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Officers rescued a http://natalievartanian.com/cheap-kamagra-100mg/ jet ski operator who kamagra for sale melbourne had been stranded in the Long Island Sound for about three hours.At about 6:30 p.m. On Wednesday, Aug kamagra for sale melbourne. 18, a friend of the 60-year-old man notified the United States Coast Guard that the man was more than three hours overdue to return to Rocky Point, according to the Suffolk County Police Department. SCPD said a police helicopter responded just before kamagra for sale melbourne 7 p.m. And located the jet ski floating in the water kamagra for sale melbourne with no occupant.

SCPD officers Michael Malone and Shawn Mooney responded onboard the Marine Delta and found the man about a quarter of a mile away from the jet ski and three-quarters of a mile from the shore. Police said the man, a Rocky Point resident, was wearing a life jacket, kamagra for sale melbourne and he had been trying to swim to the shore.The man was taken on board and brought to shore. He declined medical kamagra for sale melbourne attention. Click here to sign up for Daily Voice's free daily emails and news alerts.A woman who is the granddaughter of one of the FBI's most wanted men is furious after the agency raided her Hudson Valley home on a tip.The raid took place on Tuesday, Aug. 17, in Orange County in Warwick at the home of Eugene Palmer's granddaughter, Jamie Lynn Rose, said Amy Thoreson, an FBI spokesperson.Thoreson said it happened after the agency "received information early Tuesday morning regarding the kamagra for sale melbourne possible whereabouts of Eugene Palmer, an FBI Ten Most Wanted Fugitive, who is believed to be armed and dangerous."Palmer is wanted for shooting his daughter-in-law Tammy Palmer three times on Sept.

24, 2012, in the driveway after she sent her two children to school.At the time, Tammy Palmer was estranged from his son, John, whom she had accused of assault.After the murder, Eugene Palmer then drove to his niece's home shortly after and confessed to the crime, left money for his taxes, and then asked for an hour's lead time before she reported the homicide, police said.He is believed to have fled into Harriman State Park where his scent was picked up by bloodhounds near a campsite in the park, police said.Eugene Palmer has been added to the FBI's Most Wanted ListFBISince that time, Palmer has been in the wind, but not forgotten by being added to the FBI's Ten Most Wanted List.After Tuesday's raid, Rose posted on social media that more than 40 gun-wielding agents swarmed her house. She said agents were in trees on her property, kamagra for sale melbourne as well as her roof, and that she and her children were handcuffed, as agents searched every inch of her property, destroying property in the process.Thoreson said the FBI responds to every lead, call, or tip with all appropriate resources as they continue to seek to locate "this dangerous fugitive, and we take every legal precaution to assure the safety of citizens and law enforcement when responding."Rose said on Facebook that she has bruises and is afraid to open her door. €œThanks for wasting my time, traumatizing my children, and wasting taxpayers’ money kamagra for sale melbourne. I literally still feel like I can’t breathe. LEAVE MY FAMILY ALONE," she kamagra for sale melbourne wrote.

Palmer's family claims their father died in Harriman State Park that borders the family's property, kamagra for sale melbourne but police and the FBI believe that he is still alive and living in another state under an assumed name.On a wanted reward poster, the FBI describes Palmer as being interested in auto racing and as a car enthusiast. He is also an experienced hunter and outdoorsman, they said. His left thumb kamagra for sale melbourne is deformed.They are also warning anyone who may know where he is or sees him, that he is considered armed and dangerous.Thoreson added that Palmer is still on the loose, and the FBI asks anyone with information about him to contact the agency at 1-800-CALL-FBI. Click here to sign up for Daily Voice's free daily emails and news alerts..

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Final Thoughts Pure CBD oil can benefit your physical and mental wellbeing. Whether you want a natural treatment for chronic pain, want help meeting a demanding deadline, or simply want to approach life more balanced and in-sync, high quality CBD oil can help you achieve just that.This article appeared in the September/October 2021 issue of Discover magazine as "Frontline Fatigue." Become a subscriber for unlimited access to our archive.In February 1945, U.S. Navy nurse Dorothy Still was a prisoner of war in the Japanese-occupied kamagra oral jelly 5gm Philippines.

Along with 11 other Navy nurses, Nurse Still provided care for civilian inmates in a prison camp where food was scarce and guards were brutal. Few inmates weighed more than 100 pounds, and most were dying from malnutrition. On the night of Feb kamagra oral jelly 5gm.

22, Nurse Still and the other inmates watched as their captors set up guns around the perimeter of the camp and turned the barrels inward. Other guards dug shallow graves. The inmates kamagra oral jelly 5gm had long suspected the camp commander planned to massacre them all, and it seemed the rumors were coming true.

Yet Nurse Still and another Navy nurse reported to the infirmary for the night shift. They had little medicine or food to offer their patients. Comfort and kamagra oral jelly 5gm kindness were all they had left to give.

Nurse Still heard gunfire the next morning at dawn and assumed the massacre had begun. She steeled herself to glance out the infirmary window and saw parachutes gliding to the ground. Liberation had come just in kamagra oral jelly 5gm time!.

U.S. And Filipino forces swiftly evacuated the 2,400 inmates to safety. But that wasn’t the end of kamagra oral jelly 5gm Nurse Still’s journey.

She was haunted by the horrors she witnessed in the prison camp, and the trauma stuck with her for the rest of her life. Now nursing leaders and advocates are saying the problem of not addressing nurses’ mental health needs has again reached a critical point. Nurses have been on the front kamagra oral jelly 5gm lines of the erectile dysfunction treatment crisis, but most aren’t receiving comprehensive mental health screening or treatment.

Nursing advocacy groups and scholars who study PTSD in nursing warn that leaving nurses’ mental health needs untreated could lead to a nursing shortage, much as it did after World War II.Taken as prisoners of war in 1942, Dorothy Still and 11 other Navy nurses provided medical care in the midst of brutal suffering at Los Baños Internment Camp. (Credit. Courtesy of Bureau of Medicine and Surgery) Suffering in Silence Back in kamagra oral jelly 5gm the States, Nurse Still was tasked with speaking at war bond drives about the three years she was a prisoner of war.

She found the experience troubling and requested a transfer to Panama, but her memories followed her to her new post. At times, she was depressed. Other times, she couldn’t stop kamagra oral jelly 5gm thinking about all she had endured.

She sometimes cried without provocation and struggled to stop crying once she had started. On advice of her fiancé, she booked an appointment with a naval physician. During her appointment, Nurse Still told the physician she had kamagra oral jelly 5gm been a prisoner of war for more than three years, and asked for a medical discharge based on the trauma she was experiencing.

The doctor asked when Nurse Still was liberated. The date was the same as the raising of the flag at Iwo Jima. The physician said those men were heroes, but Nurse kamagra oral jelly 5gm Still was a woman and a nurse, and therefore, did not suffer.

Denied treatment, Nurse Still left the appointment shaking. She vowed she would keep her pain to herself. The Navy nurses weren’t the kamagra oral jelly 5gm only medical care providers taken prisoner during WWII.

Sixty-six U.S. Army nurses as well as hundreds of physicians, pharmacists, and medical assistants were also held captive in the South Pacific. But at the end of the war, as the U.S kamagra oral jelly 5gm.

Prepared to welcome home millions of men and women who served their country, mental health treatment was limited — and reserved for men. Nurses, it was assumed, did not suffer. At the time, the kamagra oral jelly 5gm U.S.

Military was the largest employer of nurses, and it had established an expected code of silence regarding how nurses responded to their own trauma. In 1947, an article in the American Journal of Psychiatry claimed a military hospital was a controlled environment that insulated nurses from the brutality of war. The study’s author claimed that nurses’ mental health needs were “less complex,” and that nursing fulfilled women kamagra oral jelly 5gm by catering to their natural instinct to care for men.

€œThey were supplying a service which gratified the passive needs of men. And which identified these women with the mother, the wife, or the sweetheart back home.”Many nurses, including Nurse Still, responded to the lack of mental health treatment by leaving both the military and nursing. The late 1940s saw a shortage in nurses at time when hospital admissions rose by 26 kamagra oral jelly 5gm percent.

The shortage persisted until the late 1960s when wages began to increase.After three years as POWs, the Navy nurses were liberated in 1945. Here, they speak with Admiral Thomas C. Kinkaid after their release, and are shown kamagra oral jelly 5gm next to the aircraft that brought them from the South Pacific to Hawaii.

(Credit. U.S. Navy Bureau of Medicine and Surgery)A Looming Crisis The erectile dysfunction treatment kamagra oral jelly 5gm kamagra has meant that for the first time since WWII, the vast majority of U.S.

Nurses are embroiled in fighting a common enemy. It’s a demanding and emotional battle that advocates say adds a deeper stress to an already taxing job.Across the country, nurses have been caring for patients dying from erectile dysfunction treatment who do not have the support of family at their bedside due to visitor restrictions. €œThe nurses are often the ones who are serving as the loved one and helping the patient navigate the end-of-life journey,” says Holly Carpenter, kamagra oral jelly 5gm a senior policy advisor with the American Nurses Association.

In addition to caring for dying erectile dysfunction treatment patients, Carpenter says, many nurses were not properly equipped at the height of the kamagra with the personal protection equipment needed to avoid . These nurses lived in fear of being infected or transmitting the kamagra to loved ones at home. And on top of these stressors, nurses are also still coping with the usual kamagra oral jelly 5gm demands of the job.

€œThere are the things that have always been there — long shifts, sometimes mandatory overtime, a workload that’s heavier than you’re comfortable with, having to work through breaks or lunchtime, having to come in early and stay late,” Carpenter says. Prior to the kamagra, studies estimated that as many as half of critical-care nurses experienced post-traumatic stress disorder (PTSD). Since the kamagra oral jelly 5gm kamagra began, researchers have found the crisis has amplified symptoms of mental health problems.

A 2020 study in General Hospital Psychiatry found that 64 percent of nurses in a New York City medical center reported experiencing acute stress. €œAcute stress included symptoms like nightmares, inability to stop thinking about erectile dysfunction treatment, and feeling numb, detached, and on guard,” says study leader Marwah Abdalla, a clinical cardiologist and assistant professor of medicine at Columbia University Medical Center. €œThis is kamagra oral jelly 5gm concerning.

We know that if these symptoms persist for more than a month, it can lead to PTSD.” Some nurses experienced PTSD before erectile dysfunction treatment, but the conditions of the kamagra have amplified mental health problems. (Credit. Eldar Nurkovic/Shutterstock)A person is diagnosed with PTSD if they meet criteria outlined by the DSM-5, the psychiatric kamagra oral jelly 5gm profession’s official manual.

Criteria include experiencing, witnessing or learning about a traumatic event (such as death, serious injury, or sexual violence). Intrusive symptoms like dreams and flashbacks. Avoidance of reminders of the kamagra oral jelly 5gm event.

Negative changes in thoughts and moods. And behavioral changes. A person can kamagra oral jelly 5gm also develop PTSD if they are repeatedly exposed to details of a traumatic event.

Suffering from undiagnosed or untreated PTSD is a life-altering condition with diverse ramifications, and may lead a nurse to leave health care. €œWe’re potentially setting up an occupational health care crisis,” Abdalla says. €œThis has long-term implications for the health care industry and our ability to deliver adequate health care for our patients.” Carpenter says health care organizations must be proactive with screening nurses for symptoms related to anxiety, kamagra oral jelly 5gm depression, and PTSD.

Such screenings must be confidential and come with the assurance that a nurse’s license or job will not be compromised. Organizations also need to work to destigmatize mental health diagnosis and treatment. €œHistorically, nurses are always looked upon as the healers and the kamagra oral jelly 5gm helpers,” Carpenter says.

€œThey feel they need to be strong for other people. What do you do when the hero needs help?. €For Nurse Still, help never came kamagra oral jelly 5gm.

She left the Navy and nursing, married, and had three children. She returned to nursing in the late 1950s after her husband died suddenly and she needed to support her family.Only in the 1990s did she begin speaking about her experiences in interviews with oral historians and documentary producers. She also kamagra oral jelly 5gm wrote a memoir, but kept the story light and did not disclose her extensive suffering.The profession has advanced since Nurse Still’s 1940s appeal for mental health support was rejected.

€œWe do recognize the full PTSD, compassion fatigue, and burnout of nurses. It’s been chronicled now and we understand it,” Carpenter says. Now the challenge is encouraging each nurse to kamagra oral jelly 5gm seek and receive help.

Otherwise, advocates warn, their health and wellbeing will continue to decline, and history may repeat as stressed nurses leave a strained profession. Emilie Le Beau Lucchesi is a journalist in the Chicago area and the author of This is Really War. The Incredible True Story of a Navy Nurse POW in the Occupied kamagra oral jelly 5gm Philippines.It’s pretty obvious when a dog is sad.

It might whine or whimper, knit its brow, or turn its big, imploring eyes upward at you. But it would be another thing entirely to see a big tear rolling down your canine companion’s face.Animals simply don’t cry. Or at least, kamagra oral jelly 5gm they don’t shed emotional tears.

The only creatures who have evolved to do so, it turns out, are humans. We snivel at sad movies, well up at weddings and blink away hot tears of frustration during arguments. €œWe appear to be the only animal that sheds kamagra oral jelly 5gm tears for emotional reasons,” says Randolph Cornelius, a professor of psychological science at Vassar College in New York and an expert on human emotion.There are many theories on the evolution and purpose of emotional tears.

Experts even have a few ideas why animals — who do experience emotions — don’t weep like we do. But why we evolved to eject liquid out of our eyes as a signal of distress, rather than some other reaction, is still far from settled.The Biology of CryingFrom a biological perspective, there are three types of tears. One is basal tears, which our eyes create automatically to lubricate and kamagra oral jelly 5gm clean our eyes.

These come from our accessory lacrimal glands, located under the eyelids. Then there are reflex tears, which you’re likely acquainted with if you’ve ever cut an onion or been poked in the eye. The third is emotional tears — the only variety that we can kamagra oral jelly 5gm control, to some extent.

These latter two types come from lacrimal glands on the upper outside of our eye sockets.“One argument is that [emotional crying] is almost like an emotional reflex as opposed to just a physical reflex,” says Marc Baker, a teaching fellow at the University of Portsmouth in England who researches adult emotional crying.Indeed, some have hypothesized that the purpose of crying is itself just another biological function. For example, biochemist William Frey theorized in the 1980s that crying balances levels of hormones in our body to relieve stress. He also suggested that crying clears our body of kamagra oral jelly 5gm toxins, though subsequent studies have largely disproven this.

English naturalist Charles Darwin, the father of evolution, believed children cried to experience physical relief from negative emotions.In these theories, crying is something that restores us to equilibrium. It is the idea of crying as catharsis, or a way to calm ourselves in times of distress. After all, it’s not unusual for people to report feeling better after “a kamagra oral jelly 5gm good cry” — but that relief may be coming from unexpected places.The Psychology of CryingPerhaps the most compelling explanation for tearful crying is that it is driven by our social needs.

Crying is a distinct visual signal that something is wrong. In an instant, it communicates that someone might need help. When others attend to the crier, it contributes to a collaborative social environment that is kamagra oral jelly 5gm highly complex in humans.Inquiries by Cornelius support this theory of tears as a quick and effective social signal.

In a number of studies, he and colleagues showed photographs of faces to participants (under the guise of another purpose) and asked them to interpret the emotion. In some of the photos, people were crying real tears. In others, they had been digitally removed.When kamagra oral jelly 5gm shown the pictures with tears, almost every participant labelled the emotion as sadness or grief.

Tear-free crying faces, on the other hand, were confusing. €œWithout the tears, the emotion almost disappears,” Cornelius says. €œTheir judgments of the kamagra oral jelly 5gm emotion don't tend to cluster around the ‘sad’ family of emotions — they're all over the place.

And in fact, some people say there's no emotion there at all.”This indicated that crying is a strong signal to others of our immediate emotional state. It’s hard to fake real tears. And as researchers of crying can attest, it’s hard to induce genuine emotional crying in a lab setting — one of the reasons it’s challenging kamagra oral jelly 5gm to study.Solving an Evolutionary MysteryFrom an evolutionary perspective, some of our physiological reactions have a clear purpose.

It makes sense that we sweat when overheated, raise our voices when angry or tense up in fear. But at a distance, our tearful tendencies are just plain weird. Someone showing an alien around Earth would have to explain that when humans (and only kamagra oral jelly 5gm humans) feel distress or even overwhelming happiness, their faces get slightly wet and puffy.Animals do have lacrimal glands, which they use for reflex tears.

But in humans, something seems to have changed somewhere along the way. What started as distress calls that many animals make became connected with the production of tears, and experts still aren’t sure why. €œThere’s no answer, sorry,” Baker says kamagra oral jelly 5gm.

But there are a few theories.Clinical psychologist Ad Vingerhoets has suggested that crying might have been more advantageous than other kinds of noises because it suggests submissiveness and harmlessness to would-be predators, who might then reduce their aggression. But that still doesn’t explain the tears themselves or why animals wouldn’t benefit from them in the same way.For that, researchers point toward other, seemingly unrelated hallmarks of human physiology and development that could have led to tears. For one, we walk upright kamagra oral jelly 5gm — unlike bears and wolves, who, in their position closer to the ground, rely mostly on smells to signal distress.

Perhaps partially because of this, we rely heavily on visual cues to communicate in social situations. €œFrom a kind of evolutionary perspective, it makes sense that lots of our signals become visual signals, because we are just quite visual animals,” Baker says. We also position ourselves forward kamagra oral jelly 5gm.

Our faces, then, developed to become the most complex in the animal kingdom — especially on the top half of our face. €œOur kind of facial expressions far exceed almost every other animal, especially around the eyes,” he says. €œWe can do much more with the top half of our face.”An intricate facial kamagra oral jelly 5gm musculature arose, and with it, machinery that could induce crying.

Asmir Gračanin, a professor of psychology at the University of Rijeka in Croatia, and colleagues theorized that the orbicularis oculi muscle may have evolved along with our hyper-expressive faces. This eye socket muscle could have squeezed the corneal sensory nerves that trigger the production of tears by the lacrimal gland and proved advantageous to human babies as a call for immediate help.This also fits in with the uniqueness of human babies, who are much more helpless than other baby animals that come out of the womb ready to walk and perform other basic functions. Human babies need more help, cry for assistance and comfort, and then (largely) kamagra oral jelly 5gm grow out of crying as adults.But adults still do cry emotional tears — in sadness, happiness, awe or frustration.

€œIt's kind of what makes us human, almost,” says Baker, “[our] ability to share emotions very silently, with a small drop of saline solution from the eye.”The introduction of the contraceptive pill in the 1960s spurred a landmark moment for women, liberating many from the home and propelling them into the world. But this excitement overshadowed the side effects and hazards associated with the pill, which we now know may include a slightly increased risk of breast cancer.“A lot of women are unaware of the cancer risk associated with hormonal birth control because the advent of the pill freed up the lives of women to enter the workforce more effectively,” says Beverly Strassmann, a human evolutionary biologist at the University of Michigan. When radically altering the body with synthetic hormones, you can’t assume there kamagra oral jelly 5gm won’t be side effects, she says.

But the field hasn’t made significant progress, partly because contraceptives have provided women with tangible benefits. Sixty years on, pharmaceutical companies are still “resting on their laurels” and need to better evaluate the association between hormonal birth control and cancer, she adds. Research kamagra oral jelly 5gm has also linked the pill to depression, decreased sexual desire, anxiety and an altered ability to form emotional memories.

Most physicians, however, still don’t closely follow research investigating the links between hormonal birth control and its psychological side effects, says evolutionary psychologist Sarah Hill, author of How the Pill Changes Everything. Your Brain on Birth Control. €œMost medication doesn’t look at the full spectrum of side effects in the way people kamagra oral jelly 5gm experience the world.

It’s not even in physicians’ peripheral vision,” Hill says. But women want the next birth control revolution. Younger women especially kamagra oral jelly 5gm seek non-hormonal options, Hill says.

€œA lot of women aren’t being served, and many are on the pill even though they don’t love it — their standards are low because there’s so few good options,” she says. In recent years, contraception apps have attracted a rise in users, which may suggest that many women no longer tolerate the impacts of hormonal birth control on their bodies. But these apps kamagra oral jelly 5gm have faced criticism over their efficacy.

A New Kind of PillAnother possibility. A non-hormonal pill. Now, University of Connecticut physiologist and geneticist Jianjun Sun is wading through the unknowns to formulate it.“We know that, in humans, the ovulation process kamagra oral jelly 5gm is triggered by a hormone surge, but how the egg is released is very precise.

The menstrual cycle is very tightly controlled and there are a lot of unknowns in this area,” he says. Sun does know that when a person ovulates, an egg that’s contained within a follicle bursts out of the ovary and sets off down the fallopian tube, where it can be fertilized. He’s hoping to formulate a drug that stops the follicle from rupturing and releasing the kamagra oral jelly 5gm egg.

Shutting off ovulation isn’t a new concept — hormonal contraception does this by tricking the body into thinking users aren’t pregnant. But he seeks a new way to halt egg release without the use of synthetic hormones. Crucially, Sun has devised kamagra oral jelly 5gm a way to analyze different compounds without relying on human subjects (which would complicate the process).

He realized that fruit flies ovulate in a similar way to people, and the fly’s ovulation process resembles that within mice. As this research took off, the Gates Foundation had begun supporting scientists developing non-hormonal contraceptives. The organization has funded Sun to test compounds on flies kamagra oral jelly 5gm.

Now, Sun is screening up to 500 compounds daily to see which ones prevent follicles from rupturing and releasing eggs. €œThe Gates are very excited now. They’re trying kamagra oral jelly 5gm to get us to find the target, then we can study this target using genetic tools,” he says.

Researchers could test the drug in humans eventually, Sun says. Unlike hormonal pills, users wouldn’t need to take it daily. To inhibit ovulation, you only need to take it for a week or so before the process begins.While this sounds tempting, many people don’t know when exactly they ovulate — and only 10 to 15 percent of women experience kamagra oral jelly 5gm 28-day cycles.

And because the drug concept is so new, researchers aren’t sure what dosing might look like. €œIt’s still hypothetical in terms of how to use contraceptives targeting ovulation, since there’s no products on the market,” Sun says. A Dearth of ResearchDespite the many unknowns, experts seem receptive to any new research in hormonal birth kamagra oral jelly 5gm control alternatives.

In recent years, few studies have taken on this challenge.Hormonal contraceptives dominate at a time when, researchers argue, scientific and technological advances bring unprecedented opportunities for new drugs across medical fields. If Sun’s research is fruitful, it could attract more funding for other researchers working on these alternatives, says Bethan Swift, a PhD student at the University of Oxford who studies the epidemiology of women’s health. €œOne big kamagra oral jelly 5gm barrier to developing new contraception is that existing options work,” Swift says, “So there’s little demand from the pharmaceutical industry to put money into creating new compounds.” This shortage of funds places significant pressure on Sun.

The Gates Foundation hopes that at least one drug will hit the market by 2026, he says. But the bar for birth control approval is uniquely high. Because it isn’t meant to alleviate an illness, possible side effects may not kamagra oral jelly 5gm be worth the trade-off versus, for example, cancer treatments.

It will probably take between five and 10 years before a new drug is available, Sun says. “Developing new contraception isn’t easy because they’re going to healthy women, unlike other drugs, where it’s more accepted that there will be side effects,” Sun says. The final drug will likely cause kamagra oral jelly 5gm some side effects, but fewer than hormone-based contraceptives, he notes.

However, Hill is concerned that the end product could still affect the body’s natural hormone levels.Our bodies produce most sex hormones via ovulation, and high levels of estrogen propel monthly egg maturation. After an egg is released, the empty follicle releases progesterone — so levels would fall fairly low if you prevent ovulation, she says. €œStopping ovulation sounds perfect, but if you understand that’s how kamagra oral jelly 5gm the body makes hormones, you’d realize it’s not a panacea.”This article contains affiliate links to products.

Discover may receive a commission for purchases made through these links.Did you know that sleeping in a zero-gravity position may help alleviate symptoms from improve sleep disorders, relieve neck and back pain, and allow for better circulation and heart health?. An adjustable bed frame allows you to place your body in a zero-gravity position to enjoy all of these benefits and more as you sleep comfortably with optimal support throughout the night. If you’ve been considering getting an adjustable bed, kamagra oral jelly 5gm you’re not alone.

Many individuals are making the switch to enhance their comfort, improve their health, and, of course, to enjoy more restful sleep. Deciding which adjustable bed frame is right for you can be challenging. The market is kamagra oral jelly 5gm overflowing with options, and sorting through all these choices can be overwhelming.

Fortunately, our best adjustable beds reviews below can help you focus your search, narrow down your choices, and select the right model to help you mitigate sleep disorders, to sleep more comfortably, and to wake up feeling more rested. What is Zero Gravity?. Zero gravity refers to kamagra oral jelly 5gm a specific position where the body is a state of weightlessness.

NASA actually developed this term for astronauts to help them find the ideal position to keep their weight balanced and neutralized as they flew into space. Being in a zero-gravity position prevents gravity from affecting your body, which means that nothing is pulling your body down. Your body is kamagra oral jelly 5gm in a zero-gravity position when.

When your body is in the zero-gravity position, it should look like a V shape. This alignment helps ensure that your weight is distributed evenly. As you can imagine, sleeping in this V-shaped kamagra oral jelly 5gm position on a standard bed frame isn’t possible.

However, adjustable bed frames enable you to sleep in a zero-gravity position and prevent your body’s weight from placing pressure on your hips, spine, and other joints. Sleeping in a zero-gravity position offers a myriad of benefits. We’ll explore these benefits in kamagra oral jelly 5gm the next section.

Benefits of Sleeping in a Zero-Gravity Position with an Adjustable Bed Frame Adjustable beds have been used in hospitals for over a century due to their ability to properly position patients to facilitate recovery and reduce complications from surgeries and other medical procedures. If adjustable beds can protect the health of patients in a hospital, then it seems like a logical conclusion that they can also offer health benefits for individuals who use them at home. Indeed, there are many ways switching to an adjustable bed frame and sleeping in kamagra oral jelly 5gm a zero-gravity position can benefit your health.

These include. While some individuals snore every night, others are more prone to it only when they are congested. Adjustable kamagra oral jelly 5gm beds can also help reduce snoring caused by congestion because keeping the head elevated can allow the sinuses to drain.

Reduced sleep apnea. An adjustable bed may also reduce sleep apnea symptoms. Sleep apnea, which occurs when an individual stops breathing during sleep, is also sometimes the result of an obstructed kamagra oral jelly 5gm airway.

Elevating the head may open up the airway enough to prevent or lessen sleep apnea, allowing individuals get more restful sleep. Relief from neck, back, and joint pain. Sleeping in a zero-gravity position can significantly increase kamagra oral jelly 5gm your comfort and reduce your pain.

The reason for this benefit is that when you’re in the zero-gravity position, your weight is evenly distributed. This improved distribution of weight takes the pressure of your back, neck, and joints, which is often the main cause of pain. Laying on a flat kamagra oral jelly 5gm mattress, on the other hand, does not allow your weight to be evenly distributed.

This places unnecessary pressure on the spinal column and can result in a significant pain and discomfort. Adjustable beds may provide relief from pain caused from sciatica, fibromyalgia, arthritis, scoliosis, and other conditions. Improved circulation kamagra oral jelly 5gm.

Sleeping in a zero-gravity position allows more blood to flow to the heart. This increase of blood flow reaching the heart makes its muscles work harder to pump that blood throughout the body. Increased blood kamagra oral jelly 5gm circulation can improve the overall health of your heart and other vital organs.

Decreased swelling. Another benefit of improved circulation is decreased swelling. When the body lays flat, blood and other fluids may accumulate the in the lower body kamagra oral jelly 5gm since the heart isn’t able to keep blood flowing effectively.

This can result in inflammation or swelling. However, with the increased blood flow that results from sleeping in a zero-gravity position, fluids won’t accumulate in the extremities, and swelling may be reduced. Improved kamagra oral jelly 5gm digestion.

Digestion can also be improved by sleeping on an adjustable bed frame. Sleeping flat can make it more difficult for the body to digest food properly. Sleeping flat can kamagra oral jelly 5gm also aggravate acid reflux, heartburn, and GERD (gastroesophageal reflux disease.

Elevating the head about six inches can reduce these symptoms. This position removes pressure from the digestive track and makes it more difficult for stomach acids to go up into the throat. Better kamagra oral jelly 5gm breathing.

When you sleep in the zero-gravity position, the pressure placed on your lungs and airway is reduced. As a result, your body can breathe more easily and can limit the impact asthma, allergies, and congestion can have on your sleep. Best Adjustable Bed Reviews Whether you’re looking for the best split king adjustable bed reviews or the best adjustable twin, queen, kamagra oral jelly 5gm or full bed frames, we have you covered.

We have selected some of the top models currently available that will help you stay comfortable while you sleep and will enable you to enjoy the benefits described above. Read on to discover which adjustable bed frame is right for you. GhostBed Adjustable Base If you’re looking for an adjustable bed frame kamagra oral jelly 5gm with luxury features for a budget-friendly price, consider the GhostBed Adjustable Base.

This fully-adjustable frame allows you to customize your position for ultimate comfort. The fully adjustable head and foot sections allow for an unlimited number of options, including a zero-gravity position. This bed frame also offers 15 head and foot massage modes to deliver additional comfort and relaxation kamagra oral jelly 5gm.

Furthermore, it is equipped with two USB ports on each side to allow for easy charging and convenient access to electronic devices. Under-bed LED lights are also integrated into the design to provide soft lighting if you wake up in the middle of the night. The included backlit remote makes it easy to adjust the bed kamagra oral jelly 5gm to the ideal position for sleeping or relaxing.

Use the foot and head up/down buttons to move the frame to the exact position you desire. The remote can also save your favorite position for sleeping and return you to it with just a press of a button. Additionally, the remote offers preset positions for zero-gravity, kamagra oral jelly 5gm watching TV, and lounging.

With the remote, you can even control the under-bed lighting and turn on the head or foot massage and adjust their intensity. The GhostBed Adjustable Base features a sturdy steel frame. It also has a retainer bar and non-skid surface to ensure the mattress stays in place kamagra oral jelly 5gm.

This adjustable bed frame is available in twin XL, queen, and split king sizes. Split king adjustable beds offer the added benefit of allowing each partner to customize their own position. All orders include free shipping and kamagra oral jelly 5gm a limited lifetime warranty.

Puffy Adjustable Base Premium The Adjustable Base Premium from Puffy Sleep is another top contender when you’re looking for the best adjustable bed frame. The head on this model adjusts up to 60 degrees and the legs adjust up to 45 degrees to help each individual find their most comfortable sleeping position. The adjustable bed frame from Puffy Sleep is available in twin, kamagra oral jelly 5gm twin XL, full, queen, king, and split-king sizes.

Use the included remote to customize your position whether reading a book in bed, watching TV, or drifting off to dreamland. The remote also has a memory feature that can save your favorite position. Some of the other remote settings include zero gravity, watching TV, kamagra oral jelly 5gm and anti-snore.

Puffy Sleep has some of the best split king adjustable beds reviews. With the split king adjustable frame, you and a partner can each set the bed to the position that is most comfortable for you. This can help ensure that each of you get kamagra oral jelly 5gm the restorative sleep that need.

For a nominal additional fee, you can upgrade the Puffy Sleep Adjustable Base to include head and food massage features and dual USB ports for charging electronic devices. This adjustable frame is constructed from coated metal for lasting durability. Each kamagra oral jelly 5gm purchase is protected by a 10-year warranty and includes free shipping.

Layla Adjustable Base Plus This motorized and fully adjustable base from Layla Sleep also has a lot to offer users. It is available in twin XL, queen, king, and split king sizes. A kamagra oral jelly 5gm wireless remote is included with the frame for easy operation.

The remote includes preset buttons for moving the frame to zero-gravity, anti-snore, or flat positions. You can also set the remote to remember up to three of your preferred positions. A mobile app is available for controlling the bed frame with a smartphone or tablet, and the frame is even compatible with Amazon’s Alexa and the Google Assistant for voice command operations kamagra oral jelly 5gm.

Layla Sleep incorporated some upgraded features into the design of this frame. The frame features dual-zone vibrating massage motors at the head and foot of the frame. There are three massage intensities to choose from, as well as an auto-shutoff timer to stop the vibrations at a kamagra oral jelly 5gm set time.

Each side of the frame features two ports to keep your devices charged and within easy reach. Some of the other notable features of this adjustable bed frame include the under-bed lighting and wall-hugging technology that keeps the head of the bed at the same distance from the wall regardless of the incline angle. Layla Sleep backs this kamagra oral jelly 5gm bed frame with a 10-year warranty.

They also offer free-shipping and a 30-night money-back guarantee. Sweet Night Tranquil Adjustable Bed Frame Last, but certainly not least, we also think you’ll love the Tranquil Adjustable Bed Frame from Sweet Night. Available in twin kamagra oral jelly 5gm XL, full, queen, and split California king sizes, this bed frame delivers the ability to tailor your position for enhanced comfort.

Adjust the head incline between 0 and 60 degrees and the foot incline between 0 and 40 degrees for a nearly endless number of positioning options. The Tranquil Adjustable Bed Frame from Sweet Night can be controlled using the included wireless remote or with an app on your smartphone or tablet. Use the remote or app to adjust the head and foot inclines or to select one of the preset positions including anti-snore, zero gravity, watching TV, or lying kamagra oral jelly 5gm down flat.

In addition to allowing you to adjust your position, this bed frame includes some other helpful and impressive features. Each side of the frame offers dual USB ports for charging your phone, tablet, or other devices. There is also a pocket on each side to kamagra oral jelly 5gm hold a smartphone and keep it within easy reach.

Remote-controlled LED under-bed lights, provide low lighting if needed at night or in the morning. The frame is made using a sturdy aluminum alloy that can support up to 705 pounds. All orders include free shipping and kamagra oral jelly 5gm free returns.

Adjustable Bed Frame Buying Guide If you’re interested in taking advantage of all the benefits associated with using an adjustable bed frame, it is imperative to note that each model is slightly different. There are a number of important considerations to keep in mind as you shop for an adjustable bed frame. Read through our buying guide below to learn more about these considerations and kamagra oral jelly 5gm choose the best adjustable bed frame to match your needs.

Mattress Compatibility If you’re planning to use your existing mattress, the first thing you should do is to confirm compatibility. Most adjustable bed frames are designed to be compatible with different mattress brands, but some manufacturers recommend only using their mattresses on their proprietary frames. Keep in mind that most innerspring mattresses are too inflexible kamagra oral jelly 5gm to work well with an adjustable frame.

Hybrid, foam, or latex mattresses are more flexible and will work best. Size After determining if your current mattress is compatible with the bed frame or if you need to purchase a new mattress with your new bed frame, then you will need to evaluate if each model is available in your desired sire. Obviously, the bed frame must match the size of the mattress you are planning to use on it, so you won’t want to waste kamagra oral jelly 5gm your time looking at a model that isn’t even available in your preferred size.

Settings and Operation Before making a purchase, look at the range of motion of each bed frame. Some adjustable bed frames offer more adjustability than others. This flexibility, kamagra oral jelly 5gm or lack of it, could certainly make one model more appealing than another.

The head can often be elevated between 60 and 80 degrees, while the range of motion for the lower portion of the mattress is typically between 30 and 40 degrees. If there is a specific angle you’d prefer, then confirm it is possible with each bed frame you’re considering. Next, look at how easy it will be to adjust the kamagra oral jelly 5gm bed frame.

Does it include a remote control?. Are there any preset positions or memory features?. Can you download an kamagra oral jelly 5gm app to control the bed frame using a smart device?.

Additional Features Some manufacturers include additional features to make their adjustable bed frames more user-friendly. These features may include heat and massage functions, under-bed lighting, USB charging ports, and built-in speakers. If any of these features are important kamagra oral jelly 5gm to you, look for a manufacturer that integrates them into their design of their adjustable bed frame.

Frequently Asked Questions Can you use a regular mattress on an adjustable bed frame?. Yes, most regular mattresses can be used on an adjustable bed frame. Many frames are compatible kamagra oral jelly 5gm with latex, foam, and hybrid mattresses.

Unfortunately, most innerspring mattresses are too rigid to move with an adjustable frame. What is a split king adjustable bed?. Split king adjustable beds allow the right and left sides to adjust kamagra oral jelly 5gm independently of one another.

This means that each partner can elevate their head and feet to their exact comfort level without needing to make compromises with their partner. Are adjustable beds worth the additional cost?. This is a personal question that will come kamagra oral jelly 5gm down to your priorities and financial situation.

Many people find that adjustable beds are worth the additional cost due to how much better they sleep and all the other health benefits they offer, such as reduced back and neck pain, better circulation, decreased swelling, and improved digestion. Split king adjustable beds can be particularly beneficial for partners who prefer different sleeping positions or who are facing different health issues. With a split king adjustable bed, each partner can independently adjust their own side of kamagra oral jelly 5gm the bed.

How can you get into a zero-gravity position with an adjustable bed?. You need to elevate your legs and feet to a higher level than your head and your heart to achieve a zero-gravity position. This position alleviates pressure placed on your joints to relieve back pain and is also beneficial for improving the body’s circulation.

How do you keep sheets on an adjustable bed?. When shopping for sheets for an adjustable bed, the first thing to do is to check the depth of the mattress and confirm that the pocket-depth of the fitted sheet is sufficient for a proper fit. Choosing a sheet that is not deep enough for your mattress will almost certainly cause the corners to slip off as the bed adjusts.

When making the bed, tuck the edges of the flat sheet under the mattress. You can also find some flat sheets that include corner straps. These corner straps grip on to the fitted sheet and will help ensure that the flat sheet stays in place.

If these ideas still don’t work, sheet suspenders are another option. A sheet suspender is a large band designed to ensure a flat sheet doesn’t slip off a mattress..

This article kamagra oral jelly for sale contains affiliate links to kamagra for sale melbourne products. Discover may receive a commission for purchases made through these links.Over the last few years, the demand for CBD products has only continued to increase. As customers seek natural alternative options to treat everyday ailments, a growing number of people have turned to CBD as a kamagra for sale melbourne way to feel better physically and mentally.

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Joy Organics CBD oil is available in palate-pleasing flavors, including Orange Bliss, Summer Lemon, Tranquil Mint, and Fresh Lime. Bottles are available in several strengths, including 450 mg, 900 mg, 1350 mg, and 2250 mg. Manage your stress, get better sleep, and enjoy a more kamagra for sale melbourne balanced life with CBD oil from Joy Organics.

Final Thoughts Pure CBD oil can benefit your physical and mental wellbeing. Whether you want a natural treatment for chronic pain, want help meeting a demanding deadline, or simply want to approach life more balanced and in-sync, high quality CBD oil can help you achieve just that.This article appeared in the September/October 2021 issue of Discover magazine as "Frontline Fatigue." Become a subscriber for unlimited access to our archive.In February 1945, U.S. Navy nurse Dorothy Still was a prisoner kamagra for sale melbourne of war in the Japanese-occupied Philippines.

Along with 11 other Navy nurses, Nurse Still provided care for civilian inmates in a prison camp where food was scarce and guards were brutal. Few inmates weighed more than 100 pounds, and most were dying from malnutrition. On the kamagra for sale melbourne night of Feb.

22, Nurse Still and the other inmates watched as their captors set up guns around the perimeter of the camp and turned the barrels inward. Other guards dug shallow graves. The inmates had long suspected the camp commander planned to massacre them all, and it seemed the rumors were kamagra for sale melbourne coming true.

Yet Nurse Still and another Navy nurse reported to the infirmary for the night shift. They had little medicine or food to offer their patients. Comfort and kindness were all they had left to kamagra for sale melbourne give.

Nurse Still heard gunfire the next morning at dawn and assumed the massacre had begun. She steeled herself to glance out the infirmary window and saw parachutes gliding to the ground. Liberation had come kamagra for sale melbourne just in time!.

U.S. And Filipino forces swiftly evacuated the 2,400 inmates to safety. But that wasn’t the end of kamagra for sale melbourne Nurse Still’s journey.

She was haunted by the horrors she witnessed in the prison camp, and the trauma stuck with her for the rest of her life. Now nursing leaders and advocates are saying the problem of not addressing nurses’ mental health needs has again reached a critical point. Nurses have been on kamagra for sale melbourne the front lines of the erectile dysfunction treatment crisis, but most aren’t receiving comprehensive mental health screening or treatment.

Nursing advocacy groups and scholars who study PTSD in nursing warn that leaving nurses’ mental health needs untreated could lead to a nursing shortage, much as it did after World War II.Taken as prisoners of war in 1942, Dorothy Still and 11 other Navy nurses provided medical care in the midst of brutal suffering at Los Baños Internment Camp. (Credit. Courtesy of Bureau of Medicine and Surgery) Suffering in Silence kamagra for sale melbourne Back in the States, Nurse Still was tasked with speaking at war bond drives about the three years she was a prisoner of war.

She found the experience troubling and requested a transfer to Panama, but her memories followed her to her new post. At times, she was depressed. Other times, she couldn’t stop thinking about kamagra for sale melbourne all she had endured.

She sometimes cried without provocation and struggled to stop crying once she had started. On advice of her fiancé, she booked an appointment with a naval physician. During her appointment, Nurse Still told the physician she had been kamagra for sale melbourne a prisoner of war for more than three years, and asked for a medical discharge based on the trauma she was experiencing.

The doctor asked when Nurse Still was liberated. The date was the same as the raising of the flag at Iwo Jima. The physician said those men were kamagra for sale melbourne heroes, but Nurse Still was a woman and a nurse, and therefore, did not suffer.

Denied treatment, Nurse Still left the appointment shaking. She vowed she would keep her pain to herself. The Navy nurses weren’t the only medical care providers taken prisoner kamagra for sale melbourne during WWII.

Sixty-six U.S. Army nurses as well as hundreds of physicians, pharmacists, and medical assistants were also held captive in the South Pacific. But at the end kamagra for sale melbourne of the war, as the U.S.

Prepared to welcome home millions of men and women who served their country, mental health treatment was limited — and reserved for men. Nurses, it was assumed, did not suffer. At the kamagra for sale melbourne time, the U.S.

Military was the largest employer of nurses, and it had established an expected code of silence regarding how nurses responded to their own trauma. In 1947, an article in the American Journal of Psychiatry claimed a military hospital was a controlled environment that insulated nurses from the brutality of war. The study’s author kamagra for sale melbourne claimed that nurses’ mental health needs were “less complex,” and that nursing fulfilled women by catering to their natural instinct to care for men.

€œThey were supplying a service which gratified the passive needs of men. And which identified these women with the mother, the wife, or the sweetheart back home.”Many nurses, including Nurse Still, responded to the lack of mental health treatment by leaving both the military and nursing. The late 1940s saw a shortage in nurses at time when hospital admissions rose by 26 kamagra for sale melbourne percent.

The shortage persisted until the late 1960s when wages began to increase.After three years as POWs, the Navy nurses were liberated in 1945. Here, they speak with Admiral Thomas C. Kinkaid after their release, and are shown next kamagra for sale melbourne to the aircraft that brought them from the South Pacific to Hawaii.

(Credit. U.S. Navy Bureau of Medicine and Surgery)A Looming Crisis The erectile dysfunction treatment kamagra kamagra for sale melbourne has meant that for the first time since WWII, the vast majority of U.S.

Nurses are embroiled in fighting a common enemy. It’s a demanding and emotional battle that advocates say adds a deeper stress to an already taxing job.Across the country, nurses have been caring for patients dying from erectile dysfunction treatment who do not have the support of family at their bedside due to visitor restrictions. €œThe nurses kamagra for sale melbourne are often the ones who are serving as the loved one and helping the patient navigate the end-of-life journey,” says Holly Carpenter, a senior policy advisor with the American Nurses Association.

In addition to caring for dying erectile dysfunction treatment patients, Carpenter says, many nurses were not properly equipped at the height of the kamagra with the personal protection equipment needed to avoid . These nurses lived in fear of being infected or transmitting the kamagra to loved ones at home. And on top of kamagra for sale melbourne these stressors, nurses are also still coping with the usual demands of the job.

€œThere are the things that have always been there — long shifts, sometimes mandatory overtime, a workload that’s heavier than you’re comfortable with, having to work through breaks or lunchtime, having to come in early and stay late,” Carpenter says. Prior to the kamagra, studies estimated that as many as half of critical-care nurses experienced post-traumatic stress disorder (PTSD). Since the kamagra began, researchers have kamagra for sale melbourne found the crisis has amplified symptoms of mental health problems.

A 2020 study in General Hospital Psychiatry found that 64 percent of nurses in a New York City medical center reported experiencing acute stress. €œAcute stress included symptoms like nightmares, inability to stop thinking about erectile dysfunction treatment, and feeling numb, detached, and on guard,” says study leader Marwah Abdalla, a clinical cardiologist and assistant professor of medicine at Columbia University Medical Center. €œThis is concerning kamagra for sale melbourne.

We know that if these symptoms persist for more than a month, it can lead to PTSD.” Some nurses experienced PTSD before erectile dysfunction treatment, but the conditions of the kamagra have amplified mental health problems. (Credit. Eldar Nurkovic/Shutterstock)A person is diagnosed with PTSD if they meet criteria outlined by the DSM-5, the psychiatric kamagra for sale melbourne profession’s official manual.

Criteria include experiencing, witnessing or learning about a traumatic event (such as death, serious injury, or sexual violence). Intrusive symptoms like dreams and flashbacks. Avoidance of kamagra for sale melbourne reminders of the event.

Negative changes in thoughts and moods. And behavioral changes. A person can also develop PTSD if they are repeatedly exposed to details of a traumatic event kamagra for sale melbourne.

Suffering from undiagnosed or untreated PTSD is a life-altering condition with diverse ramifications, and may lead a nurse to leave health care. €œWe’re potentially setting up an occupational health care crisis,” Abdalla says. €œThis has long-term implications for the health care industry and our ability to deliver adequate kamagra for sale melbourne health care for our patients.” Carpenter says health care organizations must be proactive with screening nurses for symptoms related to anxiety, depression, and PTSD.

Such screenings must be confidential and come with the assurance that a nurse’s license or job will not be compromised. Organizations also need to work to destigmatize mental health diagnosis and treatment. €œHistorically, nurses are always kamagra for sale melbourne looked upon as the healers and the helpers,” Carpenter says.

€œThey feel they need to be strong for other people. What do you do when the hero needs help?. €For Nurse kamagra for sale melbourne Still, help never came.

She left the Navy and nursing, married, and had three children. She returned to nursing in the late 1950s after her husband died suddenly and she needed to support her family.Only in the 1990s did she begin speaking about her experiences in interviews with oral historians and documentary producers. She also wrote a memoir, but kept the story light and did not disclose her extensive suffering.The profession has advanced kamagra for sale melbourne since Nurse Still’s 1940s appeal for mental health support was rejected.

€œWe do recognize the full PTSD, compassion fatigue, and burnout of nurses. It’s been chronicled now and we understand it,” Carpenter says. Now the challenge kamagra for sale melbourne is encouraging each nurse to seek and receive help.

Otherwise, advocates warn, their health and wellbeing will continue to decline, and history may repeat as stressed nurses leave a strained profession. Emilie Le Beau Lucchesi is a journalist in the Chicago area and the author of This is Really War. The Incredible True Story of a Navy Nurse kamagra for sale melbourne POW in the Occupied Philippines.It’s pretty obvious when a dog is sad.

It might whine or whimper, knit its brow, or turn its big, imploring eyes upward at you. But it would be another thing entirely to see a big tear rolling down your canine companion’s face.Animals simply don’t cry. Or at kamagra for sale melbourne least, they don’t shed emotional tears.

The only creatures who have evolved to do so, it turns out, are humans. We snivel at sad movies, well up at weddings and blink away hot tears of frustration during arguments. €œWe appear kamagra for sale melbourne to be the only animal that sheds tears for emotional reasons,” says Randolph Cornelius, a professor of psychological science at Vassar College in New York and an expert on human emotion.There are many theories on the evolution and purpose of emotional tears.

Experts even have a few ideas why animals — who do experience emotions — don’t weep like we do. But why we evolved to eject liquid out of our eyes as a signal of distress, rather than some other reaction, is still far from settled.The Biology of CryingFrom a biological perspective, there are three types of tears. One is basal tears, which our eyes kamagra for sale melbourne create automatically to lubricate and clean our eyes.

These come from our accessory lacrimal glands, located under the eyelids. Then there are reflex tears, which you’re likely acquainted with if you’ve ever cut an onion or been poked in the eye. The third is emotional tears — the only kamagra for sale melbourne variety that we can control, to some extent.

These latter two types come from lacrimal glands on the upper outside of our eye sockets.“One argument is that [emotional crying] is almost like an emotional reflex as opposed to just a physical reflex,” says Marc Baker, a teaching fellow at the University of Portsmouth in England who researches adult emotional crying.Indeed, some have hypothesized that the purpose of crying is itself just another biological function. For example, biochemist William Frey theorized in the 1980s that crying balances levels of hormones in our body to relieve stress. He also suggested that crying clears our body of toxins, though kamagra for sale melbourne subsequent studies have largely disproven this.

English naturalist Charles Darwin, the father of evolution, believed children cried to experience physical relief from negative emotions.In these theories, crying is something that restores us to equilibrium. It is the idea of crying as catharsis, or a way to calm ourselves in times of distress. After all, it’s not unusual for people to report feeling better after “a good cry” — but that relief may be coming from unexpected places.The Psychology of CryingPerhaps the most compelling explanation for tearful crying is that it is driven by kamagra for sale melbourne our social needs.

Crying is a distinct visual signal that something is wrong. In an instant, it communicates that someone might need help. When others attend to the crier, it contributes to a collaborative social environment that is highly kamagra for sale melbourne complex in humans.Inquiries by Cornelius support this theory of tears as a quick and effective social signal.

In a number of studies, he and colleagues showed photographs of faces to participants (under the guise of another purpose) and asked them to interpret the emotion. In some of the photos, people were crying real tears. In others, they had been digitally removed.When shown the pictures with tears, almost every participant kamagra for sale melbourne labelled the emotion as sadness or grief.

Tear-free crying faces, on the other hand, were confusing. €œWithout the tears, the emotion almost disappears,” Cornelius says. €œTheir judgments of the emotion kamagra for sale melbourne don't tend to cluster around the ‘sad’ family of emotions — they're all over the place.

And in fact, some people say there's no emotion there at all.”This indicated that crying is a strong signal to others of our immediate emotional state. It’s hard to fake real tears. And as researchers of crying can attest, it’s hard to induce genuine emotional crying in a lab setting — one of the reasons it’s challenging to study.Solving an kamagra for sale melbourne Evolutionary MysteryFrom an evolutionary perspective, some of our physiological reactions have a clear purpose.

It makes sense that we sweat when overheated, raise our voices when angry or tense up in fear. But at a distance, our tearful tendencies are just plain weird. Someone showing an alien around Earth would have to explain that when humans (and only humans) feel distress or even overwhelming happiness, their faces get slightly wet and puffy.Animals do have lacrimal glands, which they use for reflex tears kamagra for sale melbourne.

But in humans, something seems to have changed somewhere along the way. What started as distress calls that many animals make became connected with the production of tears, and experts still aren’t sure why. €œThere’s no answer, sorry,” Baker says kamagra for sale melbourne.

But there are a few theories.Clinical psychologist Ad Vingerhoets has suggested that crying might have been more advantageous than other kinds of noises because it suggests submissiveness and harmlessness to would-be predators, who might then reduce their aggression. But that still doesn’t explain the tears themselves or why animals wouldn’t benefit from them in the same way.For that, researchers point toward other, seemingly unrelated hallmarks of human physiology and development that could have led to tears. For one, we walk upright — unlike bears and wolves, who, in their position closer to the ground, rely kamagra for sale melbourne mostly on smells to signal distress.

Perhaps partially because of this, we rely heavily on visual cues to communicate in social situations. €œFrom a kind purchase kamagra of evolutionary perspective, it makes sense that lots of our signals become visual signals, because we are just quite visual animals,” Baker says. We also position ourselves forward kamagra for sale melbourne.

Our faces, then, developed to become the most complex in the animal kingdom — especially on the top half of our face. €œOur kind of facial expressions far exceed almost every other animal, especially around the eyes,” he says. €œWe can do much more with the top half of our face.”An intricate facial musculature arose, and with it, machinery kamagra for sale melbourne that could induce crying.

Asmir Gračanin, a professor of psychology at the University of Rijeka in Croatia, and colleagues theorized that the orbicularis oculi muscle may have evolved along with our hyper-expressive faces. This eye socket muscle could have squeezed the corneal sensory nerves that trigger the production of tears by the lacrimal gland and proved advantageous to human babies as a call for immediate help.This also fits in with the uniqueness of human babies, who are much more helpless than other baby animals that come out of the womb ready to walk and perform other basic functions. Human babies need more help, cry for assistance and comfort, and then (largely) grow out of kamagra for sale melbourne crying as adults.But adults still do cry emotional tears — in sadness, happiness, awe or frustration.

€œIt's kind of what makes us human, almost,” says Baker, “[our] ability to share emotions very silently, with a small drop of saline solution from the eye.”The introduction of the contraceptive pill in the 1960s spurred a landmark moment for women, liberating many from the home and propelling them into the world. But this excitement overshadowed the side effects and hazards associated with the pill, which we now know may include a slightly increased risk of breast cancer.“A lot of women are unaware of the cancer risk associated with hormonal birth control because the advent of the pill freed up the lives of women to enter the workforce more effectively,” says Beverly Strassmann, a human evolutionary biologist at the University of Michigan. When radically altering the body with synthetic hormones, you can’t assume there won’t be kamagra for sale melbourne side effects, she says.

But the field hasn’t made significant progress, partly because contraceptives have provided women with tangible benefits. Sixty years on, pharmaceutical companies are still “resting on their laurels” and need to better evaluate the association between hormonal birth control and cancer, she adds. Research has also linked the pill to depression, decreased sexual desire, anxiety and an altered ability to kamagra for sale melbourne form emotional memories.

Most physicians, however, still don’t closely follow research investigating the links between hormonal birth control and its psychological side effects, says evolutionary psychologist Sarah Hill, author of How the Pill Changes Everything. Your Brain on Birth Control. €œMost medication doesn’t look at the full spectrum of side effects in the way people experience kamagra for sale melbourne the world.

It’s not even in physicians’ peripheral vision,” Hill says. But women want the next birth control revolution. Younger women especially seek non-hormonal options, Hill says kamagra for sale melbourne.

€œA lot of women aren’t being served, and many are on the pill even though they don’t love it — their standards are low because there’s so few good options,” she says. In recent years, contraception apps have attracted a rise in users, which may suggest that many women no longer tolerate the impacts of hormonal birth control on their bodies. But these apps have faced criticism kamagra for sale melbourne over their efficacy.

A New Kind of PillAnother possibility. A non-hormonal pill. Now, University of Connecticut physiologist and geneticist Jianjun Sun is wading through the unknowns to formulate it.“We know that, in humans, kamagra for sale melbourne the ovulation process is triggered by a hormone surge, but how the egg is released is very precise.

The menstrual cycle is very tightly controlled and there are a lot of unknowns in this area,” he says. Sun does know that when a person ovulates, an egg that’s contained within a follicle bursts out of the ovary and sets off down the fallopian tube, where it can be fertilized. He’s hoping to formulate a drug kamagra for sale melbourne that stops the follicle from rupturing and releasing the egg.

Shutting off ovulation isn’t a new concept — hormonal contraception does this by tricking the body into thinking users aren’t pregnant. But he seeks a new way to halt egg release without the use of synthetic hormones. Crucially, Sun has devised a way to analyze different compounds without relying on human subjects (which kamagra for sale melbourne would complicate the process).

He realized that fruit flies ovulate in a similar way to people, and the fly’s ovulation process resembles that within mice. As this research took off, the Gates Foundation had begun supporting scientists developing non-hormonal contraceptives. The organization has kamagra for sale melbourne funded Sun to test compounds on flies.

Now, Sun is screening up to 500 compounds daily to see which ones prevent follicles from rupturing and releasing eggs. €œThe Gates are very excited now. They’re trying to get us to find the target, then we can kamagra for sale melbourne study this target using genetic tools,” he says.

Researchers could test the drug in humans eventually, Sun says. Unlike hormonal pills, users wouldn’t need to take it daily. To inhibit ovulation, you only need to take it for a week or so before the process begins.While this sounds tempting, many people don’t know when exactly they ovulate — and only 10 to 15 percent of women experience 28-day cycles kamagra for sale melbourne.

And because the drug concept is so new, researchers aren’t sure what dosing might look like. €œIt’s still hypothetical in terms of how to use contraceptives targeting ovulation, since there’s no products on the market,” Sun says. A Dearth of ResearchDespite the many unknowns, experts seem receptive to any new research in hormonal birth kamagra for sale melbourne control alternatives.

In recent years, few studies have taken on this challenge.Hormonal contraceptives dominate at a time when, researchers argue, scientific and technological advances bring unprecedented opportunities for new drugs across medical fields. If Sun’s research is fruitful, it could attract more funding for other researchers working on these alternatives, says Bethan Swift, a PhD student at the University of Oxford who studies the epidemiology of women’s health. €œOne big barrier to developing new contraception is that existing options work,” Swift says, “So kamagra for sale melbourne there’s little demand from the pharmaceutical industry to put money into creating new compounds.” This shortage of funds places significant pressure on Sun.

The Gates Foundation hopes that at least one drug will hit the market by 2026, he says. But the bar for birth control approval is uniquely high. Because it isn’t meant to alleviate an illness, possible side effects may not be worth the trade-off versus, for example, kamagra for sale melbourne cancer treatments.

It will probably take between five and 10 years before a new drug is available, Sun says. “Developing new contraception isn’t easy because they’re going to healthy women, unlike other drugs, where it’s more accepted that there will be side effects,” Sun says. The final drug will likely cause some side effects, but fewer than kamagra for sale melbourne hormone-based contraceptives, he notes.

However, Hill is concerned that the end product could still affect the body’s natural hormone levels.Our bodies produce most sex hormones via ovulation, and high levels of estrogen propel monthly egg maturation. After an egg is released, the empty follicle releases progesterone — so levels would fall fairly low if you prevent ovulation, she says. €œStopping ovulation sounds perfect, but if you understand that’s how the body makes hormones, you’d realize it’s not a panacea.”This article contains kamagra for sale melbourne affiliate links to products.

Discover may receive a commission for purchases made through these links.Did you know that sleeping in a zero-gravity position may help alleviate symptoms from improve sleep disorders, relieve neck and back pain, and allow for better circulation and heart health?. An adjustable bed frame allows you to place your body in a zero-gravity position to enjoy all of these benefits and more as you sleep comfortably with optimal support throughout the night. If you’ve kamagra for sale melbourne been considering getting an adjustable bed, you’re not alone.

Many individuals are making the switch to enhance their comfort, improve their health, and, of course, to enjoy more restful sleep. Deciding which adjustable bed frame is right for you can be challenging. The market is overflowing with options, kamagra for sale melbourne and sorting through all these choices can be overwhelming.

Fortunately, our best adjustable beds reviews below can help you focus your search, narrow down your choices, and select the right model to help you mitigate sleep disorders, to sleep more comfortably, and to wake up feeling more rested. What is Zero Gravity?. Zero gravity refers to a specific position where the body is kamagra for sale melbourne a state of weightlessness.

NASA actually developed this term for astronauts to help them find the ideal position to keep their weight balanced and neutralized as they flew into space. Being in a zero-gravity position prevents gravity from affecting your body, which means that nothing is pulling your body down. Your body is in a zero-gravity kamagra for sale melbourne position when.

When your body is in the zero-gravity position, it should look like a V shape. This alignment helps ensure that your weight is distributed evenly. As you can imagine, sleeping in this V-shaped position on a standard bed frame isn’t possible kamagra for sale melbourne.

However, adjustable bed frames enable you to sleep in a zero-gravity position and prevent your body’s weight from placing pressure on your hips, spine, and other joints. Sleeping in a zero-gravity position offers a myriad of benefits. We’ll explore these kamagra for sale melbourne benefits in the next section.

Benefits of Sleeping in a Zero-Gravity Position with an Adjustable Bed Frame Adjustable beds have been used in hospitals for over a century due to their ability to properly position patients to facilitate recovery and reduce complications from surgeries and other medical procedures. If adjustable beds can protect the health of patients in a hospital, then it seems like a logical conclusion that they can also offer health benefits for individuals who use them at home. Indeed, there are many ways switching to an adjustable bed frame and sleeping in a zero-gravity position kamagra for sale melbourne can benefit your health.

These include. While some individuals snore every night, others are more prone to it only when they are congested. Adjustable beds can also kamagra for sale melbourne help reduce snoring caused by congestion because keeping the head elevated can allow the sinuses to drain.

Reduced sleep apnea. An adjustable bed may also reduce sleep apnea symptoms. Sleep apnea, which occurs when an individual stops breathing during sleep, is also sometimes the result of an obstructed airway kamagra for sale melbourne.

Elevating the head may open up the airway enough to prevent or lessen sleep apnea, allowing individuals get more restful sleep. Relief from neck, back, and joint pain. Sleeping in a zero-gravity position can significantly increase your kamagra for sale melbourne comfort and reduce your pain.

The reason for this benefit is that when you’re in the zero-gravity position, your weight is evenly distributed. This improved distribution of weight takes the pressure of your back, neck, and joints, which is often the main cause of pain. Laying on a flat mattress, on the other hand, does not allow kamagra for sale melbourne your weight to be evenly distributed.

This places unnecessary pressure on the spinal column and can result in a significant pain and discomfort. Adjustable beds may provide relief from pain caused from sciatica, fibromyalgia, arthritis, scoliosis, and other conditions. Improved circulation kamagra for sale melbourne.

Sleeping in a zero-gravity position allows more blood to flow to the heart. This increase of blood flow reaching the heart makes its muscles work harder to pump that blood throughout the body. Increased blood circulation can improve the overall health of your kamagra for sale melbourne heart and other vital organs.

Decreased swelling. Another benefit of improved circulation is decreased swelling. When the body lays flat, blood and other fluids may accumulate the in kamagra for sale melbourne the lower body since the heart isn’t able to keep blood flowing effectively.

This can result in inflammation or swelling. However, with the increased blood flow that results from sleeping in a zero-gravity position, fluids won’t accumulate in the extremities, and swelling may be reduced. Improved kamagra for sale melbourne digestion.

Digestion can also be improved by sleeping on an adjustable bed frame. Sleeping flat can make it more difficult for the body to digest food properly. Sleeping flat can also aggravate acid reflux, heartburn, kamagra for sale melbourne and GERD (gastroesophageal reflux disease.

Elevating the head about six inches can reduce these symptoms. This position removes pressure from the digestive track and makes it more difficult for stomach acids to go up into the throat. Better breathing kamagra for sale melbourne.

When you sleep in the zero-gravity position, the pressure placed on your lungs and airway is reduced. As a result, your body can breathe more easily and can limit the impact asthma, allergies, and congestion can have on your sleep. Best Adjustable Bed Reviews Whether you’re looking for the best split king adjustable bed reviews or the best adjustable twin, queen, or full bed frames, we have kamagra for sale melbourne you covered.

We have selected some of the top models currently available that will help you stay comfortable while you sleep and will enable you to enjoy the benefits described above. Read on to discover which adjustable bed frame is right for you. GhostBed Adjustable Base If you’re looking kamagra for sale melbourne for an adjustable bed frame with luxury features for a budget-friendly price, consider the GhostBed Adjustable Base.

This fully-adjustable frame allows you to customize your position for ultimate comfort. The fully adjustable head and foot sections allow for an unlimited number of options, including a zero-gravity position. This bed frame also offers 15 head and foot massage kamagra for sale melbourne modes to deliver additional comfort and relaxation.

Furthermore, it is equipped with two USB ports on each side to allow for easy charging and convenient access to electronic devices. Under-bed LED lights are also integrated into the design to provide soft lighting if you wake up in the middle of the night. The included backlit remote makes it easy to adjust the bed to the ideal position for sleeping or kamagra for sale melbourne relaxing.

Use the foot and head up/down buttons to move the frame to the exact position you desire. The remote can also save your favorite position for sleeping and return you to it with just a press of a button. Additionally, kamagra for sale melbourne the remote offers preset positions for zero-gravity, watching TV, and lounging.

With the remote, you can even control the under-bed lighting and turn on the head or foot massage and adjust their intensity. The GhostBed Adjustable Base features a sturdy steel frame. It also has a retainer kamagra for sale melbourne bar and non-skid surface to ensure the mattress stays in place.

This adjustable bed frame is available in twin XL, queen, and split king sizes. Split king adjustable beds offer the added benefit of allowing each partner to customize their own position. All orders kamagra for sale melbourne include free shipping and a limited lifetime warranty.

Puffy Adjustable Base Premium The Adjustable Base Premium from Puffy Sleep is another top contender when you’re looking for the best adjustable bed frame. The head on this model adjusts up to 60 degrees and the legs adjust up to 45 degrees to help each individual find their most comfortable sleeping position. The kamagra for sale melbourne adjustable bed frame from Puffy Sleep is available in twin, twin XL, full, queen, king, and split-king sizes.

Use the included remote to customize your position whether reading a book in bed, watching TV, or drifting off to dreamland. The remote also has a memory feature that can save your favorite position. Some kamagra for sale melbourne of the other remote settings include zero gravity, watching TV, and anti-snore.

Puffy Sleep has some of the best split king adjustable beds reviews. With the split king adjustable frame, you and a partner can each set the bed to the position that is most comfortable for you. This can help ensure that kamagra for sale melbourne each of you get the restorative sleep that need.

For a nominal additional fee, you can upgrade the Puffy Sleep Adjustable Base to include head and food massage features and dual USB ports for charging electronic devices. This adjustable frame is constructed from coated metal for lasting durability. Each purchase is protected by a kamagra for sale melbourne 10-year warranty and includes free shipping.

Layla Adjustable Base Plus This motorized and fully adjustable base from Layla Sleep also has a lot to offer users. It is available in twin XL, queen, king, and split king sizes. A wireless remote is included with the frame for kamagra for sale melbourne easy operation.

The remote includes preset buttons for moving the frame to zero-gravity, anti-snore, or flat positions. You can also set the remote to remember up to three of your preferred positions. A mobile app is kamagra for sale melbourne available for controlling the bed frame with a smartphone or tablet, and the frame is even compatible with Amazon’s Alexa and the Google Assistant for voice command operations.

Layla Sleep incorporated some upgraded features into the design of this frame. The frame features dual-zone vibrating massage motors at the head and foot of the frame. There are three massage intensities to choose from, as well as an kamagra for sale melbourne auto-shutoff timer to stop the vibrations at a set time.

Each side of the frame features two ports to keep your devices charged and within easy reach. Some of the other notable features of this adjustable bed frame include the under-bed lighting and wall-hugging technology that keeps the head of the bed at the same distance from the wall regardless of the incline angle. Layla Sleep backs this bed frame with a kamagra for sale melbourne 10-year warranty.

They also offer free-shipping and a 30-night money-back guarantee. Sweet Night Tranquil Adjustable Bed Frame Last, but certainly not least, we also think you’ll love the Tranquil Adjustable Bed Frame from Sweet Night. Available in twin XL, full, queen, and split California king sizes, this bed frame kamagra for sale melbourne delivers the ability to tailor your position for enhanced comfort.

Adjust the head incline between 0 and 60 degrees and the foot incline between 0 and 40 degrees for a nearly endless number of positioning options. The Tranquil Adjustable Bed Frame from Sweet Night can be controlled using the included wireless remote or with an app on your smartphone or tablet. Use the remote or app to adjust the head and foot inclines or to select one of kamagra for sale melbourne the preset positions including anti-snore, zero gravity, watching TV, or lying down flat.

In addition to allowing you to adjust your position, this bed frame includes some other helpful and impressive features. Each side of the frame offers dual USB ports for charging your phone, tablet, or other devices. There is also a pocket on each side to hold a kamagra for sale melbourne smartphone and keep it within easy reach.

Remote-controlled LED under-bed lights, provide low lighting if needed at night or in the morning. The frame is made using a sturdy aluminum alloy that can support up to 705 pounds. All orders include free shipping and kamagra for sale melbourne free returns.

Adjustable Bed Frame Buying Guide If you’re interested in taking advantage of all the benefits associated with using an adjustable bed frame, it is imperative to note that each model is slightly different. There are a number of important considerations to keep in mind as you shop for an adjustable bed frame. Read through our buying guide below to learn more about these considerations kamagra for sale melbourne and choose the best adjustable bed frame to match your needs.

Mattress Compatibility If you’re planning to use your existing mattress, the first thing you should do is to confirm compatibility. Most adjustable bed frames are designed to be compatible with different mattress brands, but some manufacturers recommend only using their mattresses on their proprietary frames. Keep in mind kamagra for sale melbourne that most innerspring mattresses are too inflexible to work well with an adjustable frame.

Hybrid, foam, or latex mattresses are more flexible and will work best. Size After determining if your current mattress is compatible with the bed frame or if you need to purchase a new mattress with your new bed frame, then you will need to evaluate if each model is available in your desired sire. Obviously, the bed frame must match the size of the mattress you are planning to use kamagra for sale melbourne on it, so you won’t want to waste your time looking at a model that isn’t even available in your preferred size.

Settings and Operation Before making a purchase, look at the range of motion of each bed frame. Some adjustable bed frames offer more adjustability than others. This flexibility, or kamagra for sale melbourne lack of it, could certainly make one model more appealing than another.

The head can often be elevated between 60 and 80 degrees, while the range of motion for the lower portion of the mattress is typically between 30 and 40 degrees. If there is a specific angle you’d prefer, then confirm it is possible with each bed frame you’re considering. Next, look at how easy it will be to adjust the kamagra for sale melbourne bed frame.

Does it include a remote control?. Are there any preset positions or memory features?. Can you download an app to control the bed frame using a smart kamagra for sale melbourne device?.

Additional Features Some manufacturers include additional features to make their adjustable bed frames more user-friendly. These features may include heat and massage functions, under-bed lighting, USB charging ports, and built-in speakers. If any of these features are important to you, look for a manufacturer that integrates them into their design of kamagra for sale melbourne their adjustable bed frame.

Frequently Asked Questions Can you use a regular mattress on an adjustable bed frame?. Yes, most regular mattresses can be used on an adjustable bed frame. Many frames are compatible with latex, foam, and hybrid mattresses.

Unfortunately, most innerspring mattresses are too rigid to move with an adjustable frame. What is a split king adjustable bed?. Split king adjustable beds allow the right and left sides to adjust independently of one another.

This means that each partner can elevate their head and feet to their exact comfort level without needing to make compromises with their partner. Are adjustable beds worth the additional cost?. This is a personal question that will come down to your priorities and financial situation.

Many people find that adjustable beds are worth the additional cost due to how much better they sleep and all the other health benefits they offer, such as reduced back and neck pain, better circulation, decreased swelling, and improved digestion. Split king adjustable beds can be particularly beneficial for partners who prefer different sleeping positions or who are facing different health issues. With a split king adjustable bed, each partner can independently adjust their own side of the bed.

How can you get into a zero-gravity position with an adjustable bed?. You need to elevate your legs and feet to a higher level than your head and your heart to achieve a zero-gravity position. This position alleviates pressure placed on your joints to relieve back pain and is also beneficial for improving the body’s circulation.

How do you keep sheets on an adjustable bed?. When shopping for sheets for an adjustable bed, the first thing to do is to check the depth of the mattress and confirm that the pocket-depth of the fitted sheet is sufficient for a proper fit. Choosing a sheet that is not deep enough for your mattress will almost certainly cause the corners to slip off as the bed adjusts.

When making the bed, tuck the edges of the flat sheet under the mattress. You can also find some flat sheets that include corner straps. These corner straps grip on to the fitted sheet and will help ensure that the flat sheet stays in place.

If these ideas still don’t work, sheet suspenders are another option. A sheet suspender is a large band designed to ensure a flat sheet doesn’t slip off a mattress..

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SILDENAFIL CITRATE is used to treat erection problems in men. Kamagra® is produced by Ajanta Pharma (India) in a GMP certified facility approved by Indian FDA.

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Universal HIV test-and-treat intervention in African correctional settingsWhile people the kamagra store who are incarcerated have a higher have a peek at this site burden of HIV and other STIs, delivering sexual health services in correctional settings is difficult. A mixed methods cohort study examined the implementation of a universal test-and-treat intervention at 10 correctional units (6 for men, 3 for women, 1 for youth) in South Africa and Zambia. Same-day anti-retroviral therapy (ART) initiation, training and support, ensuring ART supply, the kamagra store and viral load monitoring were evaluated among 975 inmates living with HIV. Median time from enrolment to ART initiation was 0 days (IQR 0–8) and the proportion of people retained in care with viral load monitoring was high (94%, 327/346) among those still incarcerated at 6 months. This study demonstrates the kamagra store the feasibility of implementing comprehensive HIV interventions in selected settings.Herce ME, Hoffmann CJ, Fielding K, et al.

Universal test-and-treat in Zambian and South African correctional facilities. A multisite prospective cohort study (published online ahead the kamagra store of print, 2020 Aug 4). Lancet HIV. 2020;S2352-3018(20)30188-0. Doi:10.1016/S2352-3018(20)30188-0Therapeutic HIV treatment sheds light on HIV remission in humansART does not eliminate the HIV reservoir completely, suggesting the need for innovative therapies to achieve HIV remission.

Several HIV remission studies have focused on people with acute HIV who have a smaller reservoir. A double-blind two-arm placebo-controlled randomised controlled trial of 27 people with acute HIV in Thailand gave a modified vaccinia therapeutic treatment to examine safety and duration of viraemic control after treatment interruption. The treatment was well tolerated and created strong immune responses. However, time to viral rebound was only moderately increased in the treatment group (median 21 days, range 8–44 days) compared with the placebo group (15 days, range 10–164 days). Further research is needed to inform future study designs in HIV remission research.Colby DJ, Sarnecki M, Barouch DH, et al.

Safety and immunogenicity of Ad26 and MVA treatments in acutely treated HIV and effect on viral rebound after antiretroviral therapy interruption. Nat Med. 2020;26(4):498–501. Doi:10.1038/s41591-020-0774-yPharyngeal gonorrhoea testing among heterosexual menAlthough pharyngeal gonorrhoea testing is no longer recommended in the UK for heterosexual men with urethral or those who are known contacts, one sexual health service continued this practice, testing 232 heterosexual men over 2 years. Of those with urethral gonorrhoea, 33% (35/106) tested positive for pharyngeal gonorrhoea, including one who retained pharyngeal positivity after treatment that cleared the urethral .

Among asymptomatic contacts, 20% (17/86) had pharyngeal , the majority of whom (10/17) did not have concurrent urethral . Had pharyngeal testing not occurred in asymptomatic contacts, more than 10% of s would not have been diagnosed or treated, potentially leading to onward transmission through kissing or orogenital/rectal contact. These results indicate that pharyngeal testing is warranted and should be considered in future guidelines.Dresser M and Hussey J. (2020). Testing for pharyngeal gonorrhoea in heterosexual men.

Should we revisit national guidelines?. International Journal of STD &. AIDS, 31(6), 593–595.HIV risk behaviours, STI testing and PrEP uptake among Australian MSMThe HIV prevention landscape has significantly changed with the implementation of pre-exposure prophylaxis (PrEP), treatment as prevention programmes and campaigns to increase testing. To assess the impact of these strategies and determine prevalence of undiagnosed HIV, two large cross-sectional studies among men who have sex with men (MSM) were conducted in Sydney, Australia in 2014 (n=2222) and 2018 (n=2158). Prevalence of undiagnosed HIV was low (13.8% (2014) vs 5.3% (2018), ns).

HIV and STI testing increased significantly (from 49.6% to 56.3%, and from 61.7% to 69.2%, respectively), as did PrEP uptake (from 2.1% to 23.0%). However, in 2018, MSM were more likely to report behaviours associated with HIV/STI risk and past-year STI diagnosis. Results indicate that despite increasing risk behaviour, prevalence of undiagnosed HIV remains low suggesting the combined effectiveness of treatment and prevention strategies.Keen P, Lee E, Grulich AE, Prestage G, Guy R, Stoove MA,… and Duck T (2020). Sustained, low prevalence of undiagnosed HIV among gay and bisexual men in Sydney, Australia coincident with increased testing and pre-exposure prophylaxis use. Results from repeated, bio-behavioural studies 2014–2018.

JAIDS. Online ahead of print.Rapid gonorrhoea and chlamydia resultsRapid point-of-care (POC) tests for gonorrhoea and chlamydia could enable testing and treatment to occur in a single visit, reducing complications of untreated s, attendance burden and risk of onward transmission. In a prospective cross-sectional study, swabs from 1523 women and first catch urine from 922 men were tested by non-laboratory-trained staff using a POC assay and compared with laboratory assay results. Sensitivities and specificities for chlamydia and gonorrhoea using the POC test were greater than the target of 95% in both women and men, except for sensitivity of the chlamydia test in men (92.5%, 95% CI 86.4% to 96.0%). Further assessment of these tests is needed in rectal and oropharyngeal samples and cost-effectiveness analyses will be helpful to understand their utility.Van Der Pol B, Taylor SN, Mena L, et al.

Evaluation of the Performance of a Point-of-Care Test for Chlamydia and Gonorrhea. JAMA Netw Open. 2020;3(5):e204819. Published 2020 May 1. Doi:10.1001/jamanetworkopen.2020.4819Role of syphilis partner notification in ending the HIV epidemicSyphilis partner notification is an opportunity to case find newly diagnosed syphilis and HIV in known contacts.

A retrospective record review of 984 syphilis cases found that 1457 cases and partners received HIV/STI prevention counselling, 400 partners were tested and treated for STIs (including 63 new syphilis diagnoses) and 168 PrEP referrals were made. Three hundred and fifty-two partners were tested for HIV, 22 received new HIV diagnoses, 68% were retained in care and 60% were virally suppressed. Previously undiagnosed HIV positivity was 14% and 3.5% among partners of co-occurrent HIV and syphilis cases and among partners to HIV-negative cases, respectively. Partner notification for syphilis provides a key opportunity to deliver combination prevention with behavioural counselling for STIs and HIV, early testing and treatment.DiOrio D, Collins D, Hanley S. Ending the HIV Epidemic.

Contributions Resulting From Syphilis Partner Services. Sex Transm Dis. 2020;47(8):511–515. Doi:10.1097/OLQ.0000000000001201.

Universal HIV kamagra for sale melbourne test-and-treat intervention in African correctional settingsWhile people who are incarcerated have a higher burden of HIV and other STIs, delivering sexual health services in correctional settings is difficult. A mixed methods cohort study examined the implementation of a universal test-and-treat intervention at 10 correctional units (6 for men, 3 for women, 1 for youth) in South Africa and Zambia. Same-day anti-retroviral therapy kamagra for sale melbourne (ART) initiation, training and support, ensuring ART supply, and viral load monitoring were evaluated among 975 inmates living with HIV.

Median time from enrolment to ART initiation was 0 days (IQR 0–8) and the proportion of people retained in care with viral load monitoring was high (94%, 327/346) among those still incarcerated at 6 months. This study demonstrates kamagra for sale melbourne the feasibility of implementing comprehensive HIV interventions in selected settings.Herce ME, Hoffmann CJ, Fielding K, et al. Universal test-and-treat in Zambian and South African correctional facilities.

A multisite prospective cohort study (published online ahead of print, 2020 Aug 4) kamagra for sale melbourne. Lancet HIV. 2020;S2352-3018(20)30188-0.

Doi:10.1016/S2352-3018(20)30188-0Therapeutic HIV treatment sheds light on HIV remission in humansART does not eliminate the HIV reservoir completely, suggesting the need for innovative therapies to achieve HIV remission. Several HIV remission studies have focused on people with acute HIV who have a smaller reservoir. A double-blind two-arm placebo-controlled randomised controlled trial of 27 people with acute HIV in Thailand gave a modified vaccinia therapeutic treatment to examine safety and duration of viraemic control after treatment interruption.

The treatment was well tolerated and created strong immune responses. However, time to viral rebound was only moderately increased in the treatment group (median 21 days, range 8–44 days) compared with the placebo group (15 days, range 10–164 days). Further research is needed to inform future study designs in HIV remission research.Colby DJ, Sarnecki M, Barouch DH, et al.

Safety and immunogenicity of Ad26 and MVA treatments in acutely treated HIV and effect on viral rebound after antiretroviral therapy interruption. Nat Med. 2020;26(4):498–501.

Doi:10.1038/s41591-020-0774-yPharyngeal gonorrhoea testing among heterosexual menAlthough pharyngeal gonorrhoea testing is no longer recommended in the UK for heterosexual men with urethral or those who are known contacts, one sexual health service continued this practice, testing 232 heterosexual men over 2 years. Of those with urethral gonorrhoea, 33% (35/106) tested positive for pharyngeal gonorrhoea, including one who retained pharyngeal positivity after treatment that cleared the urethral . Among asymptomatic contacts, 20% (17/86) had pharyngeal , the majority of whom (10/17) did not have concurrent urethral .

Had pharyngeal testing not occurred in asymptomatic contacts, more than 10% of s would not have been diagnosed or treated, potentially leading to onward transmission through kissing or orogenital/rectal contact. These results indicate that pharyngeal testing is warranted and should be considered in future guidelines.Dresser M and Hussey J. (2020).

Testing for pharyngeal gonorrhoea in heterosexual men. Should we revisit national guidelines?. International Journal of STD &.

AIDS, 31(6), 593–595.HIV risk behaviours, STI testing and PrEP uptake among Australian MSMThe HIV prevention landscape has significantly changed with the implementation of pre-exposure prophylaxis (PrEP), treatment as prevention programmes and campaigns to increase testing. To assess the impact of these strategies and determine prevalence of undiagnosed HIV, two large cross-sectional studies among men who have sex with men (MSM) were conducted in Sydney, Australia in 2014 (n=2222) and 2018 (n=2158). Prevalence of undiagnosed HIV was low (13.8% (2014) vs 5.3% (2018), ns).

HIV and STI testing increased significantly (from 49.6% to 56.3%, and from 61.7% to 69.2%, respectively), as did PrEP uptake (from 2.1% to 23.0%). However, in 2018, MSM were more likely to report behaviours associated with HIV/STI risk and past-year STI diagnosis. Results indicate that despite increasing risk behaviour, prevalence of undiagnosed HIV remains low suggesting the combined effectiveness of treatment and prevention strategies.Keen P, Lee E, Grulich AE, Prestage G, Guy R, Stoove MA,… and Duck T (2020).

Sustained, low prevalence of undiagnosed HIV among gay and bisexual men in Sydney, Australia coincident with increased testing and pre-exposure prophylaxis use. Results from repeated, bio-behavioural studies 2014–2018. JAIDS.

Online ahead of print.Rapid gonorrhoea and chlamydia resultsRapid point-of-care (POC) tests for gonorrhoea and chlamydia could enable testing and treatment to occur in a single visit, reducing complications of untreated s, attendance burden and risk of onward transmission. In a prospective cross-sectional study, swabs from 1523 women and first catch urine from 922 men were tested by non-laboratory-trained staff using a POC assay and compared with laboratory assay results. Sensitivities and specificities for chlamydia and gonorrhoea using the POC test were greater than the target of 95% in both women and men, except for sensitivity of the chlamydia test in men (92.5%, 95% CI 86.4% to 96.0%).

Further assessment of these tests is needed in rectal and oropharyngeal samples and cost-effectiveness analyses will be helpful to understand their utility.Van Der Pol B, Taylor SN, Mena L, et al. Evaluation of the Performance of a Point-of-Care Test for Chlamydia and Gonorrhea. JAMA Netw Open.

2020;3(5):e204819. Published 2020 May 1. Doi:10.1001/jamanetworkopen.2020.4819Role of syphilis partner notification in ending the HIV epidemicSyphilis partner notification is an opportunity to case find newly diagnosed syphilis and HIV in known contacts.

A retrospective record review of 984 syphilis cases found that 1457 cases and partners received HIV/STI prevention counselling, 400 partners were tested and treated for STIs (including 63 new syphilis diagnoses) and 168 PrEP referrals were made. Three hundred and fifty-two partners were tested for HIV, 22 received new HIV diagnoses, 68% were retained in care and 60% were virally suppressed. Previously undiagnosed HIV positivity was 14% and 3.5% among partners of co-occurrent HIV and syphilis cases and among partners to HIV-negative cases, respectively.

Partner notification for syphilis provides a key opportunity to deliver combination prevention with behavioural counselling for STIs and HIV, early testing and treatment.DiOrio D, Collins D, Hanley S. Ending the HIV Epidemic. Contributions Resulting From Syphilis Partner Services.

Sex Transm Dis. 2020;47(8):511–515. Doi:10.1097/OLQ.0000000000001201.

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