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O Concello de Carnota, con motivo do ano santo, vai realizar unha excursión a Santiago de Compostela

A excursión realizarase o día 4 de xullo. Sairase pola mañá en autobús, asistiremos a misa do peregrino ás 13:15 e ao rematar a misa iremos comer. Logo dun tempo de lecer regresaremos á tardiña.

O prezo da viaxe será de 20€ por persoa, agás os menores de 14 anos que terán que pagar 10€.

As persoas interesadas deberán apuntarse no Concello preguntando por Begoña ou Sara. O día de remate para apuntarse será o 20 de xuño. Para unha maior organización rogamos que se apunten canto antes.

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The signal (nitric oxide) is released from nerve endings or from endothelial cells and activates a cascade reaction, which ultimately leads to an increased cellular concentration of cGMP (cyclic guanosine monophosphate). This second messenger molecule induces a series of events that lead to smooth-muscle relaxation through a reduction in the intracellular calcium ion concentration. The enzyme PDE-5 (phosphodiesterase type 5) reverses this effect by metabolizing the cGMP to GMP rapidly. The clinically important inhibitors of this enzyme (sildenafil, vardenafil and tadalafil) all act to promote smooth-muscle relaxation by their ability to allow cGMP to accumulate when nitric oxide is released, as is the case when sexual stimulation is present. Photo: Christine Kenney A number of specialized investigations exist for the evaluation of erectile dysfunction but need not be part of the routine evaluation. The penile brachial index involves measuring penile pressure and comparing it with arm pressure. It has limited clinical utility because the data are based on superficial and deep penile arterial pressure, whereas erectile function depends on the deep arteries exclusively. Duplex ultrasonography allows for refined assessment of the penile circulation. The information it provides, however, is operator dependent and rarely alters patient management. Selective pudendal arteriography combined with intracavernous injection of a vasoactive drug should be limited to the small group of patients who are candidates for penile revascularization surgery. These patients include nonsmoking men less than 40 years old with a history of pelvic trauma who have sustained a penile arterial disruption.30 Reality: ED is treatable at any age, and increasing numbers of men are becoming aware of this fact. 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If this is true for you, your doctor may take you off that medicine or give you a different one.