growing prostate cancer and will most likely not die from prostate cancer but rather, from some other more life threatening problem. The down side of watchful waiting is the psychological implication that the man’s mortality is looming ahead of him. Although no active treatment is given, men are still followed with digital rectal exams, PSA levels and possibly, transrectal ultrasounds of the prostate. However, with low risk prostate cancer in an elderly man, this might be a fine option. Apparently the spectrum of treatment options is vast, and ranges from doing nothing to undergoing radical surgery. To make the best decision for himself, a man should know his treatment options based on his individual situation and lifestyle. Then, he will be empowered by knowledge as he embarks on his journey into the world of medical opinions. Finally, he should choose an experienced specialist to ultimately treat and follow him. For more information about radiation therapy, check out http://www.ASTRO.org, the official website of ASTRO, The American Society for Therapeutic Radiology and Oncology. Copyright 2006 by Carol L. Kornmehl. All rights reserved. buy penis enlargement pills real penis enlargement vimax manual penis enlargement exercise enlargment free penis pills sample vimax penis enlargement device natural pnis enlargement technique penis girth enhancement best penile enlargement pnis enlargement before and after
Death by spam is now possible with a new device by Microsoft. The device when implanted in the user’s skull allows downloading of email directly into the brain. Niles Bookbinder, 37, an assistant working for Jon Hanson, author of Good Debt, Bad Debt was accidentally spammed to death Tuesday morning using a beta version of a new email device called, “MS Mind.” A Microsoft spokesperson said, “We don’t have all of the bugs worked out yet, but this is the first death we know of.” Mr. Bookbinder had unwittingly “unchecked” the spam filter in the MS Mind control panel. Without the spam filter, apparently Niles unleashed the entire world of spam into his "medulla interface" and was literally spammed to death. It’s likely the last words Mr. Bookbinder heard were, “You’ve got mail!” Wireless Medulla Interface providers are popping up everywhere. Dr. Jack Kevorkian sees the new Wireless "G" Medulla cards as a real advance for him. With these systems, euthanasia supporters predict quick, painless death by simply bypassing the filters and downloading thousands of spam emails quickly. Kevorkian said, “I have been looking forward to killing patients by email.” Kevorkian expects his prices to be competitive with AOL. While it is not a victimless crime, it would be a crime without a knowable perpetrator. You would have no way of knowing whether your "loved one” was finished off by the breast enlargement, Viagra softabs starting at $2.99, or $ave $$$ now refinance emails. A PETA spokesperson, Ima Chihuahua, said she found the idea disturbing because it could lead to so-called Spam Collars that would be used to kill pets as they aged, or "convenience" killings, such as when a young couple could not find a kennel on their way to Vegas or they simply change their minds about having a pet. PETA may be right. It has long been rumored that KFC has been testing the effectiveness of spamming chickens to death versus simply whacking off their heads. In earlier tests, chickens were forced to watch Gili and Ishtar until they simply cut off their own heads, but this experiment was discontinued because of the cruelty to experimenters. Spamicide, accidental or not, will undoubtedly set off a bitter debate in America as Anti-Spammers and Right-to-Spam groups rally to raise money and jockey for political clout. George W. Bush seemed bewildered at this morning’s briefing. He looked to his press secretary and said, "Are we Right-to-Spam or Anti-Spammers?" Elsewhere, Jesse Jackson, finding it difficult to be Right-to-Spam said, "It should be the choice of the spammee. Spamicide should be legal, available, and rare." NEXT WEEK: Partial Spam Deletion. Should this barbaric practice be outlawed? Are thousands of viable spams being killed in spam filters, just before being downloaded? The debate continues... Jon Hanson www.gooddebt.com jon[at]gooddebt.com