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The Siriraj Medical Museums in Siriraj Hospital, Bangkok display exhibits relating to pathology, forensic medicine, parasitology, anatomy and the history of medicine in Thailand. Siriraj Hospital is the first public hospital in Thailand established by King Rama V in 1886 and named after one of his sons who died of dysentery at the age of two. The Faculty of Medicine here, set up in 1890, is also the oldest medical school in Thailand. Six separate museums make up the Siriraj Medical Museums: Ellis Pathological Museum Songkran Niyomsane Forensic Medicine Museum Ouay Ketusingh Museum of History of Thai Medicine Parasitology Museum Congdon Anatomical Museum Sood Sangvichien Prehistoric Museum & Laboratory Let's start our tour of the Siriraj Medical Museums with the Ellis Pathological Museum named in honor of Professor A G Ellis, the first pathologist in Thailand who worked in the Pathology Department in 1921 and stayed on as Director of Siriraj until 1938. The babies preserved here are either stillborn or dead shortly after birth. There're dissected sections of babies, Siamese twins showing their joined organs and babies born with one eye. Some have external or internal deformations arising from various diseases or with organs protruding outside the body. Specimens of preserved organs used for pathological tests are displayed with organs infected by various diseases. Medical students were scribbling away in their books, though not all visitors were as enthusiastic. One visibly shaken woman visitor was seen sitting out the tour. Our next stop in the tour of Siriraj Medical Museums was the Songkran Niyomsane Forensic Medicine Museum named after Professor Dr Songkran Niyomsane, a pioneer in forensic medicine who started the museum. The latest addition to the museum records the efforts by Siriraj Hospital during the December 2004 tsunami, when pathology teams assisted in the disaster victim identification. The scenes are simply gruesome. The rest of the displays cover skulls, bones, damaged organs and photographs of murder and accident cases used in investigations, including the preserved bodies of a couple of rapists/murderers! I gather that the founder, Dr Songkran's skeleton is also on display in the museum, though I couldn't quite identify it! The Ouay Ketusingh Museum of History of Thai Medicine started by Professor Ouay Ketusingh, who headed the Departments of Physiology and Phamacology, was started in 1979. The traditional Thai medicine shop display was a pleasant relief. Also featured are the traditional practice of child delivery by village midwives and the quaint practice of getting the new mother to sleep by the fire for quick recovery. In the Parasitology Museum started in 1970 by Dr Vichit Chaiyaporn, Department of Parasitology, you'll be exposed to every conceivable form of parasite or worm infecting every movable form of edible life. Lungworms, pinworms, roundworms, tapeworms, whipworms infecting livestock, fish, crustaceans, vegetables and viruses causing food poisoning are identified here. So are the mosquitoes that cause Elephantiasis, an enlargement of the leg and the scrotum. If it's not what you eat, then pay heed to the venomous snakes, spiders, scorpions, centipedes and tarantulas. The last two Siriraj Medical Museums are in the Anatomy block. The Congdon Anatomical Museum was started in 1927 by Dr Edgar D Congdon, Professor of Anatomy and father of modern Anatomy in Thailand. Row after row of showcases display skeletons, skulls, organs, dissected sections, preserved nervous, muscular, arterial and venous systems. Being the oldest museum, the creaking floorboards added to the creepy air about the place. By the time we reached the last of the Siriraj Medical Museums, the Sood Sangvichien Prehistoric Museum & Laboratory, it was closed for lunch. This was just as well, as we've had an overdose medical museums by then. As it turned out this museum, started in 1972 by Professor Dr Sood Sangvichien, Dean of the Faculty of Medicine, dealt with evolution! For those keen on anatomy, pathology, forensic medicine, the Siriraj Medical Museums could probably be a wealth of information. These museums were in fact set up as resources centers for medical students. If you can indifferent to preserved corpses, dissected sections, organs damaged by disease or violence, you'll probably be able to cope with the tour. If you're not, we strongly suggest you skip the Siriraj Medical Museums and go straight for lunch. If you really want to go there, here's how, map to the Siriraj Medical Museums. safe penis enhancement compare penis enlargment pills best enlargment exercise penile natural penis enlagement pnis enlargement without pills best penis enlargment pennis enlargement herb penis enargement patch

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Liver cancer Liver is an important organ that performs a number of different functions like maintaining fluid balance in the body, handling toxic substances etc. It also produces bile that is instrumental in breaking down fat. Occurrence of cancer in the liver is termed as liver cancer. Types of Liver cancer On a broad basis, we can classify liver cancer as primary liver cancer and secondary cancer. When cancer originates in the liver itself, it is called as primary liver cancer. Liver cancer is known as secondary liver cancer when it originates in some other part of the body and then spreads to liver (e.g. due to proximity of liver to the place where cancer originated in the body). Hepatoma and bile duct cancer are the two main types of liver cancer. Causes of Liver cancer The two main causes of Liver cancer are: Excessive consumption of alcoholic drinks and occurrence of infections like Hepatitis B and Hepatitis C. It’s unfortunate to note that though a number of people know that alcohol can increase the risk of Liver cancer, they still don’t cut down on alcohol. Symptoms of Liver cancer Liver cancer can lead to enlargement of Liver which can result in discomfort e.g. pain in the upper abdomen or pain in the right shoulder. There are some other common symptoms of Liver cancer (none of them are too conclusive though) like nausea, weakness, loss of weight etc. Other symptoms of liver cancer include jaundice and fluid disbalance in the body (e.g. building up of fluid in the abdomen). However, these too are just mildly indicative of liver cancer and are in no way conclusive symptoms. Diagnosis of Liver cancer Recognizing the symptoms and seeking professional help (from qualified doctors) can help early diagnosis of liver cancer. So, consult your doctor and let him/her know all the symptoms that you have been experiencing. The doctor might do a physical examination and prescribe certain tests as the need may be. The physical examination is basically to check the enlargement of liver. Other tests include liver ultrasound scan, abdominal CT scan, liver biopsy etc. Treatment of liver cancer Based on the type of liver cancer, the stage of liver cancer and your general health etc, the doctor might prescribe one or more liver cancer treatment techniques. Surgical procedure to remove the affected part of liver is one of the treatments for liver cancer (especially if it has not spread elsewhere). Besides surgery there are other techniques that use laser and other procedure for removal or destruction of tumor/ liver cancer. Chemotherapy is also one of the liver cancer treatments. guide to penile enlargement penis enlargment tool home penis enlagement penis enargement system vimax penis enlargement vimax penis enlargement procedure vimax forum free natural penile enlargment enlargement free pennis pills sample

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Male circumcision is the surgical removal of the foreskin around the head of the penis. While this may seem a taboo practice, there is a large proportion of the population who has had it done. In the US alone, over 60% of the population ends up having circumcisions at some point in their life. While this figure seems high, it was once at a peak of 85% in the 70’s. So what is the foreskin for? Why do males have one? Well, it generally acts as a protection for wear and tear against the sensitive penis glans (head). It also protects the glans from any irritation for babies and it also contains erogenous tissue and lubrication which contributes to sexual arousal. So with all these benefits, why is it people remove it? Well the main cause is due to medical reasons. In birth, babies are born with naturally tight foreskins and over the years of puberty it is meant to loosen out so by the age of 18, it can be fully retractable. In some cases, the foreskin can remain too tight to pull back. The medical term for this is Phimosis. While there are other surgical operations to cure this including stretching the foreskin and reshaping of the prepuce to make it wide, sometimes circumcision is the only effective method. If not, it can prove near impossible to wash the glans, resulting in an infection called Balantis. This normally can be identified by red tender areas on the glans and can cause irritation, tenderness, impotence and swelling. Other conditions are that it can become so tight that it makes it painful and sometimes impossible to urinate or have sex. Yet there are actual benefits to have a circumcision. Men who have been circumcised tend to contract fewer urinary tract infections. It also offers some defense against sexual transmitted diseases as it’s easier to wash the bacteria away before it does any damage. While only very small, there is evidence that it can reduce the risk of penile cancer, which on its own is incredibly rare. It is also possible to have the foreskin reconstructed. While it may seem a bit odd to have the foreskin removed, and then reconstructed, some males who may have had it either removed at birth, or for medical reasons, want it back. There are surgical and non-surgical methods for doing this. The surgical method involves taking skin from either the penis or another part of your body, and grafting it onto the glans. Yet people rarely go for the surgical reconstruction, as it can prove to be painful and complications can occur. This is why people normally choose the non-surgical option. This involves stretching what is left of the foreskin with either weights or a traction device. This causes the foreskin to grow as its having to create new cells to fill in the gaps. However, in both cases it is impossible to completely restore the foreskin. There are nerve endings and blood vessels that contribute to sexual feelings which can never fully be replaced, although partial replacement is doable. penis enlagement herb vimax penis enlargement before and after manual penile enlargement penis elargement exercise pnis enlargement procedure do penis enlargement pill work vimax patch penis enargement information enlargement free pennis pills sample

The Prostate: Part I – BNP What is situated below a body of water, has four zones and is commonly associated with venial pleasures. No it is not some romantic European city, but rather a walnut sized male organ that serves important procreative functions. It also happens to be an organ that plagues men as we age. This organ or gland is the prostate. This is the first of two articles on the male prostate. This article will focus on a disease process that affects older men, something we refer to as benign prostatic hyperplasia (BPH). BPH is a non-cancerous growth in the size of the prostate gland that impairs the flow of urine out of the bladder. The second article will focus of prostate cancer. But first a little about the small yet important male organ. The gland is located just below the bladder. It usually measures one inch by one-and-a-half inches (approximately the size of a walnut). It surrounds the urethra (the tube that takes urine out of the bladder). It is responsible for producing a fluid important in male sexual function. In the past the prostate was described as having “lobes”, but today we refer to it as having concentric zones. These zones are important both on an anatomical as well as histological level. We can separate pathology along these zones as well. For instance most all cancers occur in the peripheral zone while the benign process of enlargement occurs almost exclusively in the transitional zone (which only occupies about 5% of the total prostate volume). The prostate gland is also made up of different cell types. Cancer cells develop from the epithelial cells, but it is the interaction with stromal cells that is important in the behavior of the cancer. BPH develops from an interaction between these cells as well, but it is complex and poorly understood. Testosterone and other hormones and their interactions with this gland are hot topics of research in understanding prostate disease. The prostate gland produces most of what is found in the male ejaculate. The average volume is about 3 mL. This is less than a teaspoon and only 1% of it is sperm. The majority of the semen volume is made of products of the seminal vesicles and the prostate. The male ejaculate is very rich in potassium, zinc, citric acid and fructose. Along with these substances it also contains prostaglandins. There are many other unusual substances found in the semen. Not all is know about their function or purpose. This important male organ is a complex mix of anatomical structures and cell types that make it possible for human reproduction. However beyond the reproductive years of men, this organ becomes one of burden rather than usefulness. We will discuss the finer points of BPH and how to best avoid it and if plagued with it, treatment options. BPH typically affects men from their fourth to fifth decade of life and beyond. Several hormones come into play that have a drastic effect on the transitional zone (the zone that is most central and surrounding the urethra). Namely a metabolite of the male androgen Testosterone called Dihydrotestosterone (DHT) plays a big part on the enlargement of cells of the prostate and the encroachment on the urethra. There are several signs and symptoms that correlate with BPH and they are: slow urinary flow, the urge to urinate all the time, nighttime urination, enlargement and distension of the bladder with continuous urine leakage (incontinence) and urinary obstruction. Autopsies suggest that more than 90% of men older than 70 years have BPH. The average age for symptomatic development is about 65 years for white Americans and about 60 years for African-American men. Ways to prevent the effects of DHT on the prostate gland and the ensuing enlargement are via medications that block the enzyme 5-alpha-reductase, which converts Testosterone to DHT. Proscar is such a drug commercially available through a pharmaceutical company. Proscar works on blocking the effects of androgens on the epithelial cells and can actually shrink the size of the prostate making some of the symptoms of BPH resolve. Alternatively two FDA approved drugs that aid in symptoms of BPH (but act differently than Proscar) are Hytrin and Cardura. Both Hytrin and Cardura are drugs in the alpha1-blocker class. Originally researched as a centrally acting blood pressure reducer for patient with hypertension, it was discovered that this drug would actually relax the prostate tissue surrounding the urethra making symptoms of BPH resolve. Side effects generally include low blood pressure, dizziness, and nasal stuffiness. While neither of these two drugs will “cure” or reverse the process, they certainly do provide symptom relief for the patient plagued with BPH. Another way to treat this disease and a more natural approach is the use of herbs know for their anti-androgenic effects on the prostate. These include the well-studied Saw Palmetto herbal extract that blocks 5-alpha-reductase in the same manner as the prescription drug. Saw Palmetto taken in a standardized dose of 160mg twice daily has shown increased urine flow, with minimal side effects. Saw Palmetto is an herb indigenous to the Lowcountry of Georgia and South Carolina. Pygeum Africanum is shown to do the same yet it is not as effective and there is a fair degree of stomach symptoms. Pygeum is derived from an African evergreen tree. Stinging Nettles (Radix urticae) is another herb used widely in Europe for prostate health that has been shown to lower the residual urine volume in men with enlarged prostates. These phytotherapeutics (plant derived medicines), used and described by the Egyptians as far back as the 15 Century B.C., have a common compounds called phytosterols. The most effective phytosterol is beta sito sterol for BPH. None of the medications or herbs has been shown to prevent prostate cancer. These prescription medications and herbs are for the treatment, reduction in size or prevention of the benign process of enlargement of the prostate. Prostate cancer prevention and treatment is by other means and the subject of the next article. Besides the herbal and drug therapies there are a few surgical therapies worth mentioning. These include the most common transurethral resection of the prostate or TURP. This is where under the care of an urologist the constricted urethra within the prostate gland is “reamed out” thus mechanically or surgically widened the opening. A variant of this is the transurethral incision of the prostate (TUIP) where an incision rather than resection of the tissue is performed. A suitable procedure for patients with prostates 100 mL in volume. This involves an abdominal operation and removal of the whole prostate. Of course symptoms mentioned above for TURP are of greater frequency with this more radical procedure. There is also thermotherapy (a type of microwave treatment) that alleviates irritative symptoms, but not much is available in long-term results in the medical literature. And finally stent placement is an option. This can be used in selected cases of patients with a poor general condition and in the non-operative candidate. Symptoms of BPH include: Obstructive symptoms: Hesitancy in initiating voiding (trouble getting started) Weak urinary stream, prolonged voiding Post-voiding dribbling (mild incontinence) Sensation of incomplete emptying Nocturia (night time urination) Overflow incontinence Acute urinary retention (very painful condition) Irritative symptoms: Dysuria (discomfort in urination) Frequency Urgency Scoring BPH: The American Urological Association Symptom Index (AUASI) and International Prostate Symptom Score (IPSS) are now considered the gold standard measurement tools for the assessment of BPH symptoms and response to treatment. Both questionnaires can be used by a physician in a clinical practice to quantify the subjective symptoms of BPH and monitor therapies. Part II in this series will cover annual examination of the prostate, blood testing, prostate cancer. It will also cover prevention and treatment of prostate cancer. Reference: http://www.prostatehealth.com Lowe, FC. Et al, Phytotherapy in treatment of benign prostatic hyperplasia: a critical review. Urology 48:12-19, 1996 Dreikorn, K. et al, Stellenwert von Phytotherapeutica dei der Behandulng der benighnen Prostatahyperplasia. Urologe (A)34:119-129, 1995 Fitzpatrick, J.M. et al, Phytotherapeutic Agents in Management of Symptomatic Benign Prostatic Hyperplasia. Urological Clinics of North America. 22:407-412, 1995 Wilt T, Ishani A, Mac Donald R.. Serenoa repens for benign prostatic hyperplasia. The Cochrane Database of Systematic Reviews 2002, Issue 3. Art. No.: CD001423. DOI: 10.1002/14651858.CD001423. [Research by Sagalowski and Wilson, 1998] © 2005