Le tadalafil possède une affinité marquée pour la PDE5, mais épargne en grande partie les isoformes PDE1, PDE2 et PDE11, réduisant ainsi le risque d’effets extra-caverneux. L’action se traduit par une augmentation contrôlée de la circulation sanguine locale, indépendante des variations alimentaires. Sa pharmacocinétique repose sur une absorption digestive rapide, un métabolisme hépatique par CYP3A4 et une distribution tissulaire large. La biodisponibilité reste stable, et l’équilibre plasmatique est atteint en quelques jours lors d’administrations répétées. Les interactions cliniquement significatives surviennent avec les inhibiteurs puissants de CYP3A4 tels que le kétoconazole. Dans la littérature pharmacologique, acheter cialis 20 mg est souvent associé à des schémas d’utilisation basés sur la durée prolongée de son action.
Microsoft word - health information sheet.doc
CLIENT HEALTH INFORMATION SHEET PERSONAL DATA: Name: ________________________________ Date: ______________________________ Birthday: ______________________________ Phone (home):_______________________ Address: _______________________________ Phone (cell): ________________________ City/State/Zip: ________________________________________________________________ Primary Health Care Provider: _____________________ Phone: ______________________ Permission to consult with primary provider? _______ Yes _______ No Who referred you to this office? __________________________________________________ Advertisement: _______ Sign: _______ Other: _______ MASSAGE HISTORY/TREATMENT INFORMATION * Have you ever received a professional massage? _____ Yes _____ No * Preferred massage treatment product. ____ Lotion ____ Oil ____ Aromatherapy * What are your intentions/expectations for this visit? __________________________ ______________________________________________________________________ * What type of pressure do you prefer? _____ Light _____ Medium _____ Deep * Please check the areas of your body that you give permission to receive massage: __ Back __ Legs __ Arms __ Neck __ Head __ Face __ Buttocks __ Abdomen CURRENT MAJOR COMPLAINT INFORMATION (If you do not have current health concerns, please go to health history section) * Present symptoms: What is your major complaint or condition that you want to improve? ______________________________________________________________ _______________________________________________________________________ * When did you first notice major complaints? _________________________________ * What activities aggravate the condition? ____________________________________ * What activities alleviate the condition? _____________________________________ * Is this condition getting progressively worse? _____ Yes _____ No Please explain __________________________________________________________ * Does this condition interfere with: Work? ___ Yes ___ No Sleep? ___ Yes ___ No Daily routine? ___Yes ___ No Please explain: _________________________________________________________ * What have you done to get relief? __________________________________________ * Has there been a medical diagnosis? ___ Yes ___ No
If so, by whom? ________________________________________________________ Please explain __________________________________________________________ HEALTH HISTORY * Are you now under medical/therapeutic treatment? ___ Yes ___ No If yes, for what condition? _______________________________________________ * List any medications (including aspirin) and nutritional supplements you are taking: ______________________________________________________________________ * List stress reduction and exercise activities. Include frequency: _________________ ______________________________________________________________________ * Please list (date and description) any accidents or operations: ___________________ ______________________________________________________________________ MUSCULO-SKELETAL SKIN ___ Bone or joint disease ______________________ ___ Allergies __________________ ___ Tendonitis ______________________________ ___ Rashes ____________________ ___ Bursitis ________________________________ ___ Athlete’s foot _______________ ___ Broken/fractured bones ____________________ ___ Warts ____________________ ___ Arthritis ________________________________ ___ Other _____________________ ___ Sprains/strains ___________________________ ___ Low back,hip,leg pain _____________________ DIGESTIVE ___ Neck,shoulder,arm pain ____________________ ___ Constipation ___ Headaches/head injuries ___________________ ___ Gas/bloating ___ Spasms/cramps __________________________ ___ Diverticulitis ___ Jaw pain/ TMJ ___________________________ ___ Irritable bowel syndrome ____ ___ Lupus _________________________________ ___ Other _____________________ ___ Other __________________________________ CIRCULATORY NERVOUS SYSTEM ___ Heart condition __________________________ ___ Herpes/shingles ____________ ___ Varicose veins ___________________________ ___ Numbness/tingling __________ ___ Blood clots _____________________________ ___ Chronic pain _______________ ___ High blood pressure ______________________ ___ Fatigue ___________________ ___ Low blood pressure ______________________ ___ Sleep disorders _____________ ___ Lymphedema ___________________________ ___ Other ___ Breathing difficulty _______________________ ___ Sinus problems __________________________ REPRODUCTIVE ___ Allergies _______________________________ ___ Pregnant? Stage ____________ ___ Other __________________________________ ___ PMS _____________________ AUTO IMMUNE/INFECTIOUS DISEASE OTHER ___ Fibromyalgia ___________________________ ___ Cancer/tumors _____________ ___ Chronic fatigue _________________________ ___ Diabetes __________________ ___ Rheumatoid arthritis _____________________ ___ Eating disorders ____________ ___ Lupus ________________________________ ___ Depression ________________ ___ Epstien Barr ____________________________ ___ Drug/alcohol addiction _______ ___ Other _________________________________ ___ Nicotine/caffeine addiction ____ It is my choice to receive massage treatment. I realize that the treatment is being given for the well-being of my body and mind. This includes stress reduction, relief from muscular tension, spasm or pain, or for increasing circulation or energy flow. I agree to communicate with my practitioner any time that I feel like my well-being is being compromised.
I understand that massage practitioners do not diagnose illness, disease or any physical or mental disorder; nor do they prescribe medical treatment, pharmaceuticals, or perform spinal thrust manipulations. I acknowledge that massage is not a substitute for medical examination or diagnosis, and that it is recommended that I see a primary health care provider for that service. I have stated all medical conditions that I am aware of and will update the massage practitioner of any changes in my health. Signature: ____________________________________ Date: _______________________
João Carlos Correia Introdução: A cultura dos mass media vive sob suspeita. Por um lado, sempre se fez sentir a vocação dos mass media para despertar e gerir a emoção, o que desde logo remete para as categorias do espectáculo e da subjectividade. Por outro lado, sempre se suspeitou da manipulação do desejo como forma de impedir o uso da razão, o que leva a pensar na fig
Assessing efficacy of stuttering treatments$Department of Psychology, University College London, Gower Street, London WC1E 6BT, UKReceived 20 September 2000; received in revised form 27 February 2001; accepted 15 June 2001Efficacy has been defined as the extent to which a specific intervention, procedure,regimen, or service produces a beneficial result under ideally controlled conditions whena