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Action Learning is a hugely practical, problem solving approach that is like group coaching, where learning and work are seamlessly blended, without it feeling like hard work! It’s energising, helps you get to the heart of an issue and gives you actions you want to take to move you forward.
But it doesn’t stop there, when you’re helping others work through their issues you’re developing your coaching and problem-solving skills, while at the same time learning new approaches to shared issues. It’s called double-loop learning and we think you’ll like it!
Our simple, structures help you work through problems by exploring them more thoroughly, holding off the natural temptation to focus on solutions until you’ve got to the heart of the issue.
You take it in turns to be the client and we facilitate the session to ensure everyone gets maximum benefit. We see it as one of the most significant investments you can make with your time.
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You bring your own issues to the group
The group agree the issues and in what order to tackle them
As client you get the time and space to reflect – the opportunity to ‘hear yourself think’
You learn through asking and answering questions – not by giving advice or being trained
Other people offer different perspectives on your issue
You get insights and ideas from others
You take away Actions to move you forward
cholesterol, smoking, high blood pressure -- doesn't improve the prediction of future cardiovascular trouble, it can be a quick, free addition to risk assessment, Araujo said.
Oral sildenafil appears to be safe in the treatment of erectile dysfunction in the real world. It is accepted widely by our patients as first line treatment and is successful in 91% of our patients. At the end of the study period 80% of the patients were willing to continue with sildenafil therapy. In our part of the United Kingdom, there is a large expectation for ED to be treated in the NHS. Of those men eligible for treatment of their ED in the NHS, 30% qualify under the clinical categories and 18% under the 'distress' category. This has implications on the local prescribing policies and resources. Under the current guidelines, only 55% of men with one or more cardiovascular risk factors qualify for treatment in the NHS. The majority of men presenting with ED could be managed in primary care.
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Thompson and his colleagues provided the first substantial evidence linking erectile dysfunction and subsequent risk for heart disease in a December 2005 report in the Journal of the American Medical Association. Yet the connection is not as well recognized among doctors and patients as cardiologists and urologists think it should be.
Vacuum constriction devices are safe and can be used by patients with ED caused by many conditions, including:
Intracellular cGMP is hydrolyzed by PDEs, terminating their action. PDEs are a diverse family of enzymes with different tissue distributions and functions, but all exert their effect by lowering intracellular cyclic nucleotide levels.
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In a 2009 randomized, multicenter, double-blind, placebo-controlled, crossover study of 191 men with ED (40% with baseline moderate ED and 33% with severe ED; the ENDURANCE study), Rosenberg et al found that vardenafil (10 mg) was superior to placebo.8
"The presence of unknown pharmaceutically active ingredients and/or impurities may lead to undesirable and serious adverse events, even death" warns lead author and journal editor Graham Jackson, a London-based cardiologist.
These have played a key role in driving the growth of counterfeit drugs, with studies suggesting that as many as 2.3 million ED drugs are sold a month, mostly without prescription, and that 44 per cent of the Viagra offered on the internet is counterfeit.
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Half the men were assigned to receive 2 Gray (Gy -- a measurement of radiation) in 38 sessions spread over seven and a half weeks.
Results: Of the 2,010 men interviewed, 257 (12.8%) reported ED. The prevalence increased with age, from 2% in men aged 18-39 to 48% in those >70 years (tested for trend, p = 0.0001). A history of cardiopathy, diabetes, hypertension, neuropathy, thrombotic/hemorrhagic stroke, peripheral vascular disorders, pelvic/medullary injury and pelvic surgery/radiation all increased the risk of ED. The association of hypertension and diabetes tends to increase the risk of ED. In comparison with nondiabetic and nonhypertensive men, the odds ratio (OR) was 1.4 (95% confidence interval (CI), 0.7-3.2) for hypertensive men without diabetes, 4.6 (95% CI, 1.6-13.7) for diabetic men without hypertension and 8.1 (95% CI, 1.2-55.0) for men with diabetes and hypertension. In comparison with never smokers, the OR of ED was 1.7 (95% CI, 1.2-2.4) for current smokers and 1.6 (95% CI, 1.1-2.3) for ex-smokers and increased with duration of the habit.
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How does it work? No one knows for sure, but some say the substances stimulate production of certain antibodies—like a vaccination of sorts. Since homeopathy uses natural substances to trigger natural responses in the body, it may be safer than pharmaceutical drugs, which often carry the risk of side effects.
This focus on performance, Shaw says, robs men and their partners of the opportunity to deepen their relationships -- and their sexuality. The sexual needs of adolescents, she says, are different that those of adults. Yet by making erections the be-all and end-all of sex, grown men are retreating to adolescent sexual values.
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Our simple, structures help you work through problems by exploring them more thoroughly, holding off the natural temptation to focus on solutions until you’ve got to the heart of the issue.