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About 13 million men in the USA suffer from the reduced sexual desire, depressed and varying moods, loss of energy, tiredness, erectile dysfunction and inability to achieve penetration during intercourse. These symptoms affect the persons over 45 years of age. The main reason behind this is the inability of the body to make testosterone in sufficient levels.
The symptoms are also known as hypogondadism or low T. Testosterone is an important ingredient in the blood and continued reduction of T levels gives rise to the complaints cited above
Now You Have a Treatment for Low T
The low T levels can now be treated with a gel known as androgel (or Testim). This is a brand name of the product with a generic name testosterone and comes in a gel form.
This gel can be applied on skin and this way it becomes a convenient way of administering the drug. Injections and skin patches are other ways of administering this drug. However, with gel becoming an option, easier ways of drug administration has come up.
The gel will help you in combating hypogonadism, you might have an increased sexual desire, energy to keep with your work, and the bone density will increase.
How To Use The Gel
After shower, you may apply the gel to your body. The gel comes in form of packets of 5 mg, 7.5 mg or 10 mg. Buy the sachets as prescribed by the doctor and take in the entire contents of packets on your palm and apply it to hands, shoulders and abdomen. You should not apply it to your genitals. This way, the drug might cause harm than doing any good. After application of the drug, wash your hands thoroughly with soap so as to remove traces of the drug.
What To Do After Applying Drug
After applying the drug, you should allow it to dry for at least 15 minutes before dressing up. This is necessary for the drug to be absorbed into your system and prevent its transfer to others through contact with body. Make sure that you have contact with water through bath, or swimming. If you miss a dose apply a dose as soon as practicable and if it is nearer to your regular dose, skip a dose and apply the next dose at the appointed time.
What Not To Do After Application Of Dose
Men using the gel should avoid contact of the areas where the drug was applied with other persons especially women. Pregnant women coming in contact with such areas should see the doctor immediately. The contact may harm the unborn child badly.
Possible Side Effects Of Drug
This drug, as many other drugs, can have unintended side effects. The side effects can be in form of reaction from site where the drug was applied, high blood pressure headache or breast enlargement. It is also possible that the sexual desire will decrease to some extent. The patient may also experience hot flashes, swelling of hands, and some times hair loss too.
The drug is to be used only after being prescribed by a competent medical practitioner
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Increased sexual pleasure has been a goal common to both men and women throughout history. However, achieving such a goal is not always as easy as one would like to think. While we commonly see depictions of intensely sensual sexual activities, hear about climatic orgasmic experiences, and can read about extremely long love-making sessions; bringing this flavor of enjoyment into our actual lives is not always easy as these media outlets make it seem. Some men might have problems achieving a hard erection and women often find they have a decreased sexual appetite. What them, can be done to achieve the type of sexual experiences that we currently only fantasize about?
After intense research into this dilemma, it has been discovered that the intake of a high level of amino acids is of great assistance to redeveloping sexual desire and performance. For men, amino acids work to escalate the amount of ejaculation fluid which results not only in increased sperm count, but also greatly amplifies the sexual experience through prolonged orgasms. Not only is the penis able to increase in size and hardness, but stamina and desire is magnified.
For women, amino acids allow a larger amount of blood to flow into their clitoris and vaginal tissues. This results in heightened sensitivity, which encourages sexual desire and activity. In addition, when a woman is taking amino acid supplements, her orgasms are extremely enhanced, leading to a drastic increase in sexual pleasure.
One of the most popular amino acids on the market is L-Arginine, a semi-essential amino acid. It has been proven to create increased blood flow to the sexual organs of both men and women. L-Arginine is described as a free-form amino acid, one that is crystalline. Not only has L-Arginine been shown to improve sexual quality and performance, it is also known to work in relocating nitrogen throughout the body. It is also highly important to the body’s metabolism and is known to be beneficial to the activity of the blood vessels surrounding the heart.
L-Arginine can be found in numerous sexual enhancement products. When looking for an L-Arginine supplement, try to find one that uses natural herbs in addition to high levels of amino acids. The combination results in increased stimulus for women, and penis enlargement and increased fluid ejaculation for men. In addition, L-Arginine has been proven to aid the body in many other ways, such as lowering blood pressure levels and is an overall healthy supplement to one’s health regime.
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Question: Dr. Vaknin – is it true that you are the father of the Law of Free Economic Zones?
Answer: I participated in the dedicated and professional team, from many ministries and state organs, which prepared the law. The initiative – in collaboration with the delegation of the government of the Republic of China (Taiwan) – belongs to Dr. Milijana Danevska, the Minister of Development. Most of the work was done by her advisor, Ms. Zorica Doncevska long before I arrived on the scene. I did suggest a few amendments, some of which were accepted.
Question: What is a free zone?
Answer: There is an important distinction which the media is not aware of between FREE ZONES and FREE ZONE SITES.
To quote from the law:
"A free zone site represents a detached, enclosed and marked area of the territory of the Republic of Macedonia on which commercial activities are conducted under conditions prescribed by this and other laws and on which custom and other tax incentives determined by this law shall be applicable."
"A Free Zone shall be established as trade associations conducting economic, technical, administrative, expert and other activities supporting the operations in the free zone sites."
Question: Do other countries have free zones?
Answer: Dozens of other countries have free trade zones, free industrial zones, free industrial or technology parks, customs free zones, free transhipment zones and many other types of free economic zones. Our law allows for all these types of activities to exist. It is very broad and flexible and one of the best and most complete laws I have seen. As opposed to popular opinion, free zones exist even in rich countries such as the United Kingdom or the USA (although they are not called "free zones" there). It is true, though, that to poor and middle income countries, such as Macedonia, a free zone can be an important tool for economic development.
Question: Why do you use such cautious language, "can be"?
Answer: Because it is never enough to have a law. What matters is how it is implemented. There are free zones in countries as diverse as the Philippines, Tunisia, Costa Rica and Taiwan. In some places they are the engine of the economic locomotive, in other they are a drag on the local economy.
Question: So, the critics are right, free zones can be a bad thing?
Answer: The critics are wrong. Anything that has the potential of generating investments, encouraging entrepreneurship, creating new working places, enhancing exports and improving the balance of payments – should be implemented without delay. Free zones are potentially powerful economic engines of exports and growth and employment. Would it have been wise of us to ignore their potential?
Question: Can't free zones be used as tax havens, for smuggling or other criminal activities?
Answer: If the free zones are run by criminals AND (this is a cumulative condition) the authorities are inefficient or corrupt – of course it can. But our law is very strict on WHO will own and run the free zones. It is also very explicit about the precise functions and procedures to be performed by the authorities intended to ensure that the free zones are not abused. Free zones will be established only where and when they can increase employment, bring new technology and know how to the country and increase exports. An average of 65% of the goods and services produced in the zones MUST be exported or the developer might lose its licence. Additionally the law says that the businesses operating in the zone must use local manpower and prefer domestic suppliers where economically feasible.
Question: What is the Free Zones Directorate?
Answer: This is my favourite part of the law, the one I am most proud of. We introduced, for the first time in Macedonia, not only in theory, but in practice, the concept of "One Stop Shop". All the business entities in the free zone will have one address to go to. They will no longer have to run for weeks between ministries, authorities, agencies and state organs. They will get everything they need from one central authority, from one address. All the relevant ministries and state organs will be represented there, with full authority to render all the services required by the free zones users. This is unprecedented. The ministers are worthy of the highest praise for being willing to participate in such an innovative approach. The law says:
"The Free Zone Directorate shall be responsible for… granting approvals of requests of developers for the establishment of free zones; provision of supervision and management of free zone sites through its branches; coordination of the activities of state organs and authorities and public enterprises within the free zone sites; planning and developing free zone sites and making sites available to developers; public relations, advertising and promotion of free zone sites; attracting developers and users to the free zone sites; registration of businesses and structures within the free zone sites; coordination of issuance of licenses, permits and approvals where and as needed, of product quality control and the issuance of certificates of origin by the members of the Directorate; Inspection of installations and working conditions within the free zone sites; convening a labour relations committee in which all labour disputes between employees and employers in the free zone sites are to be settled; the coordination of the issuance of export and import licenses; coordination of the prevention of smuggling; coordination of the safety and security of people and property in the free zones sites; Provision and maintenance of all public goods and utilities … conducting other activities associated with the functioning of free zone sites and especially the implementation of the "one stop shop" concept of management of the free zone sites; raising the required start-up capital."
Question: So, from now on, any trade association can open a free zone?
Answer: Absolutely not. The developer must satisfy very strict and rigorous criteria to qualify. The law demands that it "…provide written proof of their financial ability matching their financial obligations under this Law either in the form of a performance bond or a bank document substantiating the availability of unencumbered funds in their account or audited financial statements" and "demonstrate previous experience and track record in trading or in the operating of free zone sites".
The developers, in their application, must provide an environmental impact assessment, a marketing plan and a business plan or a feasibility study.
And the developer loses his approval if it enters bankruptcy procedures, if it is proven that he provided false material information in his request, If he failed to build and operate the free zone site in accordance with the stipulations of this Law or failed to submit one annual report.
Additionally, the developer pays 0.3% of the total turnover of the business entities in his zones.
I think these are relatively reasonable terms.
It will also not be that easy for the developer to do in the zone something other than what he undertook to do. Almost every substantial change requires a new approval. The law states: "Each change of a free zone shall be subject to the procedure for the establishment of a free zone … "Change" in this law shall mean: enlargement of the approved free zone site area; change in location of the free zone site; new activities are to be conducted in the approved free zone; each change in the composition of the developers (addition of new developer, change of corporate structure, take over, merger, acquisition, etc.) of the free zone; change of the period for existence of the free zone.
Question: Still, inside the zone – the developer is king. Actually, it is a kind of ex-territorial area, like an embassy?
Answer: I want to say it once and for all (because I heard this argument before):
A free zone is NOT an ex-territorial area. It is an integral and inseparable part of Macedonia. All the domestic laws of Macedonia apply there. It simply has different rates of customs and taxes. The over-riding status of the Macedonian domestic law is stated numerous times throughout the law. One example:
Article 20 says: "Free zone developers shall enact rules or pose conditions (hereunder referred to as "developer rules") under which their free zone site will be operated and activities conducted, regulate internal order and prescribe separate measures for protection of the working and living conditions and the environment. BUT…
The developer rules shall not contradict all the applicable laws of the Republic of Macedonia, including their by-laws and regulations and all the international obligations of the Republic of Macedonia…. AND The developer rules shall be announced in the Official Gazette of the Republic of Macedonia after the approval given by the Free zone Directorate."
Question: Aren't we offering too much by way of tax incentives? Aren't the revenues lost by the state worth more than the free zone will ever generate?
Answer: It is a very narrow point of view. Tax revenues are not the only thing we should consider. What about unemployment, technology transfers, export enhancement? These are invaluable in that they can revive the economy.
Compared to other free zones in other countries, we are offering mid-way concessions. We are by no means too generous. Additionally, to qualify to receive the tax incentives, the user must satisfy certain annual export quotas. It must prove that it generated NEW activities, not merely transferred activities from "mainland" Macedonia to the free zone "island". It must show that it is not involved in criminal activities or bankruptcy procedures and so on. Only then is it eligible to enjoy the tax incentives.
Question: Which are?
Answer: The law says it best:
"Free zone users meeting the terms as in article 21 of this law shall be exempted from:
Sales tax on products within the free zone site except for those products sold for final consumption within the free zone;
Sales tax and VAT on goods imported into the free zone site for production purposes and for performing other approved activities in the free zone;
Sales tax on services provided in the free zone immediately linked with export of goods and services;
Profit tax for a period of ten (10) years from the day of commencement of activities in the free zone;
Property tax for a period of ten (10) years from the day of commencement of activities in the free zone;
All taxes otherwise applicable to any transfer of property or rights thereof between developers and users within the free zone.
Free zone users reinvesting in the capital assets of the free zone site shall be entitled to a reduced profit tax base for the amounts invested after the expiration of the 10-year period.
Free zone users shall be exempted from paying participations (contributions), taxes and other duties pertaining to use of land for construction, connection to the water supply, sewerage, heating, gas and power supply networks.
Free zone land may be leased to foreign investors for a period of fifty (50) years, with a possibility to extend the term to another twenty-five (25) years, pursuant to the law.
The developers of the free zone shall have the full right to sublet or rent parts of the free zones or structures thereon or rights thereof to the users."
Question: Are the economic activities within the free zone restricted?
Answer: Every type of economic activity is allowed EXCEPT the activities explicitly forbidden by the law. These include: the trading of decayed, rotten, expired or infected goods or waste material detrimental to the environment or not fit for human or animal consumption; radioactive materials except those which are needed for industrial, medical and scientific research purposes under a valid license from the competent authorities; drugs, chemicals and biological materials and chemical and biochemical derivatives with the exception of those used in industrial, manufacturing, medicinal and pharmaceutical preparations, according to certificates issued by the Ministry of Health; arms, munitions, weapons and military explosives; goods or services which originate from countries or firms subject to boycotts, embargoes or blockades imposed by the competent national and international organs and authorities; goods or services that violate public morals, public defence, public safety and the security of the state; goods or services that violate the domestic laws and international treaties pertaining to intellectual and commercial property; practices, services and activities in contravention or violation of treaties, laws, regulations and directives regarding the protection of the environment in Macedonia.
Free zone users may apply standards, technical and quality norms of the destination country when manufacturing goods in the free zone intended for export.
Free zone users may set prices for their goods and services and will not be subject to laws and regulations pertaining to prices in the Republic of Macedonia.
Question: Will workers' rights be protected in such an environment?
Answer: Workers' rights are protected only by a good economy. In Macedonia, we have a lot of theoretical workers' rights. But the right to work is violated by mass unemployment and by gigantic wage and pension arrears. All the employers in the free zone shall sign a collective agreement with their employees. The collective agreement will oblige the employers and the employees to settle labour dispute through arbitration or mediation. The Directorate shall set up a labour relations committee to provide the employers and the employees with an arbitration and mediation mechanism.
Question: Thank you very much. Let's hope that free zones will fulfil all the expectations …
Answer: I will settle for half the expectations …
Thank you.
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A plumber came round to my house today. This in itself was all well and good. He was a lovely guy by the name of Dennis, clearly very experienced, and he got the job done in an unexpectedly short couple of hours. I'd been bracing myself for a hot-water-free weekend, so it was a very pleasant surprise to have the problem fixed so quickly.
In order to assist Dennis in finding the information he needed to mend my water heater, I looked up the manufacturer's details on the Internet, with Dennis looking over my shoulder, helping. Within a few minutes, Dennis had called his boss, who called the manufacturer, who explained the solution to Dennis's boss, who explained the solution to Dennis, who fixed the problem. Presto.
Dennis and I were quite pleased with ourselves, and congratulated each other profusely on our combined ingenuity.
After Dennis had left, I got back to my laptop to find that the two websites that I'd been editing before he arrived had been clearly on view throughout his visit. These websites were, let's just say, 'in the experimental stages', and were designed to draw a large number of hits, thereby generating a bit of advertising revenue for this pauper of a writer.
One was called 'Living Sober - Without AA'.
The other was called 'Free Penis Enlarger'.*
I'm not embarrassed about it though. It's a simple mistake which anybody could make.
* I feel obliged to add, for the sake of my own self-esteem, that this site was in fact devoted to images of beautiful women!
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LIFE AFTER BIRTH: THE FIRST 6 WEEKS
Life after birth can be chaotic, especially if this is your first baby. Taking care of your newborn is hard work and won’t be much fun until he or she develops a personality. In case you didn’t know, a newborn doesn’t laugh or smile, it can’t play or even hold its own head up without a supporting hand. All it can do is eat, sleep, dirty diapers, pass gas, throw up and cry. Despite all of this, you will – believe it or not – love your little tot more than anything else in the world. Moreover, you will learn a lot about yourself and your partner as you both navigate through these initial days of parenthood.
Sex (or lack thereof)
You should know that sex is off-limits for at least 6 weeks after your partner gives birth. Don’t forget that she just delivered a fair-sized human through a very tiny birth canal and her body will need time to heal. Your gal’s doctor will ask to see her about six weeks after delivery for a full physical and emotional post-baby follow-up. At this visit, the doctor will check to see how her wounds are healing. If everything is good, your partner will get the green light for sex. However, this doesn’t mean that she will be as keen and eager to get back into the game. She’ll likely be tired from the whole pregnancy ordeal and from the added responsibilities of caring for a newborn. Help out as much as possible and be patient. Her interest in sex will return…just don’t push her too hard.
Sleep (or lack thereof)
The good news is that babies need a lot of sleep – about 15-16 hours a day. Unfortunately, newborns don’t have regular sleep patterns and don’t sleep for long hours at a time. This means that you won’t have regular sleep patterns either. Get used to napping throughout the day. And if that doesn’t work for you, then get used to sleep deprivation. You and your partner may feel like you are losing your minds as you quickly realize how cranky and dysfunctional you can be after several nights of disrupted sleep. Hang in there. After about 8 or 10 weeks, your baby will start to sleep through the night (approximately five consecutive hours) and your sleep-deprived, zombie-like state will be a thing of the past.
You may with to alternate night shifts to maximize the amount of uninterrupted sleep each partner gets. There really is no need for both of you to get up every time the baby needs to be fed, coddled or changed.
Caring for Your Tiny Tot
After your shopping spree for nursery items, layettes and strollers, you may have thought that you were fully ready for your baby. While these purchases were necessary, they are only a small part of what you need to survive postnatal care. There will be many new and strange things for you and your partner to learn. The ins-and-outs of feeding, bathing, diapering and umbilical cord care are in no way intuitive. Don’t get scared or discouraged by your new-found incompetence. Chances are that your partner is also incompetent in this area. It’s okay to make mistakes; every new parent does. The good news is that the parental learning curve is steep. You and your partner will quickly develop the skills needed to care for your tot. To give you a helping hand, here is are a few pointers on baby care basics:
Feeding
The first step is to decide your method of feeding – breast milk or formula? There are many benefits of breastfeeding, including nutritional and emotional advantages. Breast milk is a complete food source that contains hormones and disease-fighting compounds that are absent in formula. Nursing also helps build a special bond between mother and baby. Studies show that babies thrive on the skin-to-skin contact, cuddling and holding that occurs during breastfeeding. However, there are a variety of reasons why many women do not nurse. They may not be able to produce enough milk or they may have to return to work soon after birth and are not available to nurse the baby throughout the day. Whatever the reason, your gal should not feel guilty or uncomfortable with deciding to bottle-feed. There are many excellent formulas available which are highly nutritious. Speak with your partner’s physician or pediatrician about recommended formulas.
Regardless of your method of feeding, you should know that most newborns eat about 8 times a day (approximately every two to three hours). However, you shouldn’t try to set scheduled eating times during the first few weeks after birth. Let your baby eat whenever he or she seems hungry.
Bathing
Because your baby’s umbilical cord will need to heal, it is very important that you keep it dry to prevent infection. After about two weeks, the gross looking stump (i.e., remnants of the umbilical cord) will fall off and your baby will be left with a cute little belly button. In the meantime, take extra care not to wet the umbilical cord during bathing. The best way to do this is to give your tot sponge baths until the cord heals.
To give a sponge bath, you will need a stable surface, a soft washcloth and lukewarm water. Make sure that you test the water temperature before applying the cloth to your baby to prevent scalding him or her. Your elbow or the inner part of your wrist is a good place to test water temperature. Your hand is not a good guide since it is not very sensitive enough to tell how hot or cold the water really is. Now you can begin wiping your baby gently with the moistened washcloth. Begin by wiping your baby’s eyes (from inside to outside), ears and under arms. Then you can move onto legs and genitalia. When washing the bottom, make sure you wipe from front to back to avoid bringing any feces near the genitals. If you have had your baby boy circumcised, then you will want to speak with your pediatrician about caring for the penis while it heals.
The most important thing to remember when bathing your baby is to NEVER leave him or her along – not even for a second. Babies squirm around a lot, so you should always keep your eyes and one hand on your little one during bath time. The same rule applies when you are changing your baby’s diaper.
Changing Diapers
Don’t avoid this responsibility because it you have never changed a diaper before. Because babies pee and poop so often, you will spend a lot of time changing diapers. Take advantage of this precious time with junior. You may also have to develop silly and immature techniques to comfort your baby if he/she does not enjoy the diapering process. As ridiculous as you may feel, this is actually an important part of establishing a parent-tot bond.
While it may be dirty work, diapering is not rocket science. For easy to follow instructions, make sure to read our article on How to Change a Diaper at www.thefunkystork.com.
Caring for Yourself and Your Partner As flighty and silly as it might sound, self-care is important. Neither you nor your partner is doing your tot any good by neglecting yourselves. Try a shift-work system where you schedule an hour or two during the day where one parent will care for the baby alone. This way, the other parent can practice self-care – taking a long, warm bath, going for a run, doing yoga, reading or just going for coffee with a friend.
You will find that self-care will also help maintain civility in your relationship with your partner. By making time to do something for yourself, you will find that you won’t feel as overwhelmed by your initiation to parenthood. And don’t forget that this rule also applies to your partner. In fact, she will likely need more time for self-care than you since she will also be recovering from both 40 weeks of pregnancy and hours of childbirth. Also be aware that your partner is particularly vulnerable to postpartum depression during the first weeks after birth.
Postpartum depression, which is a more serious case of the baby blues, can begin as early as a few days after delivery. Experts don’t know the real cause of postpartum depression, but they suspect that it has something to do with changes hormonal levels. Stress, disturbed sleeping patterns and changes in daily routine can all contribute to postpartum depression. Signs and symptoms include restlessness, irritability, changes in appetite, sadness and anxiety. If your partner is experiencing any of these symptoms or if you sense that something isn’t right with the way your partner is behaving, you should consult your physician immediately. Untreated, postpartum depression can develop into postpartum psychosis, which is a serious mental illness that requires medical intervention. Both you and your partner should take her postnatal psychological state very seriously.
On a lighter note, you and your partner make an extra effort to keep the romance in your relationship. While your baby will require a lot of your time and attention, he or she will also be taking a lot of naps. Nap-time may be the perfect (and only) time for your and your partner to romance each other. Snuggle, watch a movie, make dinner or enjoy a glass of wine together. Whatever you decide to do, take a minute to set the mood with candles and relaxing music.
Another important factor to consider is how involved you want your parents or partner’s parents to be. Parental intervention can add some seriously unneeded stress to the situation and unnecessary strain on your relationship. That said, you shouldn’t reject offers to help. Being a new parent is not going to be easy and you will need all the help that you can get. Just remember to set limits and don’t be afraid to tell your relatives what you need (and don’t need). The last thing you want is to have one overbearing relatives overstepping their boundaries and overstaying their welcome.
Now What?
Things change after about 6 weeks of caring for your newborn. You and your partner will be different people, your relationship will be redefined and your tot will begin to act more like a baby than a squirmy alien. Life will get easier from here on out. Your tot will become a toddler and will begin roaming around the house. Make sure you are prepared for junior’s curiosity by baby-proofing your home early.
