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North Borneo Railway is the oldest running steam train in Sabah and Borneo. The nostalgic romance of an old steam train relives memories of a bygone era. Passing through villages and coastal towns, paddy fields, rainforests and plantations of rubber and coffee, a ride on North Borneo Railway is truly a journey of rediscovery into the heart of Borneo.
The North Borneo Railway is a joint venture project between Sutera Harbour Resort and the Sabah State Railway Department (Jabatan Keretapi Negeri Sabah), signifying a historical collaboration between the private sector and the state government. The primary goals of the project are to enhance existing infrastructure as well as help in efforts to promote Sabah as a destination for domestic and international tourism. The North Borneo Railway was officially launched on 22nd January 2000 in honour of Kota Kinabalu achieving city status on 2nd February 2000.
The North Borneo Railway offers passengers an opportunity to experience the bygone era of British North Borneo while transporting passengers along the lifeline of Sabah. Refurbished to recreate the nostalgic romance of people travelling by steam train in the days of the Chartered Company and the British Colonial Office, both the exterior and interior provide an environment that would have been typical of stepping onto a train in the 1900s.
The exterior utilises the traditional deep green and cream of the original North Borneo Railway, with carved brass logos showcasing the original design of a tiger holding a rail wheel, standing on the royal crown. The interior highlights the natural woods of Sabah and unless the train is fully booked, passengers are offered free seating on one of the five colonial-style passenger train carriages.
Ginkgo biloba – Increases arterial blood flow, which may have a positive effect on male sexual function.
Flow cytometry. Single cell suspensions from spleens or tumors were stained with PE-conjugated anti–mouse CD8 (CD8-PE; BD Biosciences), allophycocyanin-conjugated anti–mouse CD4 (CD4-allophycocyanin; BD Biosciences), FITC-conjugated anti–mouse CD11c, PE-conjugated anti–mouse B7.2, cychrome (Cy)-conjugated anti–mouse MHC class II, or with allophycocyanin-conjugated anti–mouse CD11b (BD Biosciences) and PE-conjugated anti–mouse Gr-1 (CD8-PE). IL-4R expression was determined on purified CD11b+ cells with PE-conjugated anti–mouse CD124 (BD Biosciences). Isotype-matched antibodies were used as controls, and live cells were gated based on 7-amino-actinomycin D, annexin V staining. Samples were run on a flow cytometer (FACSCalibur; BD Biosciences), and the data were analyzed using FCSexpress software (v 2.0; De Novo Software).
"It's an important message to get out," said Dr. Ira Sharlip, a spokesman for the American Urological Association. "There's an increasing body of knowledge that tells us that erectile dysfunction is a form of cardiovascular disease and often predates the onset of other forms of clinical cardiovascular disease, specifically coronary disease."
High blood pressure
ED usually has a physical cause.
Experts believe that psychological factors such as stress, anxiety, guilt, depression, low self-esteem, and fear of sexual failure cause 10 to 20 percent of ED cases. Men with a physical cause for ED frequently experience the same sort of psychological reactions (stress, anxiety, guilt, depression). Other possible causes are smoking, which affects blood flow in veins and arteries, and hormonal abnormalities, such as not enough testosterone.
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The physical examination should focus on the vascular, neurological and endocrine systems.28,31 Testes size should be noted and the penis shaft examined to rule out a penile deformity (Peyronie's disease). With respect to laboratory investigations, recommendations vary,30,31 and investigations should follow clinical suspicion of specific disorders. Hemoglobin A1c and serum glucose may be measured to detect occult diabetes, and a lipid screen performed to assess the presence of dyslipidemia. Hormonal screening is controversial; however, it is reasonable to measure testosterone levels in the face of erectile dysfunction combined with loss of libido.28 Patients in whom hyper- or hypothyroidism is suspected should have their thyroid-stimulating hormone level checked.30
Hormone implants (brand name: Norplant System) are no longer available. If you are currently using hormone implants, you should talk to your doctor to see what your birth control options will be when your hormone implants expire. The implants prevent pregnancy for 5 years, but you can have them removed at any time.
Reviewed by Louise Chang, MD
Prostate cancer: Prostate cancer doesn't cause ED on its own, but treatment (radiation, hormonal manipulation, or surgery to remove the cancer) can lead to erectile problems.
Inositol hexaniacinate – Take 1000-3000 mg daily to improve circulation and lower cholesterol. Diabetics should not take this supplement.
Of those who reported restless legs, more than half -- 53 percent - also reported trouble with their erections, compared to 40 percent of those who did not complain about restless legs.
Specialized Bicycle Components, Inc., of Morgan Hill, Calif., also offers seats designed to help men ride safely. Medical designer Roger Minkow, MD, helped develop the Body Geometry Saddle seat with input from urologists and police bicycle divisions. The Specialized seat is very narrow and has a V-shaped wedge cut from the rear.
OBJECTIVE: Depressed men commonly have erectile dysfunction, and men with erectile dysfunction are frequently depressed. Since the etiologic and modulatory relationships between depression and erectile dysfunction have been poorly characterized, a 12-week, randomized, double-blind, placebo-controlled trial was conducted at 20 urologic clinics to evaluate the effects of sildenafil treatment in men with erectile dysfunction and mild-to-moderate comorbid depressive illness. METHOD: Men (N=152, mean age=56 years) with erectile dysfunction for =" src="/math/ge.gif"6 months (mean=5.7 years), a DSM-IV diagnosis of depressive disorder not otherwise specified, and a Hamilton Depression Rating Scale score =" src="/math/ge.gif"12 (mean at baseline=16.9) were randomly assigned to flexible-dose treatment with sildenafil citrate or matching placebo. Interviewer-rated and self-report instruments were used to assess changes in sexual function, depressive symptoms, and quality of life. Conservative criteria were used to classify erectile dysfunction treatment response and nonresponse. RESULTS: Sildenafil was strongly associated with erectile dysfunction treatment response. Fifty-eight men met the conservative criteria for response (48 given sildenafil, 10 given placebo), and 78 men did not respond (18 given sildenafil, 60 given placebo). Mean decreases of 10.6 and 2.3 in Hamilton depression scale scores were seen in treatment responders and nonresponders, respectively; 76% of treatment responders showed a =" src="/math/ge.gif"50% decline in Hamilton depression scale score versus 14% of nonresponders. Quality of life was similarly improved in treatment responders. CONCLUSIONS: Sildenafil is efficacious for erectile dysfunction in men with mild-to-moderate depressive illness. Improvement of erectile dysfunction is associated with marked improvement in depressive symptoms and quality of life.
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