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Pronunciation: sil-DEN-a-fil

Viagra is used for:

Treating high blood pressure Cialis in the lungs (pulmonary arterial hypertension [PAH]). It may also be used for other conditions as determined by your doctor. Viagra is a phosphodiesterase type 5 (PDE5) inhibitor. It works by relaxing and dilating the blood vessels in the lungs. This lowers the blood pressure in the lungs and helps to improve your ability to exercise. After April 2020, generic Viagra (sildenafil) may become available.

Do NOT use Viagra if:

- you are allergic to any ingredient in this medicine

- Some medical conditions may interact with this medicine. Tell your doctor or

pharmacist if you have any medical conditions, especially if any of the following

apply to you:

- if you are pregnant, planning to become pregnant, or are breast-feeding

- if you are taking any prescription or nonprescription medicine, herbal preparation,

or dietary supplement

- if you have allergies to medicines, foods, or other substances

- if you have a history of a prolonged (more than 4 hours) or painful erection (priapism)

- if you have a deformed penis (eg, cavernosal fibrosis, Peyronie disease), certain

blood cell problems (eg, leukemia, multiple myeloma, sickle cell anemia), or any

other condition that may increase the risk of a prolonged or painful erection (priapism)

- if you have a history of certain eye problems (eg, macular degeneration, optic neuropathy,

How to use Viagra:

- Use viagra as directed by your doctor. Check the label on the medicine for

exact dosing instructions.

- Viagra is usually given as an injection at your doctors office, hospital,

or clinic. If you will be using this medicine at home, a health care provider will

teach you how to use it. Be sure you understand how to use this medicine. Follow

the procedures you are taught when you use a dose. Contact your health care provider

if you have any questions.

- Do not use this medicine if it contains particles, is cloudy or discolored, or if

- Viagra may cause dizziness, light-headedness, or fainting; alcohol, hot weather,

- Patients with heart problems who use Viagra may be at increased risk of heart-related

side effects, including a heart attack or stroke. Symptoms of a heart attack may

include chest, shoulder, neck, or jaw pain; numbness of an arm or leg; severe dizziness,

headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms

of a stroke may include confusion, vision or speech changes, one-sided weakness,

or fainting. Contact your doctor or seek medical attention right away if you experience

these symptoms.

- Viagra may rarely cause a prolonged (more than 4 hours) or painful erection.

This could happen even when you are not having sex. If this is not treated right

away, it could lead to permanent sexual problems, such as impotence. Contact your

doctor right away if you have an erection that lasts more than 4 hours.

- If vomiting or diarrhea occurs, you will need to take care not to become dehydrated.

Contact your doctor for instructions.

- Viagra may uncommonly cause mild, temporary vision changes (eg, blurred vision,

sensitivity to light, blue/green color tint to vision). Contact your doctor if vision

changes persist or are severe.

- Rarely, an eye problem called nonarteritic anterior ischemic optic neuropathy (NAION)

has been reported in patients who took Viagra. This may lead to decreased

- Do not use medicines or treatments for ED while you are using Viagra without

Possible side effects of Viagra:

- All medicines may cause side effects, but many people have no, or minor, side effects.

- Diarrhea; dizziness; flushing; headache; mild pain, redness, or swelling at the

injection site; muscle aches; nausea; nosebleed; numb or tingling skin; stuffy or

runny nose; trouble sleeping; upset stomach.

- Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness

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fainting; fast or irregular heartbeat; fever; memory loss; numbness of an arm or

leg; one-sided weakness;

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- persistent or severe pain, redness, or swelling at the injection site; ringing in

- This is not a complete list of all side effects that may occur. If you have questions

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Proper storage of Viagra:

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Latest News

Students Make Presentation on ‘Service Learning’ to Vatican Forum

Summer Research Internship Job at IBM Research Africa

University Council Member Appointed Archbishop

University Hosts Screening of the UN Human Rights Universal Review Proceedings

Archbishop-elect Mombasa launches "Year of the Priest" book

Archbishop launches "Paths of Development" book

Archbishop Zacchaeus Okoth launched the book "Paths of Development" on January 15, 2015 here at the University.

The Archbishop concelebrated the Thursday community Mass with Archbishop-elect of Mombasa, Most Rev. Martin Kivuva Musonde, Rev. Prof. Lukwata and Rev. Dr. Charles Kyallo the University Chaplain before the launch.



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Why am I seeing this page?

404 means the file is not found. If you have already uploaded the file then the name may be misspelled or it is in a different folder.

Other Possible Causes

You may get a 404 error for images because you have Hot Link Protection turned on and the domain is not on the list of authorized domains.

ip/

username/) and get this error, there maybe a problem with the rule set stored in an .htaccess file. You can try renaming that file to .htaccess-backup and refreshing the site to see if that resolves the issue.

It is also possible that you have inadvertently deleted your document root or the your account may need to be recreated. Either way, please contact HostGator immediately via phone or live chat so we can diagnose the problem.

Are you using WordPress? See the Section on 404 errors after clicking a link in WordPress.

How to find the correct spelling and folder

Missing or Broken Files

When you get a 404 error be sure to check the URL that you are attempting to use in your browser.This tells the server what resource it should attempt to request.

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When you have a missing image on your site you may see a box on your page with with a red X where the image is missing. Right click on the X and choose Properties. The properties will tell you the path and file name that cannot be found.

This varies by browser, if you do not see a box on your page with a red X try right clicking on the page, then select View Page Info, and goto the Media Tab.

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Programme Régional Communauté, Média et Environnement

Les gens sont au cœur de toutes les activités de l’Institut Panos Caraïbes. En vertu de notre programme régional “Communauté, Média et Environnement”, nous voulons faciliter l’autonomie des communautés, en particulier celles des zones rurales, à participer efficacement à l’élaboration des réponses nationales et régionales à  la problématique de l’environnement et du développement.

Nous encourageons les communautés locales à  s’exprimer sur des questions telles que le changement climatique, la dégradation des terres, la crise de l’énergie, l’extraction de la bauxite, genre, la gestion des ressources côtières et de l’assainissement.  Formation des journalistes, expositions, publication d’articles de fond, exposés,  et présentations de rapports, sont quelques unes des activités à travers lesquelles Panos stimule la couverture médiatique dans la région.

Au cours des prochaines années, nous nous emploierons toutes nos énergies  à faire en sorte que:

1. La population locale dans divers pays – comme la Jamaïque, Haïti, la République Dominicaine, Trinidad et Tobago, Sainte-Lucie et  Belize – soient engagés dans la gestion de l’environnement et puissent influencer les politiques.

2. Les décideurs et autres parties prenantes puissent comprendre la valeur des points de vue, de même que la communauté.

3. La capacité des médias régionaux et communautaires, soit renforcée afin d’intégrer les perspectives communautaires dans la réhabilitation de l’environnement.

4. Les échanges d’informations sur les questions environnementales concernant les communautés  se fassent dans toute la région, et facilitent une sensibilisation accrue du public sur les questions environnementales.

Pour plus d’informations sur notre programme et les activités du projet, s’il vous plaît cliquer sur les liens ci-dessous ou par courriel à media@panoscaribbean.org ou environment@panoscaribbean.org



Why humans develop gout

Thanks to prolific UK science writer Ed Yong for picking up on a recent paper in PNAS from Eric Gaucher’s lab at Georgia Tech and Eric Ortlund’s at Emory.

Gaucher and Ortlund teamed up to “resurrect” ancient versions of the enzyme uricase, in search of an explanation for why humans develop gout. Yong explains:

The substance responsible for the condition [gout] is uric acid, which is normally expelled by our kidneys, via urine. But if there’s too much uric acid in our blood, it doesn’t dissolve properly and forms large insoluble crystals that build up in our joints. That explains the painful swellings. High levels of uric acid have also been linked to obesity, diabetes, and diseases of the heart, liver and kidneys. Most other mammals don’t have this problem. In their bodies, an enzyme called uricase converts uric acid into other substances that can be more easily excreted.

Uricase is an ancient invention, one that’s shared by bacteria and animals alike. But for some reason, apes have abandoned it. Our uricase gene has mutations that stop us from making the enzyme at all. It’s a "pseudogene"—the biological version of a corrupted computer file. And it’s the reason that our blood contains 3 to 10 times more uric acid than that of other mammals, predisposing us to gout.

“Our role* on the project was to solve the three dimensional structure of this enzyme using X-ray crystallography to figure out how these ancient mutations led to a decline in uricase activity in humans and apes,” Ortlund says. “We were interested in how this enzyme lost function, and for the future, how we can restore function to this enzyme to create a more "human-like" (and thus less immunogenic) protein than the current available bacterial or baboon-pig uricase chimeras.”

(There’s even a patent on this ancient uricase as a potential treatment for gout, and a start-up company named General Genomics )

Their paper also explores what advantage humans might have gained from losing functional uricase. The proposal is: by disabling uricase, ancient primates became more efficient at turning fructose, the sugar found in fruit, into fat. Their results provide some support for the “thrifty gene hypothesis:” the idea that humans are evolutionarily adapted to being able to survive an erratic food supply, which is not so great now that people in developed countries have access to lots of food. The authors write:

The loss of uricase may have provided a survival advantage by amplifying the effects of fructose to enhance fat stores, and by the ability of uric acid to stimulate foraging, while also increasing blood pressure in response to salt. Thus, the loss of uricase may represent the first example of a "thrifty gene" to explain the current epidemic of obesity and diabetes, except that it is the loss of a gene, and not the acquisition of a new gene, that has increased our susceptibility to these conditions. 

*Ortlund’s former postdoc Michael Murphy was involved in this part.

Lampreys hint at origin of ancient immune cells

Studying lampreys allows biologists to envision the evolutionary past, because they represent an early offshoot of the evolutionary tree, before sharks and fish. Despite their inconspicuous appearance, lampreys have a sophisticated immune system with three types of white blood cell that resemble our B and T cells, researchers have discovered.

The results are published in the journal Nature. The finding follows an earlier study  showing that cells resembling two main types of white blood cells, B cells and T cells, are present in lampreys.



Pronunciation: sil-DEN-a-fil

Viagra is used for:

Treating high blood pressure in the lungs (pulmonary arterial hypertension [PAH]). It may also be used for other conditions as determined by your doctor. Viagra is a phosphodiesterase type 5 (PDE5) inhibitor. It works by relaxing and dilating the blood vessels in the lungs. This lowers the blood pressure in the lungs and helps to improve your ability to exercise. After April 2020, generic Viagra (sildenafil) may become available.

Do NOT use Viagra if:

- you are allergic to any ingredient in this medicine

- Some medical conditions may interact with this medicine. Tell your doctor or

pharmacist if you have any medical conditions, especially if any of the following

apply to you:

- if you are pregnant, planning to become pregnant, or are breast-feeding

- if you are taking any prescription or nonprescription medicine, herbal preparation,

or dietary supplement

- if you have allergies to medicines, foods, or other substances

- if you have a history of a prolonged (more than 4 hours) or painful erection (priapism)

- if you have a deformed penis (eg, cavernosal fibrosis, Peyronie disease), certain

blood cell problems (eg, leukemia, multiple myeloma, sickle cell anemia), or any

other condition that may increase the risk of a prolonged or painful erection (priapism)

- if you have a history of certain eye problems (eg, macular degeneration, optic neuropathy,

How to use Viagra:

- Use viagra as directed by your doctor. Check the label on the medicine for

exact dosing instructions.

- Viagra is usually given as an injection at your doctors office, hospital,

or clinic. If you will be using this medicine at home, a health care provider will

teach you how to use it. Be sure you understand how to use this medicine. Follow

the procedures you are taught when you use a dose. Contact your health care provider

if you have any questions.

- Do not use this medicine if it contains particles, is cloudy or discolored, or if

- Viagra may cause dizziness, light-headedness, or fainting; alcohol, hot weather,

- Patients with heart problems who use Viagra may be at increased risk of heart-related

side effects, including a heart attack or stroke. Symptoms of a heart attack may

include chest, shoulder, neck, or jaw pain; numbness of an arm or leg; severe dizziness,

headache, nausea, stomach pain, or vomiting; fainting; or vision changes. Symptoms

of a stroke may include confusion, vision or speech changes, one-sided weakness,

or fainting. Contact your doctor or seek medical attention right away if you experience

these symptoms.

- Viagra may rarely cause a prolonged (more than 4 hours) or painful erection.

This could happen even when you are not having sex. If this is not treated right

away, it could lead to permanent sexual problems, such as impotence. Contact your

doctor right away if you have an erection that lasts more than 4 hours.

- If vomiting or diarrhea occurs, you will need to take care not to become dehydrated.

Contact your doctor for instructions.

- Viagra may uncommonly cause mild, temporary vision changes (eg, blurred vision,

sensitivity to light, blue/green color tint to vision). Contact your doctor if vision

changes persist or are severe.

- Rarely, an eye problem called nonarteritic anterior ischemic optic neuropathy (NAION)

has been reported in patients who took Viagra. This may lead to decreased

- Do not use medicines or treatments for ED while you are using Viagra without

Possible side effects of Viagra:

- All medicines may cause side effects, but many people have no, or minor, side effects.

- Diarrhea; dizziness; flushing; headache; mild pain, redness, or swelling at the

injection site; muscle aches; nausea; nosebleed; numb or tingling skin; stuffy or

runny nose; trouble sleeping; upset stomach.

- Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness

in the chest; swelling of the mouth, face, lips, or tongue); chest pain; confusion;

fainting; fast or irregular heartbeat; fever; memory loss; numbness of an arm or

leg; one-sided weakness;

- painful or prolonged erection;

- persistent or severe pain, redness, or swelling at the injection site; ringing in

- This is not a complete list of all side effects that may occur. If you have questions

www.fda.gov/medwatch

If OVERDOSE is suspected:

www.aapcc.org), or emergency room immediately. Symptoms may include fainting; prolonged erection; severe dizziness.

Proper storage of Viagra:

This medicine is usually handled and stored by a health care provider. If you are using this medicine at home, store this medicine as directed by your pharmacist or health care provider. Keep this medicine out of the reach of children and away from pets.

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