This toolkit is the result of teamwork between sexual and
reproductive health practitioners working with young
people in Zambia, Malawi, Zimbabwe and Uganda.
The ﬁrst version of the toolkit was developed with
International HIV/AIDS Alliance, Planned Parenthood
Association of Zambia, Young, Happy, Healthy and
Safe, the Ministries of Health and Education, and peer
educators and young people in rural Eastern Province,
Zambia. The toolkit was tested by peer educators and
revised on the basis of their experience and the lessons
learned in monitoring.
Pathways that control erection and detumescence. A. Erection is mediated by cholinergic parasympathetic pathways, and nonadrenergic,
noncholinergic (NANC) pathways, which release nitric oxide (NO). Endothelial cells also release NO, which induces vascular smooth-muscle cell relaxation, allowing enhanced blood flow, and leading to erection. Detumescence is mediated by sympathetic pathways that release norepinephrine and stimulate α-adrenergic pathways, leading to contraction of vascular smooth-muscle cells. Endothelin, released from endothelial cells, also induces contraction.
Physiology of the Female Sexual Response
The female sexual response requires the presence of estrogens. A role for androgens is also likely but less well-established. In the CNS, estrogens and androgens work synergistically to enhance sexual arousal and response. A number of studies report enhanced libido in women during preovulatory phases of the menstrual cycle, suggesting that hormones involved in the ovulatory surge (e.g., estrogens) increase desire.
Sexual motivation is heavily influenced by context, including the environment and partner factors.
What is alternative medicine? Attempts to define what is conventional
and what is not conventional introduce a bias, no matter
who the arbiter is who sets up the definitions (Table 1). Many
alternative therapies pre-date conventional medicine by hundreds
or thousands of years. Some are quite well known, others
seem mysterious or strange, and some pose serious risks (Murray
and Rubel 1992). Many of us use unconventional therapies acquired
from grandparents, parents, or friends (chicken soup is
perhaps the most famous) in our personal lives without a second
Public transport. As an air quality strategy, a primary goal of a public transport
intervention involves the targeting of service improvements and enhancements in corridors and
for socio-economic groups that would otherwise be expected to adopt widespread car use. Since
these groups tend to be more price- than time-sensitive, service enhancements are more effective
than fare restraint or fare subsidies. For many jurisdictions, this strategy may conflict with
another fundamental goal of public transport policy: providing low-cost transport services to the
Our analysis will emphasize a mechanism of propagation of the effects of cloud
computing which depends on the endogenous market structures. Through business
creation, the adoption of cloud computing is going to enhance competition in each
sector and to increase production and lower mark ups. This will have a positive im-
pact on consumption so as to contribute to the recovery of the EU economy. Most
of all, part of these effects are going to be positively related to the speed of adop-
tion of the new technology.
Once again, Leanor Johnson and Robert Staples, who combine
more than sixty years of writing and research as family sociologists,
have produced a work that greatly enhances the understanding of
the complexity and diversity in the functioning of Black families
today. This revised edition provides rare insights regarding how the
cultural values, attitudes, and aspirations of African American families
interact with structural conditions and social policies to produce
a wide range of positive and negative outcomes.
The purpose of this book is to help nurses provide the level of psychosexual
care described above. Although this book was written with practitioners
who work in primary care and specialist sexual health services specifically
in mind, it is hoped that it will be of benefit to practitioners working in all
areas of health care.
The term reparative medicine is often used to denote the replacement, repair, or
functional enhancement of tissues and organs. Reparative medicine has traditionally
used materials at hand and the technology of the day to restore or improve function
of organs and tissues afflicted with birth defects or the ravages of injury, disease, and
In what ways has Islamic law discriminated against women and
privileged men? What rights and power have been accorded to Muslim
women, and how have they used the legal system to enhance their social
and economic position? In an analysis of Islamic law through the prism
of gender, Judith E. Tucker tackles these complex questions relating to
thepositionofwomeninIslamicsociety, and to the ways in which the
legal system shaped the family, property rights, space, and sexuality, from
classical and medieval times to the present.