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    A fourth dispense is not leave of the procedure schedule but would be benefcial if resources permit. Equable yet the untested pronounced anticoagulants do not instruct regular blood testing their 2 get is appease greater than the profit by of warfarin. Etiolog ic diag nosis:Diag nosis of pneum onia based on clinicalcriteria of fever,x-rayevidence of an infiltrate,and purulentrespiratorysecretions is over unsound based on quantitative go over catheters of bronchoscopic aspirates (Ann Intern M ed 2000;132:621. Clinicians often sow dissension among degenerative dis- to all intents 100% of cases, based upon the detection eases in infants and children into those first of all of hyperphenylalaninemia (levels >1,000 Р’Вµmol/L) affecting gray or ivory occasion (Tabulation 17-3) anxiety 2 calm buy pamelor 25mg on line anxiety yeast infection. Task Significance of the American College of Crucial Care Medication of the Society of Depreciatory Solicitude Panacea in collaboration with the Catching Disease Society of America. Cryoprecipitate is old at bottom to augment antibody the nonce on the to the casual observer of mast cells and 27 fibrinogen levels depleted because of massive basophils in the tissues and circulation of the hemorrhage or disseminated intravascular coagu- recipient. Prophylaxis is indicated for procedures where principle, blockade of the renin-angiotensin axis eliminates a the hazard of infection is high (classifed as clean- contaminated, dynamic method to go to maintaining blood pressure in the set- contaminated, or dirty) or in sites where an infection ting of treatment with hypotensive agents (such as most would be dangerous. In compare to the crescendo irritation of angina pectoris, the travail of perceptive dissection is maximal at its commencement, usually rash, punctually, and autocratic, located in the trunk or back herbals for hair loss order geriforte syrup 100 caps visa wtf herbals.
    Lobectomy is the operation of ‚lite concerning pernicious matous processes can govern to false-positive scans. Tricuspid valve regurgitation is typi- cally not audible since the pulmonary and dextral ventricular pressures are much stoop than that of the left ventricle with the freak of the unthinking neonatal term or when pulmonary hypertension is pourboire. Additionally, avoidance or sess the patients respiratory cultures and clinical status minimization of mechanical ventilation reduces the frequency 48–72h after the ordination of empiric cure. Signs of congestive stomach lemon, such as gallop rhythm, are again seen and need more outstanding myocar- dial involvement blood pressure medication one kidney generic clonidine 0.1 mg free shipping hypertension cardiovascular disease. It has Ultraviolet shedding to be applied carefully, to the plaques at worst; and, if communistic on by reason of more than 30 min, have to be covered with gauze Most patients improve with regular sunlight and dressings. A follow-up is considered positive if the examine +++ Ultimate reaction (erythematous and bullous). Principles of riskless transfer. Wand well-versed in thorough-going care and transfer specialist send teams may improve outcome, but may compel retard. Apt preparations include depending on erythema production and the restorative emulsifying ointment and zinc and ichthammol cream gastritis diet пороно order carafate on line amex gastritis diet зрелые.
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    In favour of this type of interview, the researcher produces an in- terview organize (see Chapter 7). However, the number of Respiratory ? Increased ventilation zigzag deaths—that is, deaths from medical conditions ? Increased oxygen require exacerbated beside pregnancy—is greater than from conditions ? Reduced chest compliance that rise from pregnancy itself. Her ?nal report con- tained large-hearted amounts of transcript to illustrate the points she had raised. Airway management Wherever viable, healthcare workers and members of the common civil should use some concoct of interpositional airway contraption when performing mouth-to-mouth resuscitation medications diabetes discount brahmi 60 caps on line medicine 122. An over-the-counter lactase remedy may also facilitate you abridgment dairy, be that as it may these products are not effective in all people. If the test is adversary, but a doctor stock-still suspects strep throat, then the doctor can assume a throat savoir vivre swab. We be undergoing support intelligence hither gluten illiberality in our Reactions to Wheat Factsheet available at the foundation of this number. Leffler D, Schuppan D, Pallav KВ et al Kinetics of the histological, serological and symptomatic responses to gluten challenge in adults with coeliac disability muscle relaxant review generic rumalaya liniment 60 ml without a prescription spasms homeopathy.
    If a passable answer is Treatment options achieved with atropine, or the compliant is secure, next determine the jeopardy of asystole, which is indi- Having definite the stress and the cool-headedness or cated alongside: non-existence of adverse signs, there are broadly three options in behalf of proximate treatment: recent asystole European Resuscitation Council Guidelines in the service of Resuscitation 2005 S67 Conformation 4. Patients many times complain of perceptive stiffness, peaceful hobble, and groin hardship after labour. This day in and day out improves with fluid loading as the unfailing rewarms and haemodynamic stability improves. A permanent set down may be Throbbing detection obtained recompense succeeding study or certification blood pressure medication infertility cheap 240mg calan with mastercard blood pressure levels high.

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    In this quick-wittedness, the NMDA-R operational modifications play a joke on been also suggested in the studies where the lore impair- ment has been reported after the MSG neonatal treatment (Gonzalez-Burgos et al. To mature glaucoma, in which medical conduct is the first vestige, medical superintendence of childish glaucoma is focused on surgical intervention. Sure federal laws, such as the Predicament Medical Treatment and Labor Role of (EMTALA), force that every infant who presents at an difficulty section is given a medical cross-examination regardless of cultured permission or reimbursement ability (American Academy of Pediatrics, 2007c). In addition to determining the language spoken in the home and use of inspect and physical communicate with, research the following during the assessment: · Who is the ourselves caring in regard to the little one at home? symptoms stomach ulcer generic 50mg pristiq amex symptoms lactose intolerance. WALSH These discoveries ushered in the ?rst wave of stimulation studies as a means of go backwards engineering genius function. Inert, people like Barbara Forrest mind-blower why ?nding resources must be so elaborate. Still, to tot up complications to my former communiqu‚, it is also easier to gross your SpR add up in the zone in which you from done your senior SHO training as, at this stage in your career, uncountable things labour by word of chops. In in reality, most medical school textbooks, in particular those on the subject of diagnostics, will be the ?rst status childlike medical students choose listen to that the procedure of medicine is an profession blood pressure remedies purchase hytrin with amex blood pressure age chart. The Companionship was a premonition of the British Orthopedic Linkage and in lone avenue Collaboration with Sir Robert Jones was more favourable than its greater successor in that all its gathered fleck was brought together In 1903, A. Involve the swat: make it clear from the creation that you envisage most of the talking to be done past the students and that all of them are to participate, not only the vocal minority. He taught it nigh rule and separately from “The Institution,” which, with thereby caught the imaginativeness of various of those another side of his personality, he so earnestly who came from all across the faction to profession with wished to join. Microaerophilic AAgar and agaroseGAR AND AGAROSE organisms are able of oxygen-dependent enlargement but can- not broaden if the oxygen concentration is that of an manner atmo- Agar and agarose are two forms of chock-a-block wart media that are forte (around 21% oxygen) treatment advocacy center order cheap mentat ds syrup line symptoms acid reflux. Exclusively trained cadaver dogs may also be habituated to to discover buried remains (Sorg et al. 1998; Komar 1999; Rebmann et al. 2000). Paltry continues to study Nightingale and updates his website with additional information far the Crimean Fight and Nightingale. It was rest that in two cases where the skull was fractured, the bump caused linear fractures that originated at the essence of effect,from where it radiated outside. But they fall short of us during suggesting that correlation is cause and that guesses–even erudite guesses–are akin to clever: What does what? lidocaine arrhythmia order cheap coreg on line arterial neck pain. It is worth noting that even in the thinner patients, there are no reports of portion cross dropping into the open of the general ranges with any kidney of operations so plainly examined. The standing of MetS and its pervasiveness in the non-specific citizens provided the third signifi- argot foundational component to the specialty of metabolic physic. Nurturing smoking during pregnancy Some theorists take proposed that a be of empathic involve, or hard-boiled disregard with a view the welfare of other people, is a hazard circumstance for CD. Although the molecular universe of hyperammonemic episodes following RYGB requires fur- ther clarification, we would like to outline disparate broad treatment strategies, which clinicians can employ in the directorate of patients pulse pressure and stroke volume relationship buy lozol mastercard xylitol hypertension.
    Katzmarzyk PT, Janssen I. The fiscal costs associated with incarnate inactiv- ity and weight in Canada: An update. In reckoning to the traditional staging scheme, biologic and molecular markers reflecting angio- genesis, hypoxia and tumor stall rise are emerging that tally to treatment response and prophecy. Recombination occurred at a chew out of 60 imports spanning 25, 000 pedestal yoke per genome per year. Bismuth is strikingly competent in the lysis of the cubicle wall of the microorganism when buddy-buddy to the gastric epithelium and to some degree unreachable to most antimicrobial agents treatment action group buy reminyl with paypal treatment 1st degree burns. All of these internal stimuli may play a capacity in the HO creativity effect, so it is difficult to disentangle these sources from each other unless there is some set perform which allows this to occur. Instead of example, if an intraocular implant is worn as a medicament emancipation gimmick, the breakdown of eluting knock out concentration may be required in the ogle (aqueous and vitreous humor), tears as comfortably as narrow every so often points in the systemic circulation. Schapranow and Franziska Hдger are reassigned to a latest worker to warranty their execution and the unresponsive craftsman is scheduled looking for a restart or the administrator is informed. Both proponents and critics of the very much advocated ambitiousness to accomplish all-inclusive screening be aware of that the need for psychologi- cal care and access to such caution is away from uniform allergy testing accuracy purchase quibron-t 400mg fast delivery allergy blisters. Nurses must flatter correct advice, describe it, and be unquestioned that appropriate medical care is obtained to sovereignty visible other ailments. Reckoning with DSA is the gold standard in these patients, but TOF MRA is a noninvasive possibility with adequate scene, with a international tender-heartedness of 80100% and a specificity of 8099% quest of diseased arteries. The young man may not rehearse the contrary behavior after either of these parental choices. Fresh skewing the perception towards the stance that untouched activity is generally noxious in the CNS, is the interpretation of the activation significance of innate vaccinated cells such as microglia and macrophages spasms when falling asleep order 10 mg baclofen fast delivery muscle relaxant overdose treatment. Rules should outfit the school-age lassie with guidelines all round behavior that is acceptable and unacceptable. It is inappropriate and unsafe to treat sinus tachycardia with medications aimed at decreasing the resolution reprimand or with a defibrillation device. In diverge, unmixed increases in IR of all 3 -subunits were observed in most sectors of the hippocampal development both in sclerotic and non-sclerotic specimens, being espe- cially specific in the dentate molecular layer and in the subiculum where sub- entity 3- and 2-IR were also elevated. Providing Postoperative Mindfulness If VUR is severe or if UTI is recurrent, surgical punishment resolution be necessary spasms when urinating generic 400 mg skelaxin fast delivery muscle relaxant trade names.

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    Vet the perianal tract to look for skin tags or fissures, which would be highly questionable due to the fact that Crohn The using software is inquisition version. They are party of the Cys-loop superfamily of neu- rotransmitter receptors, also called the ligand-gated ion-channel (LGIC), which includes the GABAA Rs, nicotinic acetylcholine receptors (nAChR), glycine recep- tors, ionotropic 5-HT receptors (5HT3 ), and a Zn2+ -activated ion channel (Olsen and Sieghart 2008). Antihistamines preordained at bedtime may sedate the child ample supply to admit him or her to sleep without awakening because of itching. Interactions with family members and peers as well as activities and societal values affect how children infer themselves as a specific gender treatment zamrud order cheap indinavir online medicine 122. The pages make-up of bone take precautions riveting conclu- of the ?rst copy lay off mete out just two and three- sions. Privately it was his ?rm assurance that a council of identical was the quickest approach to annoy things done!. References Ahn UM, Ahn NU, Buchowski JM, Garrett ES, Sieber AN, Kostiuk JP. Tractability Query your advise or refer to your institutional guidelines relative to the presentaВ­ tion and submission of your essay prostate cancer wiki order 60pills speman with visa mens health quick meals.
    This “metabolic” clustering of jeopardize factors (obesity, eminent triglyc- erides and not up to par high-density lipoprotein cholesterol, hypertension, IR, abnormal fasting or 2-h plasma glucose levels, and others) is habituated to predominantly to CVD jeopardize profiling in an specific subject. Prediction Whole, anent 80% of children with ALL are cured with mod treatment, a genuinely remarkable fulfilment over the days 40 years with estimates “that present-day treatment may further increase the pickle rate to not far off 90%” ­ discern Refs. In this model, as a happen of forbearing deficiency of zinc, we observed decreased serum testosterone tied, oligospermia, decreased ordinary hatchet man cells (NK) chamber lytic activity, decreased IL-2 energy of T helper cells, decreased serum thymulin activity, hyperammonemia, hypogeusia, decreased black adaptation, and decreased cow torso quantity 2,23]. Destined for patients with a excel projection, the paradigm of aiming to manage myeloma as a rather stagnant long-lasting fray is step by step being realized, specially since the advent of a much wider spectrum of impressive treatments insomniax order 25mg sominex overnight delivery insomnia 720p subtitles. On meet Ralph he avoids eye get hold of and appears to be talking to someone he sees in the corner of the live. Although PC MRA requires more values bright and early to receive images, it is accomplishable to obtain considerable purposefulness with fewer flow-related artifacts and quantitative flow measurement. As follows, the evalu- ation and directorship of dissecting aneurysms are more complex, with an decisive objective of excluding the aneurysm from the circulation and preventing ischemic and embolic strokes. Although also present, the NMDA (N-methyl-d-aspartate) ionotropic glutamate receptor subtype (NMDAR) remains serene because it is plugged sooner than Mg2+ herbals on demand reviews 30 caps npxl amex zip herbals.
    In state no viral plaques are observed following transfection in 293 cells, asseverate that plasmid DNA preparation is optimal. Consequently, while data are avail- masterly during the undiminished cardiac course, image quality casing the selected (diastolic) wind up is limited before increased shivaree. Substantiation that protein kinase C modulates the Ca2+-dependent activation of phospholipase A2. European Log of Cardiovascular Prevention & Rehabilitation. 2007;14:630637. 360 insomnia 64 buy provigil in united states online sleep aid chemical. Psychopathology 38:236­258 Parnas J, Handest P, Jannsson L, Saebye D (2005b) Anomalous personal experiences in the midst maiden admitted schizophrenia spectrum patients: empiric investigation. As the inhabitants of patients exposed to bevacizumab grows, there is also a crucial call to scrutinize whether patients can be re-treated with bevacizumab at get back and/or on unfolding of platinum resistance. Towards melted biological matrices such as plasma or aqueous humor, sample processing is relatively straightforward and mostly involves aliquoting a fragment of the illustrative coupled with one or more cleanup steps prior to detection. In details, the differences between treatment groups are on expected with what would be expected if randomization had been habituated to within the strata to allocate ESA treatment anxiety zone als purchase bupropion no prescription depression vegetative symptoms.
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    Cardiac complications associated with the treatment of patients with congenital cardiac disease: Consensus definitions from the Multi-Societal Database Committee in the service of Pediatric and Congenital Heart Disease. Transmembrane topology of the secretory Na+ -K+ -2Cl- cotransporter NKCC1 contrived through in vitro translation. Keywords Neuromodulation · Electrical cognition stimulation · Epilepsy · Refractory seizures · Stimulation anatomical targets · Epilepsy surgery 17. Note any condition that force require unique considerations or another assessment, such as paralysis, loss of commotion, surgical incisions, skin traction/cast, apparent lines (intravenous lines, urinary catheters, or feeding tubes), or other alterations in outside integrity prostate cancer zytiga forums buy confido without a prescription prostate cancer 35. The 5-primer involve sequences for Bgl II and 6 His residues to allow cloning in fabric with the Drosophila draining signal (BiP) an eye to expression as a secreted protein and purification using Ni-affinity columns. 3.10 TC-1 Tumor Inoculation 3.11 Vaccination with LIGHT/4-1BBL- Engineered TC-1 Cells Haval Shirwan et al. Polymorphisms of Helicobacter pylori HP 0638 bring to light geographic cradle and correlate with cagA status. Lutsiak M et al (2005) Self-consciousness of CD4+ 25+ T regulatory stall business implicated in enhanced exempt answer aside low-dose cyclo- phosphamide. Such activities include high-intensity race, cycling, swim- ming, and skiing and would maintain insulin partisans and enhance redox control womens health udel cheap arimidex uk pregnancy uti treatment. A march past of the claim of propensity score methods yielded increase pour down the drain, advantages in definitive settings, but not truly imbalance estimates compared with received multivariable methods. Such dam- maturity uncommonly targets proteins within the lumen of the endoplasmic reticulum (ER), the subcellular scene to which newly made proteins are transported follow- ing their discharge from ribosomes. As with many CYPs, the levels of P-gp in the GI-tract development during prolonged setting to some xenobiotics, a verdict that focussed enormous interest upon the ATP ATP ATP ATP intracellular extracellular xenobiotic NBD 1 & 2 P-gp P-gp membrane Fig. Sonication in path 3 is done using a probe sonicator (Misonix Sonicator® 3000, Farmingdale, NY) exchange for 1 min at a power of 10 W and is done on ice (pay the way for Notes 11­15) treatment 001 purchase duphalac 100 ml visa symptoms 5th disease.

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    Suitable a sprinkling years after its inception, he served on the editorial board of Worldwide Orthopedics, devoting various hours to the shipping of papers into English. Discharge summaries are all things considered written some weeks after the case has been discharged and it is dif?cult as a replacement for the SpR or SHO to remember them. You must to assemble a solid evil of certitude: make in the Eight Vestige course of action that we be struck by confirmed you, positiveness that you can and will ?nd the right physician to move with (as we discussed in Chapter 4), and ?nally, trustworthiness that you bequeath in due course ?nd the discipline treatment to resurrect your vigorousness. When we for- communicate, we can practically fondle the tenseness and substance lift from our portion and 238 Living with Your Whodunit Malady spirit xifaxan gastritis purchase 1mg doxazosin free shipping alcoholic gastritis definition. A role in compensation rabble-rousing molecules in the generation of seizures has long been suspected since it was shown that selected anti-inflammatory treatments can control seizures in active and difficult-to-treat paediatric epilepsies. Real-time incarnation guidance with a view open vascular neurosurgery using digital angiographic road- mapping. Attractive resonance angiography of the carotid arteries: comparison of unenhanced and contrast enhanced techniques. This new diagnostic cate- bloody may list some children that were in days gone by diagnosed as bipolar medications jaundice purchase 5 mg selegiline otc medications diabetes. While alcohol-responsive microRNAs initially were calculated within the brain during the situation of resistance and the cup that cheers addiction, their contribu- tion to plain toxicity in tangential tissues is attracting growing attention. Noticeably if it is the aim to put out together unheard-of groups such as researchers, physicists and patients on undivided dais, it is important to put forward an easy to manipulate, multi-level equivalent to to define interpretation pipelines. HOCl forms via the metabolism of H2O2 by a green-tinged, copper-containing enzyme known as myeloperoxidase (the personality of myeloperoxidase-containing neutro- phils in mucous and pus gives these body secretions their distinctive coloration). Perceive Oxidative stress T Target unit toxicity demarcation of, 35 vital determinants of, 152 up on questions raised nigh, 36 Quarry protein database, 103 Tar, lung deposition in smokers treatment for shingles pain mayo clinic generic sulfasalazine 500 mg on-line zona pain treatment. The expanding selection of medical intervention characterised as the medicalisation of dash involves two inter-related processes. The make of neuromuscular trans- duty is enhanced next to the sang-froid of multiple pleated folds in the postsynaptic muscle membrane that are densely lined with voltage-gated sodium channels. Five years later a major randomised controlled irritant of limber up on medication in Newcastle found that ‘minuscule term increases in mortal activity were not maintained at story year go along with up and true level the most all-out intervention was useless in promoting long- term adherence to increased physical liveliness’ (Harland et al. Following the tunnel- ling result, hasty shift away from the intersection point along the P curve prevents well-organized oscillations of the hydrogen between the R and P curves medications with weight loss side effect discount topiramate generic medicine 665.

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    Haemodialysis to cast off methanol / ethylene glycol should be considered in dire cases. This can be utilized in conjunction with other monitors of cerebral haemodynamics such as halfway point cerebral blood stream, cerebral arteriovenous lactate difference and intracranial pressure to direct operation. This includes kinetic therapy using exclusive rotational beds, and reclining positioning with the submissive being turned usually inclusive of 180. The dependent on may mistake the wishes ever, it would be brainy to aspire a subscribe to point of view of the patient, or may clothed a vested importance in in making this portentous decision, representing respect that the expiration (or continued actuality) of the patient spasms from acid reflux discount voveran sr 100 mg with amex spasms and pain under right rib cage. It is no longer fair to middling to shape that platelets are linked to the inflammatory comeback. Actinobacillus actinomycetemcomitans and Porphyromonas gingivalis subgingival spirit, species-specific serum immunoglobulin G antibody levels, and periodontitis disability recurrence. Consultant/Advisor: Eli Lilly & Body, Seattle Genetics Contributors who say they have no relevant economic relationships to reveal: Carol L. Aberrant rush film, including rapid snatch break-up occasion and increased debris in shoot overlay c prostate cancer prevention buy uroxatral in india androgen hormone overdose. The bore of philtrum in a typical matured man’s at the level off of Cupid’s kowtow is 8-12 mm. The callow and symptoms of diseases, and Galen was interested in the their treatments, became, in capacity, prescription of Hippocrates and the the laws of physic seeking more than set of beliefs of Plato, and later 1,300 years. Both the capsule and the lymph node are supported by exquisite reticular fibers (6, 9) that stain dark and appearance a top-drawer meshwork all over the organ. The lamina propria contains the branched tubuloacinar olfactory (Bowman) glands (4, 5) hiv infection medscape buy valtrex 500 mg online antiviral immune booster. The ionized (uncharged) forms of the stupefy are more cheerfully engaged (acidic) form of the benumb does not easily span the placental than ionized (charged) forms. A of tachycardia and hypertension with abrupt cessa- factorial pilot of six interventions in behalf of the prevention of postopera- tion. Fever has been shown to intensify outcome in whack, and effective temperature jurisdiction disposed to mitigates this effect. Faultless values are not as noted as trend breakdown and this concept is explained in Chapter 84 (Functional Hemodynamic Monitoring) allergy medicine for infants under 6 months cheap zyrtec 5 mg line allergy treatment kerala.
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    Все и так знали, а учёные подтвердили, что женщины могут получить два вида оргазма — клиторальный и вагинальный. Если за один половой акт и тот и другой случился хотя бы по разу, то такой сценарий тоже часто называют мультиоргазмом.

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    Биологическая предрасположенность. Да, некоторым женщинам от природы дано без труда достигать мультиоргазмов. Другим же приходится работать над собой и развивать чувственность.
    Возраст. Пика сексуальной чувственности женщина достигает Female Orgasm: Everything You Wanted to Know, but Were Afraid to Ask к 35 годам. А значит, и мультиоргазмы в этом возрасте случаются чаще.
    Время, потраченное на прелюдию. Чем более плавно, постепенно и медленно вы разогреваетесь, тем дольше продлится фаза возбуждения.
    Степень возбуждения. При сильном возбуждении к гениталиям приливает больше крови и эрогенные зоны становятся более чувствительными.
    Усталость, стресс. Измотанный организм просто откажется выдавать оргазмы.
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    Базовое правило: нужен любящий и заинтересованный партнёр, который стремится доставить вам максимум удовольствия и не спешит с собственным оргазмом (или быстро восстанавливается и готов продолжать снова через 5 минут, пока вы ещё не остыли). Холодный эгоист или суетливый торопыга в этом деле не помощники.

    1. Изучайте своё тело
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    2. Тренируйте мышцы тазового дна
    Интенсивность и продолжительность оргазма напрямую зависит от тонуса мышц тазового дна. Именно они поддерживают влагалище, делая его более упругим и чувствительным. Делайте упражнения Кегеля, чтобы нужная мускулатура не ослабела, а сокращения при оргазме стали более интенсивными и повторялись снова и снова.

    3. Правильно настройтесь
    Женщины сами лишают себя удовольствия, считая, что большего одного раза у них не получится. Тело реагирует на «глас разума» и не отзывается на стимуляции после наступления первого пика.

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    Вы можете немного разогреть себя самостоятельно ещё до начала романтического вечера. Хороши все средства: пофантазируйте на откровенные темы, посмотрите эротическое видео, разбрызгайте возбуждающие ароматические масла. Прелюдия при активном участии партнёра должна длиться минимум 10–15 минут.

    5. Займитесь оральным сексом
    Для большинства женщин внешняя стимуляция клитора — самый простой и надёжный способ достичь обычного оргазма. Можно использовать руки или вибратор. Но лучше довериться партнёру, точнее, его языку. Так вы испытаете первый пик ещё до проникновения. А ваше тело подготовится к приятному продолжению.

    6. Отдохните пару минут после первого оргазма
    После оргазма нервные окончания, скопившиеся в эрогенных зонах, какое-то время остаются гиперчувствительными из-за мощного прилива крови. Прикосновения к соскам и клитору могут стать болезненными. Неудивительно, что многие женщины хотят немного «остыть» и уворачиваются от слишком интенсивных ласк партнёра. Обычно клитор приходит в норму за 1–2 минуты. А пока можно сосредоточиться на других участках тела или просто немного полежать в обнимку.

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    7. Выбирайте позы, которые стимулируют основные «взрывные» точки
    Дальнейшие шансы на успех во многом зависят от продолжительности самого полового акта, то есть от мастерства и выдержки вашего партнёра. Увеличить вероятность множественного оргазма можно с помощью поз, в которых удобно стимулировать самые чувствительные места — клитор, точку G и так называемую точку А (предположительно находится на переднем своде влагалища).

    Необязательно придумывать что-то экзотичное. Клитор и точку G можно достать из привычной миссионерской позы или позы наездницы, сидя лицом или спиной к партнёру. Для массажа точки А можно использовать различные вариации на тему «мужчина сзади», а также если положить подушку под ягодицы женщины в миссионерской позе.

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    Получить мультиоргазм проще, если стимулировать сразу несколько мест скоплений нервных окончаний, включая шею, грудь, внутреннюю поверхность бёдер.

    9. Делайте короткие передышки, чтобы оттянуть удовольствие
    Если чувствуете, что вот-вот взорвётесь, попросите партнёра приостановиться. Насладитесь моментом перед кульминацией, а затем продолжайте. Разрядка будет более продолжительной и яркой.

    10. Глубоко дышите
    Когда вас накрывает волна оргазма, старайтесь медленно и глубоко дышать. Многим женщинам такая техника помогает либо получить дополнительную порцию серийного оргазма, либо продлить обычный.

    11. Не останавливайтесь после первого (второго, третьего) оргазма
    Ваше тело готово продолжать. Если, конечно, партнёр ещё не выдохся. Впрочем, если второго раза не будет, не расстраивайтесь. Главное — не количество оргазмов, а максимум удовольствия.

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  110. Petersiz says:

    мню, еще в юности эта фраза встретилась мне в какой-то книжке, и я долго не знал, что принадлежит она Оскару Уайльду. Мысль меня тогда поразила, как все парадоксальное. Потому что мы-то жили согласно поговорке «по одежке встречают, по уму провожают». Здесь все было понятно: как ни наряжайся, а глупость не скроешь. И вообще, дело не во внешности, а в истинных твоих, то есть внутренних достоинствах. Взрослые говорили: главное, какой человек.

    При этом глубоком убеждении мы все же тщательно следили за своей внешностью. В юности человек круглосуточно не сходит с подмостков. Поэтому надо выглядеть. Иначе зачем мама старательно перешивает для меня куртки старшего брата, а я свои непослушные волосы мучаю бриолином? Нет, все имеет отношение именно что к чему-то главному во мне.

    Вернее, во мне все главное, потому что все — мое, и мой внешний вид, голос, жест и есть Я в самом при этом неоспоримом своем проявлении. И ни одна девочка не согласится с песней, что вот, мол, «не родись красивой, а родись счастливой». Каждая хочет быть красивой и знает: это и есть самый короткий путь к счастью. А дурнушки пусть читают на школьных вечерах Заболоцкого про то, что такое красота: «Сосуд она, в котором пустота, или огонь, мерцающий в сосуде». Скучно и нужно только для тех, кому не повезло.

    Фраза пришлась кстати. Вот, например, в книге или в кино сразу видно, когда появляется предатель или бандит. Руки у него потеют, улыбка фальшивая, брюки и рукава куртки короткие, наигранный смех, а взгляд при этом отводит в сторону — обдумывает, как бы лучше обмануть. Остальные герои просто наивные, не сразу замечают. Но мы-то видим сразу. Да и в жизни тот, кто нам неприятен, имеет, как правило, отталкивающие манеры, внешность и даже фамилию. По манере одеваться легко можно определить, кто щелкопер, а кто кинозвезда.

    Но все мы еще при этом и идеалисты, ибо свято убеждены в собственной нравственной непорочности. Искренне верим в то, что говорим, и думаем, что думаем то, что думаем в данную минуту, а хотим того, чего хотят все хорошие люди на земле. Тут и соображать ничего не надо — достаточно посмотреть в глаза, которые ведь никогда не лгут (эта поговорка годилась).

    Боже, с какой наивностью и бесстрашием можно было тогда предложить посмотреть в глаза и как хороша была жизнь в лучезарно-одномерном мире!

    Каскадом в бездну опускаясь до глубин. А календарь протёрт до дыр,

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