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News - Viagra use ‘may damage fertility’

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Men who take Viagra when they are hoping to start a family could be affecting their fertility.

The finding, by Queen’s University, Belfast, also casts doubt on the use of the anti-impotence drug by IVF clinics.

The researchers will tell a British Fertility Society meeting that the drug does enhance sperm movement.

However, it also seems to undermine the timing of a chemical process needed to fertilise the egg.



The message we want to get across is that caution should be taken
when using recreational drugs if you are hoping to start a family


Dr Sheena Lewis

This process, known as the acrosome reaction, releases digestive enzymes that break down the egg’s protective outer layer, allowing the sperm to penetrate more easily.

Viagra seems to speed up the acrosome reaction, so that by the time the sperm reaches the egg it has no digestive enzymes left to penetrate the outer layer. Sperm that have undergone this process are known as fully “reacted”.

The researchers tested 45 samples of semen. They found that up to 79% more sperm were fully “reacted” in samples treated with Viagra.

The findings echo previous work on mice showing that in the presence of Viagra significantly fewer eggs are fertilised - and fewer of the resulting embryos continue to develop.

Recreational use

Researcher Dr Sheena Lewis said the acrosome reaction involved the natural cure for impotence in man of charged calcium atoms, or ions.



It would be a terrible shame if an male sexual impotence
alarmist headline put people off using a treatment which may actually help them


Dr John Dean

This was known to influence numerous cellular mechanisms - and could effect early embryonic development.

Dr Lewis said: “When Viagra came out in 1998 it was aimed at men with impotence problems, primarily older men not interested in having children. Now it has become a very popular drug for sexual enhancement.

“The message we want to get across is that caution should be taken when using recreational drugs if you are hoping to start a family.”

Dr David Glenn, who also worked on the study, said: “Nearly half of licensed fertility units in the UK currently use Viagra to assist patient semen production.

“Our study raises questions about the drug’s use in assisted reproduction.”

Sheena Young, from the support group Infertility Network UK, said it was important that people who used Viagra erectile dysfunction remedy
were fully aware of its full effect.

“When Viagra was introduced it was never meant for this purpose.”

Caution urged

However, Dr John Dean, secretary general of the European Society for Sexual Medicine, told BBC News Online that it was difficult to draw firm conclusions from the study.

He said lab results often did not reflect what happened in the human body, and sperm was known to be highly sensitive when removed from its natural prostate surgery impotence.

“Childless couples - and the general population - should be aware that in the five years that Viagra has been around no overall dysfunction erectile male sexual effect on fertility has been observed,” he said.

“It would be a terrible shame if an unnecessarily alarmist headline put people off using a treatment which may actually help them.”

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News - British business battered by spam

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The rising tide of spam messages is starting to seriously cause impotence smoking British businesses, a survey has found.

It showed that almost 20% of companies reported that more than half of all the e-mail messages they received were unwanted junk e-mail.

Despite the growing problem, only a fifth of firms were taking active steps to filter the junk, said the report.

The UK government survey is conducted every two years to see what UK firms regard as computer security threats.

Junking the junk

Most people with an e-mail address are familiar with spam messages that offer all kinds of herbal cures, impotence drugs and other dodgy goods via e-mail.


The Information Security Breaches Survey, carried out for the Impotence doctor
of Trade and Industry, has found that coping with spam is rapidly becoming a problem for many firms.


“Spam hits businesses in a number of ways,” said Andrew Beard, from survey impotence clinic PricewaterhouseCoopers.


“They can be victims when their e-mail and network services are degraded,” he said.

“But they can also unwittingly man impotence
to the problem if they allow poorly secured mail servers to be used by the spammers as ‘relays’ to spread their messages to other organisations.”


Although many firms are seeing more spam, businesses are split on how big a problem it is.


About 10% of those erectile dysfunction vacuum therapy
said spam was a major issue, while one-third said it was not a problem at all.


It found that large companies were much more likely, 44%, to have deployed anti-spam tools than smaller firms.


The study said there could be two reasons for this difference.


Firstly, few small firms have enough spare cash to afford anti-spam measures and, secondly, many are unaware that good filtering systems exist.


Many of those responding said media focus on spam portrayed it as a bigger problem than it actually was.


The final full results of the survey will be launched at the InfoSecurity Europe trade show taking place in London from 27-29 April.

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Sport - Livingston 2-0 Aberdeen

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Livingston kept up their unbeaten record against Aberdeen this season with a good win at the City Stadium.

David McNamee put the home side ahead midway through the first half with a fine finish from 20 yards.

Aberdeen new erectile dysfunction medications
occasionally but Livingston looked comfortable with their one-goal lead.

But they made sure of the points in 63 minutes when Colin McMenamin kept his scoring run going with a penis impotence probs
effort that beat David Preece.

It took Aberdeen only two minutes to have their first effort on goal but Richard Foster, who took a pass from Bryan Prunty inside the Livi penalty area, drove his angled shot from 10 yards into the side netting.

At the other end Burton O’Brien picked out Derek Lilley with a fine cross from the left but the striker headed male impotency pill over from only eight yards out.

But the best chance came in the 13th minute for the home side when O’Brien
picked up a Colin McMenamin pass, fashioned some space inside the box but his
shot was saved by Dons keeper David Preece.

In the 23rd minute, a driving run into the Aberdeen box by McNamee ended
with the Livi defender firing in a low drive but, again, Preece was equal to it,
diving down to his right.

A minute later, though, taking a pass from Stuart Lovell, McNamee moved towards goal, turned onto his left foot and drove a powerful shot from 20 yards into the corner of the net.

A 34th-minute mistake by Oscar Rubio allowed Muirhead into the box and, when the ball was squared to Bryan Prunty only 10 yards out, Livi keeper Roddy McKenzie had to pull off a superb save to keep the home side’s lead intact.

Livi started the second half well and a Marvin Andrews header from a fine O’Brien cross was tipped over the bar by Preece.

Dons striker David Zdrilic made his first real contribution to the game in the
57th minute when he drove in a powerful left-footed shot from 20 yards, which
McKenzie did well to save at the second attempt.

In the 61st minute, however, the home side stunned the Dons when they doubled
their lead.

A Lilley cross from the left found Preece struggling at the back post, McNamee headed back across goal into a busy penalty area and when O’Brien’s shot from 12 yards was blocked, McMenamin was on hand to hammer the ball in from close range for his fourth goal in four games.

Livingston were looking dangerous on the break and, in the 75th minute,
Lilley’s powerful volley from just inside the box was beaten into the air by
Preece and gathered at the second attempt by the visiting keeper.

In the last minute of the game, Zdrilic’s shot from outside the box hit the bar to sum up the visitors’ impotence in front of goal.


Livingston: McKenzie, Rubio, Andrews, Dorado, McNamee, Makel, O’Brien, Lovell, McAllister, Lilley, McMenamin.
Subs: Creer, McGovern, Venous leak impotence, Snowdon, Brittain.

Aberdeen: Preece, Buckley, Viagra and impotence
, Higgins, Morrison, Foster, Sheerin, Heikkinen, Muirhead, Zdrilic, Prunty.
Subs: Esson, Souter, Stewart, Donald, Considine.

Referee: C Thomson

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News - Prostate cancer testing quandary

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Prostate cancer is now the most common form of cancer in UK men, but there is considerable debate over whether men should be routinely screened for this disease.

Although the government does not run a national screening programme, men can request testing. But should they?

Experts’ views are mixed.

Prostate cancer, the second most common cause of cancer-related death in UK men, is treatable, but the disease can be advanced before the man gets any symptoms.

The prostate specific antigen (PSA) test can help doctors decide whether prostate cancer is likely, but it is not foolproof.

Some men with prostate cancer do not have a raised PSA and some men with a raised PSA do not have prostate cancer.

For every 100 men with a raised PSA, only about a third will have any cancer cells in their prostate.



It is not yet clear if lives are saved by the test


Dr Chris Hiley, the Prostate Cancer Charity

Prostate test ‘of little value’

If PSA is raised, the man will need a biopsy of their prostate - a needle which extracts cells from the gland - to diagnose the problem. Biopsy can be painful and cancers can still be missed.

Even if cancer is present, a man may die with it rather than from it.

By the age of 80, about 50% of men will have prostate cancer but only 4% will ultimately die of the disease as a result.

Also, the treatments available have significant side-effects, including impotence, incontinence and erectile dysfunction samples
stress.

And there is no consensus as to the best treatment. A project is running for the next 10-15 years in the UK to work out whether it is best to treat men with prostate cancer with surgery or radiotherapy or simply to monitor them.

Researchers also disagree about whether dysfunction erectile levitra actually save lives.

Pros and Cons

The NHS’s screening committee advises against PSA testing for men with no symptoms who are unlikely to live for longer than 10 years.

Men can get a PSA test from their GP if they wish to after all of the pros and cons have been discussed with them.

Despite this, private health companies like BUPA routinely offer PSA testing to men over the age of 50 as part of “wellman” checks (BUPA Wellness Classic, Premier or Later Life Health Assessment).

Reasons for an increased PSA
Prostate cancer

A benign prostate growth (BPH)

Urine infection

Ejaculating in the past 48 hours

Vigorous exercise such as riding a bike in the past 48 hours

Prostate biopsy in the past six months

A digital rectal examination in the past week

Dr Peter Mace, clinical director of BUPA Wellness, said:
“Before offering men routine screening for prostate cancer (PSA), we ensure that they are informed of the pros and cons of testing. Ninety per cent of them have the test.

“Where we find an illness, people are very grateful that it has been caught early. Where nothing is found, people are relieved.

“The majority of our health assessment clients have private medical insurance which covers the cost of follow-up tests or treatment.

“We believe that regular health screening is a valuable impotence herbal medication
to people’s knowledge of their own health.”

A survey by the Prostate Cancer Charity found two-thirds of 150 male GPs would not bother to have a PSA test.

Dr Chris Hiley, head of policy and research at the Prostate Cancer Charity, said: “We believe all men need to know that PSA testing is available from their GP, but that it is not yet clear if lives are saved by the test.

“Men need to be fully informed of the risks and benefits of this type of testing.”

Knowledge better than ignorance

Mr Neil O’Donoghue, consultant urologist at University College London, said it was more debatable what to do when the test is positive rather than whether to do the PSA test itself.

“Ignorance is not always bliss in relation to PSA.

“If a man asked me whether he should have a PSA test, I would say he should have it. It’s always better to have ejaculatory impotence. You don’t have to do anything about it.

“You still have to take decisions if someone has an elevated PSA. The first is ‘Are they going to go for a biopsy?’ and the second is ‘If the biopsy is positive, what sort of treatment should we offer them?’

He said the best treatment depended on many factors, such as the patient’s age and the aggressiveness of the cancer.

He thinks men with a life expectancy of less than 10 years should be offered and could benefit from screening and treatment.



If there’s one check that every man should have routinely its blood pressure


Peter Baker
Men’s Health Forum

Peter Baker from the Men’s Health Forum said: “We are not in a position where we can say men should have a PSA test when they have no symptoms.

“We do not have the evidence yet to say that lives would be saved. We do not know which the best treatment is and if it saves lives.

“I certainly would not advise someone to rush off and have a PSA test. Talk to your doctor.”

He said men who are at greater risk of prostate cancer - those with a family history of prostate cancer, whose father or brother had it, and men of Afro-Caribbean descent - should think about it more actively than other men.

Private health checks could be very expensive and that men should be encouraged to get simple health checks for free through the NHS, he added.

“If there’s one check that every man should have routinely its blood pressure because blood pressure produces no symptoms but it’s a killer,” he said.

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News - European press review

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The 60th anniversary of the liberation of Paris features prominently in today’s French papers, while in Germany a new film on Adolf Hitler comes under scrutiny.

The anniversary of the liberation of Paris in 1944 makes the headlines in the French press, with the left-of-centre Liberation devoting its entire front page to a photo of a smiling couple dancing on top of a tank under the heading: “The freest of days.”


Paris liberated

Both Le Monde and Le Figaro give pride of place to General Charles de Gaulle’s famous words to the French 60 years ago: “Paris! Paris insulted! Paris broken! Paris martyred! But Paris liberated, liberated by its people!”.

Also prominent on the front page of Le Monde is a cartoon linking the past with more recent events.

It shows two German soldiers, their hands raised, marching in front of a US tank amid the celebrations and flag-waving.

“Please: Is there a way we can avoid being sent to Guantanamo?” one of the Germans asks his captors.


Two Frances

In its editorial, entitled “The two Frances”, Le Monde expects the ceremonies to commemorate what General Charles de Gaulle called “a certain idea of France”.

But there is another France, it argues, “that of Vichy and impotence product“, the France which “acclaimed Marshal Petain in the streets of Paris only a few weeks before the liberation”.



Today the social achievements of the post-war era are being dismantled and individual resignation… seems to prevail over the spirit of collective revolt


Liberation

The paper warns against “painting too large a picture” of the De Gaulle version, or “any pretence” that the collaborationist Vichy regime was just “a parenthesis” in the country’s history.

Such an attitude, it says, would “carry the serious risk of continuing to conceal the second (France), when all the signs are that it has not given up”, given the far-right’s performance in the 2002 presidential elections and the current “upsurge” in racist and anti-Semitic attacks.

Liberation follows a festive paragraph with the argument that the very “fervour” of this year’s celebrations of various World War II anniversaries “is symptomatic of a profound impotence psychological cause” with the present.

In present-day France, the paper says, “the social achievements of the post-war era are being dismantled”, while “individual resignation… seems to prevail over the spirit of collective revolt”.



Never has a president of the republic celebrated the lessons of the past to the extent that Jacques Chirac is doing in a bid to contain the evils of the present


Liberation

“Over the past 20 years,” it adds, “the far-right has become a part of the political landscape, and in recent months hardly a day has gone by without anti-Semitic or anti-Muslim incident occurring.”

“Never has a president of the republic celebrated the lessons of the past to the extent that Jacques Chirac is doing in a bid to contain the evils of the present,” the paper says.

“But celebration is not the same as action, it argues, and President Chirac’s “impotence to stamp his mark on the history books has never been so glaring”.

Shooting the past

Germany’s Die Welt says The Downfall, a new film on Adolf Hitler’s final days premiered in Berlin on Monday, puts viewers “eye to eye” with the dictator.

“The demon,” it adds, “turns out to be a human being with traits and features which, though not exactly attractive, are nevertheless understandable.”



Today the Germans have their history, but are no longer saddled with it - this enables them to look Hitler in the eye


Die Welt

There are moments in the film, the paper says, when Hitler “takes on sympathetic characteristics” and others when “it is difficult to avoid a degree of pity”.

The paper argues that the fact that Hitler is portrayed “realistically” rather than as completely inhuman is “a sign of emancipation”.

“The strength to engage in recollection comes from distance,” it says.

“Today the Germans have their history, but are no longer saddled with it. This enables them to look Hitler in the eye.”

The Sueddeutsche Zeitung calls The Downfall a film for post-war generations.

The paper says it seeks to put into pictures “what is really unimaginable” and wants to show “things which do not fit in the categories of realism or diabetes and impotence
“.

“With The Downfall,” it adds, “German cinema has again gained in self-confidence in the way it handles German history.”

The European press review is compiled by BBC Monitoring from internet editions of the main European newspapers and some early printed editions.

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News - Press bares Russian soul

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Russian newspapers pull no punches as they examine the state of the nation following last week’s tragic events in Beslan.

The president and the government come in for particular condemnation, but nobody is immune from scathing criticism, in what can be seen as a case of profound soul-searching.


Beslan, and other tragedies testify to one of our fundamental characteristics - indifference to the squandering of human life. To us, human life is not the most precious thing. We are ready to sacrifice a huge number of people. This happened 100 years ago, and 300 years ago, and during the rule of Ivan the Terrible. Corpses floated down the Volkhov river for a week, but the state’s objective was achieved - Novgorod was forced to join Moscow. Exactly the same thing has happened now. We have lost several hundred people, but we have shown that we cannot be spoken to in that manner.

They are calling on us to unite. But the government must change its ways if we are to unite around it. You can unite around a government which at least talks to its people in a normal way, which is transparent, understandable, predictable. It is impossible to unite around the present government.

Impotence youth Gazeta


If the press had not been working in Beslan, the country would not have found out about this tragedy, just as it does not know about Samashki and Bamut scene of bloody battles in Chechnya. It would not have united in common grief, there would not have been any mourning - but there would have been City Day in Moscow, there would have been festivals, competitions and concerts. And the president would not have had to appear wretched and confused, as he appeared during his strange and lacklustre address to the nation, which had been waiting so long for the authorities to react. And you and I would not have been so ashamed of ourselves and of our government. And when you are not ashamed, no conclusions get drawn.

Commentary in Gazeta


There is one other sad thing that a journalist should point out - the indifference and passivity of a significant part of our public, at such critical moments in our history. During the first tragic days of September, our TV stations continued to churn out sentimental soaps, while restaurants and casinos in Moscow and other rich cities remained packed with merrymaking clients who, it turns out, couldn’t give a damn about the future of the Russian state and the security of ordinary citizens.

Much will probably depend on the behaviour of our economic elite, who have made incredible fortunes out of Gorbachev’s economic “innovations” and Yeltsin’s privatisation. They should give some thought to the need for self-restraint and modesty. The provocative behaviour of many latter-day millionaires, the endless media reports about their purchase of sports clubs, jet planes, foreign islands and resorts and about extravagant society events prevent, like nothing else, the true consolidation of Russian society.

Krasnaya Zvezda


Why is it that so many people have cheerfully analysed the mistakes of Putin’s policies in the Caucasus, but nobody has analysed the mistakes of newest impotence medicine strategy? Why is it that repentance is demanded of Putin, but nobody intends to apologise for supporting exiled Russian tycoon Boris Berezovsky’s ravings about explosions in Moscow apartment blocks? Or did Putin also arrange Beslan? For how much longer will they call for talks with Chechen rebel leader Aslan Maskhadov, whose levitra and erectile dysfunction
impotence has long since become an amorphous cover for terror?

There is only one conclusion to be drawn. The creation of a full-fledged civil society has ceased to be a pious dream of a handful of impotence pill intellectuals, and has become a question of life or death for the country as a whole. Either we find each other or they will finish us off.

Commentary in Izvestiya


We in Russia are fond of reproaching everybody for double standards, whilst we ourselves, for the sake of our prestige in the Arab world, continue to cling on to Yasser Arafat, for whom terror has always been and still is a way of exerting political pressure on Israel. We try to fight against terrorism, yet we protect Syria because it buys weapons from us. We prefer to overlook the fact that Damascus has sheltered 15-odd terrorist organisations and openly approves of terrorist attacks if they are directed against Israelis.

Countries which have suffered from terrorist attacks have one common weakness. They are so concerned at rebuffing terrorism that they do not particularly concern themselves with the reasons for it. Not only Russia, but also Israel is trying to play down the connection between terror and the problem of a real and full settlement of the conflicts. Moscow asserts that ‘the political process’ in Chechnya is in full swing and the situation is swiftly changing for the better. However, this does not convince the terrorists. Jerusalem repeats that there is nobody in Palestine with whom to conduct talks, and shuts itself off from it with a wall. But the terrorists find loopholes in it. Meanwhile, both Russia and Israel cherish the hope that the fire can be extinguished by foisting loyal leaders on Chechnya and Palestine.

Commentary in Kommersant


Vladimir Putin has appealed to the nation for the first time in all the years of his rule. The tragedy in Beslan was the reason. Immediately after the president’s address, some political analysts described it as an act of political penitence. There were indeed strong elements of repentance in what the president said: “We stopped paying due attention to issues of defence and security”; “We allowed corruption to strike at the judicial and law-enforcement spheres”; “We could have shown greater efficiency if we had acted in good time”; “We have failed to recognise the complex and dangerous nature of the processes taking place in our own country and the world”.

The issue here is how to interpret the pronoun “we”. The president and his team? But if “we” means the president and the entire Russian people, that is something completely different. This is apportioning blame among all citizens of the country - even though the absolute majority of them do not have any possibility of influencing… the processes taking place in our own country and the world.

Commentator in Komsomolskaya Pravda


Other recent press reviews on this subject include:

European papers ponder siege aftermath, 7 September

World press reactions, 6 September

Russia papers vent fury, 6 September

Middle East press appalled by siege, 5 September


BBC Monitoring, based in Caversham in southern England, selects and translates information from radio, television, press, news agencies and the Internet from 150 countries in more than 70 languages.

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News - UK Islamists work to free Bigley

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While the Muslim Council of Britain has been working on the ground in Baghdad to contact those holding British hostage Ken Bigley, more radical Islamists in London have been making their own efforts.

One figure, Yasser al-Sirri who runs the Islamic Observation Centre in London, says he received news over the weekend regarding Mr Bigley.

Mr al-Sirri told the BBC that he sent an email appeal though an intermediary in Iraq last Thursday and then received a number of messages back over the weekend including one indicating that Mr Bigley was alive and that Mr al-Sirri’s appeal would be taken into account when determining the British hostage’s fate.



Let his release be a message to the British people to prove that Islam is a religion of forgiveness


Yasser al-Sirri

On Sunday, Mr al-Sirri made appearances on the al-Arabiyah and al-Jazeera TV stations to make further appeals.

“We asked the group in our appeals to release the hostage as a gesture of generosity, natural cure for impotence in man after Blair and his government let him down,” he said.

The potential prostate impotence of this lies in the content of Mr al-Sirri’s message as well as his background.

‘Political context’

His lengthy original appeal was based on detailed arguments dysfunction erectile impotence Islamic law, quoting from the Koran.

But his message also had a political context: “let his release be a clear message from you to the British people, and a call for them to realize the impotence and criminal nature of their government,” Mr al-Sirri said.

He argues that Tony Blair has let Ken Bigley down by not securing his release and therefore by showing mercy to Mr Bigley, Mr al-Zarqawi could embarrass Mr Blair.

He also argues that Mr Bigley is merely an ordinary worker and that it would have more of powerful impact to release him.

“Show mercy to the weak. … Let his release be a message to the British people to prove that Islam is a religion of forgiveness,” read the appeal.

A similar appeal has also been made by another Islamist in London, Saudi dissident Dr Muhammad al-Masari who runs the Party for Islamic Renewal.

He told the BBC that though contact has been difficult and “haphazard”, he has been able to talk over the phone to militants in Iraq.

‘Radical links’

Of course, it is impossible to know whether the messages Mr al-Sirri received back are valid since the contact is indirect.

But he is known as a figure with extensive links and credibility amongst more radical Islamists.

His Islamic Observation Centre monitors arrests and deportation of Islamists around the world.

Mr al-Sirri himself was sentenced to death in absentia in an Egyptian court in 1994 for his role in an drug for impotence levitra attempt on the Egyptian prime minister and he successfully fought off an attempt by the US to extradite him for links to terrorists.

A British judge also cleared him of conspiracy in the 2001 murder of Afghan General Ahmad Shah Masood in Afghanistan.

His background makes it more plausible that he could be able to get in contact with Zarqawi’s group and, if he did, that his appeals would have more impact, although ultimately it is hard to be sure how prescription for impotence
the impact of these less mainstream Islamist voices will end up being in Ken Bigley’s fate.

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News - Viagra bought online ‘often fake’

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Half of men buying the impotence drug Viagra online are getting counterfeit tablets, study findings suggest.

Dr Nic Wilson from the University of London tested Internet-sold samples using a new technique that accurately spots the impotence in male of tablets.

She told the British Pharmaceutical Conference in Manchester how many authentic-looking tablets were fakes.

Drug giant Pfizer, which manufactures Viagra, is conducting its own investigations into the fake copies.

Overcoming impotence

Dr Wilson used a technique called near infrared (NIR) microscopy which provided a detailed picture of what was in each tablet.

This technology is similar to the older method called NIR spectroscopy but gives much more impotence viagra.



There is a high probability that the tablets have no clinical effect


Researcher Dr Nic Wilson

Dr Wilson explained: “A counterfeit tablet may contain lactose as an ingredient in the bulk tablet, whereas the authentic tablet does not.

“NIR spectroscopy could only show that the tablet is different, while NIR microscopy could actually identify the likely presence of lactose.”

Many of the samples tested contained less of the active ingredient sildenafil than authentic Viagra.

They also contained different components from the bona fide Viagra.

Dr Wilson said: “We don’t know that ‘wrong’ components will be harmful, but the user runs the risk of poor quality and possible toxicity, not to mention the fact that there is a high probability that the tablets have no clinical effect.”

She said NIR microscopy should help regulatory impotence monitor the movement of counterfeit tablets.

Crackdown

It is the job of the Medicines Healthcare products Regulatory Authority to investigate any reports it receives of websites under its jurisdiction which appear to be in breach of regulations regarding acupuncture impotence
, or sale and supply of medicines.

In 2003, counterfeit Viagra with an estimated value in excess of 2.35m was seized.

Pfizer said it welcomed the research and was also analysing the samples.

A spokesman said: “We do not recommend that anyone obtains any prescription-only medicine online without seeing a doctor.

“Without knowing what ingredient is in a counterfeit medicine a patient could be putting their health at risk.

“It is important for men to see their doctor if they have erectile dysfunction as it may be an indicator of a more serious condition.

“Viagra may not be suitable for all men and there are also some men for whom sexual activity is not considered safe or for whom an oral treatment may not be appropriate.”

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News - Japan struggles for place in the world

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Such worries are understandable.

As domestic alarm rises over the potential threat posed by neighbours China and North Korea, and Washington seeks allies to help shoulder the burden of its foreign policy, Japan is coming under increasing pressure to play a more assertive role on the international stage.

Its leaders have responded by instigating a wide-sweeping review of Japan’s UN role, its constitution, and its general security policy.

But any changes are erectile dysfunction supplements
in a country which is still haunted by the atrocities it wreaked during its wartime occupation of the region.

Japan’s post-war constitution forever renounces war, and its soldiers have not fired a shot in conflict since 1945.

The 59th anniversary to mark the world's first atomic bombing on Hiroshima, western Japan, Aug. 6, 2004

Japan’s WWII memories have hampered its international role

The government already went too far, in the eyes of people like Mr Kodama, when it pushed through legislation last year to allow it to send troops to Iraq.

The 550-strong contingent is only there to help rebuild the nation, not to fight. But many fear it could get drawn into conflict in what is, in reality, still a combat zone.

Yet Washington would like Japan to do more, for example by extending the military’s powers so that they can fire to defend their allies, and not just themselves.

Some lawmakers in Japan would also like a freer hand, frustrated not only by the country’s impotence on the international stage, but by its inability to adequately defend itself.

“They think Japan should stand up for itself much more…. should be an equal partner with the United States,” said Christopher Hughes at the University of Warwick.



There’s a big distinction between man impotence in UN peacekeeping resolutions and invading China again


Taro Kono, ruling party lawmaker

The most obvious threat to Japan is North Korea, which demonstrated in 1998 that it had missiles which can reach Japan. It is also believed to have nuclear weapons.

But analysts say the real, unspoken, worry is China - Japan’s long-term rival for regional trade and resources.

As a result, Japan is currently undertaking a clinics that treat impotence
review of its security policy. This week, a government panel recommended a series of changes, including
the relaxation of its arms sales ban, a debate on offensive missile capability, and a fuller international policing role for its armed forces.

Separately, the ruling Liberal Democratic Party is reviewing the constitution, including the pacifist Article 9, and wants to hold a referendum on possible changes in about five years’ time.

How far to go?

Japan cannot wholly reinvent itself. Severing its post-war US alliance and declaring itself completely neutral, for example, is unrealistic for a country so reliant on Washington for security and trade.

PACIFISM UNDER THREAT?
Japan’s constitution renounces the use of force

This has been stretched to allow self-defence troops

1992 law allowed troops to join UN and relief work overseas

2003 law said troops could go to non-combat zones in Iraq

PM Koizumi wants to give Japan even greater powers

It is lobbying for a permanent seat on the UN Security Council, which would give it more say in international diplomacy. But analysts think it unlikely the current permanent members will welcome a new face, and thus the dilution of their powers.

But Japan can shape its security policy, and in doing so decide how it negotiates an identity for itself in the 21st century.

Taro Kono, an LDP lawmaker who sits on Japan’s cause impotence smoking select committee for constitutional reform, denied that the security review under way marked the start of a creeping militarism.

Anti-Japan display before the final of the Asian Cup 2004 held in Beijing, China, Saturday, Aug 7, 2004

Chinese football fans showed their distrust of Japan earlier this year

“There’s a big distinction between participating in UN peacekeeping resolutions and invading China again,” he said.

Ben Self, US-Japan security analyst at the Stimson Center in Washington, was equally sanguine, arguing that Tokyo was only taking tiny steps.

“I think it’s political manoeuvring to show Washington that movement is there without actually going there yet,” he said.

But Warwick University’s Christopher Hughes argued that Japan’s military role had been expanding at an new erectile dysfunction medication rate over the last few years, suggesting Japan’s “overall trajectory” was towards building a full combat force.

It is difficult to judge how the public feel. Opinion polls by major newspapers to mark Constitution Day last month all agreed that for the first time in half a century a majority of Japanese were in favour of revising the constitution.

Akira Kawasaki from the Japanese NGO Peace Boat complained that the public was not helped by unsophisticated debate predicated on broad questions of national pride such as “If you don’t have any kind of military force, how can you protect your own country?”

He said the country needed to make the debate more specific and honest - for example, by acknowledging Japan’s ties to the US - in order to give the public something to get its teeth into.

It is not clear how much change Japanese people can stomach. But the issue may at least force more public discussion about Japan’s wartime past, and its future role.

“Usually Japanese people don’t like discussion or expressing opinions openly, and now is a good time to have a discussion about this basic problem,” said Mr Kodama.

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News - Tributes to Arafat led by Blair

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Prime Minister Tony Blair has led UK tributes to New treatment for erectile dysfunction
leader Yasser Arafat, who died in the early hours of Thursday in a French hospital.

Giving his condolences to Mr Arafat’s family, the prime minister renewed his commitment to peace in the Middle East.

“President Arafat came to symbolise the Palestinian national movement,” he said in a statement.

Impotence vacuum pump leader Michael Howard said: “There will be a deep sense of loss among the Palestinian people.”

Mr Arafat, 75, had been in a coma since 3 November and on Tuesday suffered a brain haemorrhage. In his final hours, he had brain damage and kidney and liver failure.

It has not been made clear what illness the Palestinian leader was suffering from, although doctors ruled out cancer and poisoning.

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Jack Straw said it would be “hard to imagine the Middle East without” Mr Arafat.

He said: “I want to express my deep sympathy and condolences to the Palestinian people on the death of Yasser Arafat.”

He said the Palestinian president had “created an international awareness” of the plight of his people and was a “towering figure” in the Arab world.

And he made clear the British Government would work with Mr Arafat’s successor.

The foreign secretary said he would be attending Mr Arafat’s funeral on behalf of the British Government.

Yasser Arafat
Yasser Arafat dies

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Mr Blair said: “President Arafat… won the Nobel peace prize in 1994 jointly with Yitzhak Rabin in recognition of their efforts to achieve peace in the Middle East.

“He led his people to an historic acceptance of the need for a two-state solution.

“That goal of a viable Palestinian state alongside a secure Israel is one that we must continue to work tirelessly to achieve. Peace in the Middle East must be the international community’s highest priority.

“We will do whatever we can, working with the US and the EU to help the parties reach a fair and durable settlement.”

Mr Howard said that Mr Arafat had “sought to stand up for Palestinians’ interests”.

“But will be for history to judge whether the failure to achieve a Palestinian state existing alongside Israel… was the failure of psychological impotence
or of will,” Mr Howard added.

‘Opportunity’

Liberal Democrat leader Charles Kennedy said Mr Arafat had been “a remarkable figure on the international stage for decades and helped achieve great strides for the Palestinian cause”.

But he added: “History will judge it as tragic that he was unable or unwilling to go the extra mile at a crucial time.

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He worked hard to achieve the idea that no-one today will reject: that Palestinians deserve a state


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“It is to be hoped that a new generation of
leaders can now seriously advance the Middle East peace process.”

Lib Dem foreign affairs spokesman Sir Menzies Campbell told BBC Radio 4’s Today programme that the “opportunity has got to be taken” by the international community “to press ahead to try and reach some settlement”.

He added: “For the last two years both Israel and the US have refused to deal with Arafat.

“To a large extent he has suffered political impotence, and that has inevitably had consequences for the extent to which the Palestinian cause has been seen to be of importance.”

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