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Developing a Regional Strategy for the Spa and Wellness Sector
Developing a Regional Strategy for the Spa and Wellness Sector
Public and private sector representatives of CARIFORUM’s Spa and Wellness sector met in Dominica on June 12 and 13 to discuss and adopt a joint strategy to guide the development of the sector. The meeting counted with the presence of Honourable, Mr. Douglas Minister of Tourism and Legal Affaires of the Commonwealth of Dominica and saw the active participation of over 40 professionals of this high-value-added sector of the region’s tourism industry.
This initiative was made possible via the joint efforts of the Caribbean Development Bank (CDB), the United Kingdom’s Department for International Development (DFID), the Caribbean Spa and Wellness Association (C-SWA) and Caribbean Export in the framework of a comprehensive programme in favour of development and competitiveness of the Caribbean’s Spa and Wellness Industry implemented under the UK’s Caribbean Aid For Trade and Regional Integration Trust Fund (CARTFund).
This programme also counts with the support of the European Union, the CARIFORUM Directorate, the Deutsche Gesellschaft fuer Internationale Zusammenarbeit GIZ 'German development cooperation' Agency (GIZ), the Caribbean Tourism Association (CTO), CARICOM Regional Organization for Standards and Quality (CROSQ) and the University of West Indies (UWI) Cave Hill Campus.
Representatives to the meeting agreed that Health and Wellness (H&W) has great potential of contributing to the diversification of CARIFORUM’s tourism product by taking advantage of region’s unique cultural heritage and natural resources.
The international growth of H&W industry and its links to other sectors such as agribusiness, cosmetics, architects and engineers and cultural industries makes it a sector of interest in the region’s quest to boost economic development, increase jobs and achieve greater integration of its economy.
During the meeting H&W experts from the United Kingdom, the United States of America, Germany, Thailand and India were able to exchange their experiences with Caribbean professionals contributing to the definition and implementation of a regional development road map for the sector.
The next actions of the CARTFund H&W programme will be the development and implementation of an international marketing campaign, including the revamping of C-SWA’s website, and setting the basis for the adoption of harmonised regional standards for the sector.
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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THURSDAY, July 3 (HealthDay News) -- Frequent sexual intercourse may cut down on a man's chances of developing erectile dysfunction, Finnish researchers report.
Erectile dysfunction and coronary artery disease share many of the same risk factors, including diabetes, smoking, high blood pressure, high cholesterol, obesity, depression, and lack of physical activity.
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A. Two extremely compact hollow cylinders, which come in a variety of widths and lengths, are implanted within the penis. A small container that holds fluid for the cylinders is inserted in the lower part of the abdomen and a pump is implanted in the scrotum. The patient squeezes the pump several times, which transfers the fluid from the container to the inflatable cylinders, which then expand, widening and lengthening the penis. To get rid of the erection, the valve at the top of the pump is squeezed and the fluid returns to the abdominal reservoir, causing penile flaccidity.
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Neither, she says, will more arduous attempts at making love. "This isn't a problem related to being turned on," says Foley. As such, the more and the harder you try, the worse it's going to be for him -- and for you -- when it doesn't happen.
Risk of infection, scar tissue formation with distortion of the penis, and painful erections
Uncontroversial treatments
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The experimental drug Bremelanotide (formerly PT-141) does not act on the vascular system like the former compounds but increases sexual desire and drive in male as well as female. It is applied as a nasal spray. Bremelanotide works by activating melanocortin receptors in the brain. It is currently in Phase IIb trials.
Intercourse can be attempted with the constriction band in place to help maintain the erection. The band can be left on safely for up to 30 minutes to allow for successful intercourse.
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A penile prosthesis is another treatment option for men with erectile dysfunction. These devices are either malleable or inflatable. The simplest type of prosthesis consists of a pair of malleable (bendable) rods surgically implanted within the erection chambers of the penis. With this type of implant the penis is always semi-rigid and merely needs to be lifted or adjusted into the erect position to initiate sex. Today, many men choose a hydraulic, inflatable prosthesis, which allows a man to have an erection whenever he chooses and is much easier to conceal. It is also more natural.
In prescribing sildenafil, a doctor considers the age, general health status, and other medication(s) the patient is taking. The usual starting dose for most men is 50 mg, however, the doctor may increase or decrease the dose depending on side effects and effectiveness. The maximum recommended dose is 100 mg every 24 hours, however, many men will need 100 mg of sildenafil for optimal effectiveness, and some doctors are recommending 100 mg as the starting dose.
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Other adverse events associated with oral PDE-5 inhibitor therapy appear to be few (Table 4). In clinical trials the rates of discontinuation of the drug because of adverse events was low (< 5%) for all of 3 drugs, with few or no cases of priapism.37,53,55,56 Extra caution should be taken for patients who are expected to have reduced clearance of the drug. This group includes men who have severe hepatic or renal insufficiency, men over 65 years old and men taking drugs that inhibit the cytochrome P450 3A4 enzyme (e.g., cimetidine, erythromycin and ketoconazole).57 For these patients it is prudent to start with smaller doses of medication and build up gradually. For sildenafil, it is our experience that a starting dose of 50 mg is safe and effective for all men.
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