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propecia no prescription Erectile Dysfunction At A Glance: New research is ongoing in the field of erectile dysfunction to find more improved and effective therapies. Can ED Be Prevented? For people who are at risk of developing ED due to personal behavior, such as drinking too much alcohol, steps may be taken to prevent it. However, other causes of ED may not be preventable. Vardenafil should not be used with alpha-blockers, medicines used to treat high blood pressure and benign prostate hypertrophy (BPH), because the combination of vardenafil and an alpha-blocker may lower the blood pressure greatly and lead to dizziness and fainting. Examples of alpha-blockers include tamsulosin (Flomax), terazosin (Hytrin), doxazosin (Cardura), alfuzosin (Uroxatral), and prazosin (Minipress). Men with a rare heart condition known as long QT syndrome should not take vardenafil since this may lead to abnormal heart rhythms. The QT interval is the time it takes for the heart's muscle to recover after it has contracted. The QT interval is measured with an electrocardiogram (EKG). Some people have longer than normal QT intervals, and they may develop potentially life-threatening abnormal heart rhythms, especially when given certain medications. Since long QT syndrome can be inherited, men with a family history of long QT syndrome should not take vardenafil. Furthermore, vardenafil is not recommended for men who are taking medications that can affect the QT interval such as quinidine (Quinaglute, Quinidex), procainamide (Pronestyl; Procan-SR; Procanbid), amiodarone (Cordarone), and sotalol (Betapace). Erectile Dysfunction At A Glance: Erectile dysfunction is common; experts have estimated that erectile dysfunction affects 30 million men in the Untied States. money online order save cialis buy cialis
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What is erectile dysfunction? Erectile dysfunction (ED) means that you cannot get and/or maintain an erection. In some cases the penis becomes partly erect, but not hard enough to have sex properly. In some cases, there is no swelling or fullness of the penis at all. ED is sometimes called impotence. What are intracavernosal injections? Medications can be injected directly into the corpora cavernosa to attain and maintain erections. Medications such as papaverine hydrochloride, phentolamine, and prostaglandin E1 (alprostadil) can be used alone or in combinations to attain erections. Combining small amounts of each drug is preferred over using a single drug because of increased efficacy and fewer side effects. Even though such injections can be effective in the management of erectile dysfunction (success rate of around 80%), they are not widely used because of their potential complications. These injections are painful, can cause scarring of the penis, and have a higher risk of developing priapism.
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Railpen Investments - Head of Corporate Governance
Frank Curtiss is Head of Corporate Governance at rpmi RAILPEN Investments, the investment management and monitoring arm of the Railways Pension Trustee Company, the trustee of railway industry pension funds in Great Britain. He joined the company in 1990 and has been responsible for corporate governance since 1997. His main focus is on corporate governance and shareholder engagement with investee companies and others.
During his career, he has worked in both the private and public sectors. Prior to 1990, he worked in the UK university sector as an accountant. He started his career in finance as a trainee with Williams & Glyn’s Bank in 1982 on graduating from University College London with a Bachelor’s degree in English.
He is a member of the UK Chartered Institute of Management Accountants and a Fellow of the Institute of Chartered Secretaries and Administrators and was appointed to the ICSA Council in May 2010. He also acts as an honorary adviser to the ICSA on corporate governance, pensions and other issues, and as a trustee of its educational and welfare charities. He has also served on the judging panel of the ICSA Hermes Transparency in Governance Awards in 2009.
Frank has been a member of the International Corporate Governance Network since 1998. He was elected to the ICGN Board in July 2009 and has chaired its Non-Financial Business Reporting Sub-Committee since 2005 which drafted the ICGN Statement and Guidance on Non-financial Business Reporting published in December 2008.
He represents Railpen on the National Association of Pension Fund’s Shareholder Affairs Committee and other UK corporate governance industry bodies including the Corporate Governance Forum and the Responsible Investors Network and has helped draft various guidance notes on best practice and disclosure on various topics including executive compensation and socially responsible investment. He is also current chair of the Japan Focus Group.
He is also currently a member of the Advisory Council of the Occupational Pensions Defence Union and served as a founding member of the original steering group. He is chairman of the trustees of the NABC - Clubs for Young People Pension Scheme, the staff pension scheme of a UK-based charity. He also has a voluntary role in clinical and research governance in the UK National Health Service as a lay member of the Human Research Ethics Committee of the National Hospital for Neurology and Neurosurgery at Queen Square in London.
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