Monthly Archives: May 2025

　　對於男性來說，男科問題是一個難以啟齒的問題，尤其是勃起功能障礙，不僅給患者造成了難以承受的心理負擔，也同時影響了家庭的和諧。據了解，功能勃起障礙的發病率占成年男性的50%左右，其發病原因可分為心理性勃起功能障礙和器質性勃起功能障礙，器質性勃起功能障礙占50%，主要包括血管性、神經性、內分泌性、糖尿病性、陰莖海綿體纖維化性等。通過一點一滴的努力，讓犀利士邊度買的市場占有率越來越高，得到的投資回報率也穩步攀升。https://www.cialis-hk.cn

　　教授在演講中也提到，慢性疾病是勃起功能障礙的主要危險因子，如糖尿病、攝護腺疾病、周邊血管疾病、心臟問題高血脂癥、高血壓等。同時勃起功能障礙和良性攝護腺肥大癥所伴隨的下泌尿道癥狀也有密切的關系。有數據指出，72%的勃起功能障礙男性同時患有下泌尿道癥狀，而62%有下泌尿道癥狀的病患被診斷出有勃起功能障礙問題。

　　治療勃起功能障礙，犀利士長期服藥仍然有效

　　那麼有沒有一種藥物能有有效的治療勃起功能障礙，同時也能夠緩解與良性攝護腺肥大相關的下泌尿道癥狀？

　　犀利士5mg能做到！教授在演講中介紹，犀利士5mg能夠緩解良性攝護腺肥大癥所伴隨的下泌尿道癥狀，同時對於勃起功能障礙也很有效。根據IPSS國際攝護腺(前列腺)癥狀評分問卷顯示，犀利士5mg最快第二周便能顯著改善下泌尿道癥狀，例如：頻尿、尿急憋不住、小便斷斷續續、小便解不幹凈、需要用力才能解出小便等癥狀。而對於治療勃起功能障礙的臨床實驗追蹤結果也顯示，連續服用犀利士5mg一年後，停藥一個月，有 46.3% 的患者表示仍具有療效。同時患有糖尿病或高血壓的勃起功能障礙患者，停藥一個月後表示仍然具有療效的比例較高(分別為 56.8% 和 69.6% )；而心因性的患者其比例則反之較低(32%)。此外，即使在服藥後的4-36小時，患者性交成功率亦高達約80%，並且還可增加晨間勃起的機會。

　　需要註意的是犀利士也是有其適應癥和禁忌癥的，患者在服用前應該了解清楚。

　　從藍色小藥丸（威而剛）問世以來，老男人似乎活得愈來愈有自信，六十歲以後還是一尾活龍似乎已不是神話。其實威而鋼（Viagra）屬於所謂第5型磷酸二脂酶抑制劑（PDE5-I），是目前治療男性性功能障礙的口服選擇藥物。隨著其他藥廠開發新藥加入競爭，目前市面上流通的PDE5-I除威而剛（Viagra）外，還有樂威壯（Levitra）和犀利士（Cialis）兩種，三者劑量和藥物活性有些差異，但是都可以治療性功能障礙，但是患者必須依需求在性行為前服用藥物，效果可以達六至七成。其實不僅僅是這個原因，犀利士邊度買本身的優勢也較為明顯，市場表現良好亦屬正常。https://www.cialis-hk.cn

　　但是漸漸地有文獻指出: 某些陽痿病人，如攝護腺手術後性神經受損，糖尿病患，或嚴重血管活性不佳的病人等，使用PDE5-I治療陽痿則效果偏低。另一方面，根據統計35-47%的病人單次使用PDE5-I覺得有效就會停藥，而需要時才使用（on demand）藥物，其實還是無法完全使病人（40-50%）恢復”正常”的性生活，因為有計畫的性行為可能導致病患焦慮而影響表現。

　　研究人員發現：在經歷攝護腺根除手術後，兩側性神經受損而陽痿的病人中，長期服用PDE5 Inhibitor可以減低海綿體組織中平滑肌的細胞衰亡，也可減低血管內皮細胞的失能。在老鼠動物實驗模式中也發現，長期持續以威而剛20mg/kg餵食老鼠45天後發現，實驗組老鼠可以減緩海綿體組織的纖維化，避免海綿體平滑肌的損失，更可刺激NO的產生。就這樣，愈來愈多的文獻證實了比較持續每天使用PDE5-I和依需求使用PDE5-I，對性功能障礙治療至少一樣好或更好，且對於整體人體血管的健康也有益處。而上述三者已經上市的藥物中，犀利士半衰期長達17.5 小時，反應時間達36小時，使得每日使用較低劑量就可以使人體內維持一定的藥物作用濃度。每日口服犀利士5mg使用五天後，體內濃度可以達單次使用的1.6倍，因此可以有效治療器質性的性功能障礙。在McMahon的研究中，比較單次使用on demand的20mg犀利士和持續每天使用10mg犀利士26周後發現: 後者比前者在經IIEF EF領域（性功能慣用評估指標）評估證實，能有效維持已提昇的勃起功能。進一步臨床試驗中，每日給予一次犀利士5 mg的療效，和依需求使用犀利士10 mg或20 mg之臨床試驗的整合結果相同。而病人服用犀利士每日錠5 mg的耐受性，也和依需求使用犀利士10 mg或20 mg之臨床試驗的整合結果相同。

　　因此，犀利士每日錠成為目前唯一通過衛生署核準可持續天天服用的PDE5-I藥物。優點是長期使用可以改善內皮細胞的功能，副作用發生率可能較低，對於已經診斷必須使用PDE5-I來治療性功能障礙的病人，如果病人要求的是恢復更”自然”的性行為，而每日錠使用可打破原本吃藥才能性行為的預期焦慮。臨床上的資料也證實：每日使用一次犀利士通常具有良好的耐受性。目前並沒有證據顯示對治療產生耐藥性或抗藥性。

　　安全性評估

　　目前相關的研究結果並不多。已知的結果指出，使用低劑量犀利士每日錠和依需求使用（on demand）來比較，副作用的種類和發生比率並沒有多大差異。其中最常被報告出來的副作用是消化不良，頭痛，背痛和疑似感冒的癥狀。

　　絕對禁忌

　　和所有PDE5-I一樣，犀利士禁用於使用任何形式有機硝酸鹽的患者。若需給予硝酸鹽藥物，必須間隔至少48小時，並由醫護人員藉由適當的血液動力學監測，進行嚴密監控。另外，犀利士也禁用於因非動脈性前部缺血性視神經病變（NAION）而失去單眼視力的患者。

　　結論

　　人類使用PDE5-I治療性功能障礙歷史已經要邁入第二個十年，愈來愈多臨床醫師發現單次使用PDE5-I藥物達到勃起目的，事實上並不是治療性功能障礙完全成功，因為病患希望的要求是恢復往日雄風，想做就做，而不是吃藥才能完成有計畫的性行為。事實上，治療陽痿常常必須考量到個體不同的需求和想法，但現在的研究結果往往無法回答這些複雜的問題。如果病人要求的是恢復更”自然”的性行為，在醫師專業的評估之後，犀利士每日錠持續使用，可能是治療陽痿的一個新的契機。

　　對於男性來說，男科問題是一個難以啟齒的問題，尤其是勃起功能障礙，不僅給患者造成了難以承受的心理負擔，也同時影響了家庭的和諧。據了解，功能勃起障礙的發病率占成年男性的50%左右，其發病原因可分為心理性勃起功能障礙和器質性勃起功能障礙，器質性勃起功能障礙占50%，主要包括血管性、神經性、內分泌性、糖尿病性、陰莖海綿體纖維化性等。以犀利士邊度買為例，發展下去定會成為行業的標杆，起到引領市場的重要作用。https://www.cialis-hk.cn

　　教授在演講中也提到，慢性疾病是勃起功能障礙的主要危險因子，如糖尿病、攝護腺疾病、周邊血管疾病、心臟問題高血脂癥、高血壓等。同時勃起功能障礙和良性攝護腺肥大癥所伴隨的下泌尿道癥狀也有密切的關系。有數據指出，72%的勃起功能障礙男性同時患有下泌尿道癥狀，而62%有下泌尿道癥狀的病患被診斷出有勃起功能障礙問題。

　　治療勃起功能障礙，犀利士長期服藥仍然有效

　　那麼有沒有一種藥物能有有效的治療勃起功能障礙，同時也能夠緩解與良性攝護腺肥大相關的下泌尿道癥狀？

　　犀利士5mg能做到！教授在演講中介紹，犀利士5mg能夠緩解良性攝護腺肥大癥所伴隨的下泌尿道癥狀，同時對於勃起功能障礙也很有效。根據IPSS國際攝護腺(前列腺)癥狀評分問卷顯示，犀利士5mg最快第二周便能顯著改善下泌尿道癥狀，例如：頻尿、尿急憋不住、小便斷斷續續、小便解不幹凈、需要用力才能解出小便等癥狀。而對於治療勃起功能障礙的臨床實驗追蹤結果也顯示，連續服用犀利士5mg一年後，停藥一個月，有 46.3% 的患者表示仍具有療效。同時患有糖尿病或高血壓的勃起功能障礙患者，停藥一個月後表示仍然具有療效的比例較高(分別為 56.8% 和 69.6% )；而心因性的患者其比例則反之較低(32%)。此外，即使在服藥後的4-36小時，患者性交成功率亦高達約80%，並且還可增加晨間勃起的機會。

　　需要註意的是犀利士也是有其適應癥和禁忌癥的，患者在服用前應該了解清楚。

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According to a report by NBC News on March 12, Russia suffered a wave of attacks on the 12th. Ukraine drones hit deep targets in Russia from the air. Anti-Russian armed groups said they launched cross-border ground attacks.

Reported that this wave of attacks shows that Kiev has the ability and determination to bring war to the territory of neighboring countries.

The report also said that the attack occurred a few days before Russia’s presidential election, in which Putin is widely expected to win.

The Kremlin said it had successfully repelled the attempted invasion. Neither side’s claims could be confirmed.

The Russian Defense Ministry said earlier on the 12th that it had intercepted 25 drones in at least seven areas, one of the most extensive air strikes carried out by Ukraine in recent months. In recent months, Ukraine has increasingly used drones to strike energy facilities deep into Russia’s rear.

The report mentioned that Russia will hold a three-day general election vote starting on the 15th. The attack on the 12th will be seen as an unwelcome interference.

According to a Reuters report on March 12, the Russian Ministry of Defense said that the Ukraine terrorist formation, supported by tanks and armored fighting vehicles, tried to invade Russia’s Belgorod region from three different directions in the early morning of the 12th.

About five hours later, the Russian Defense Ministry said it repelled four other attacks by Ukraine sabotage and reconnaissance teams in Russia’s Kursk region.

According to Agence France-Presse reported on March 12, Russia temporarily closed schools in the city of Kursk near the border with Ukraine on the 12th after pro-Kiev militia launched cross-border attacks and drone attacks increased in Ukraine.

The news that schools would remain closed until the weekend came after Moscow announced that it had deployed fighter jets, rockets and artillery to fend off a Ukraine attack on its territory.

Kursk Mayor Igor Kuchak said on social media: In view of recent events, I decided to switch the school to distance learning. He also said the measure would last until Friday. (Compiled by Guo Jun and Qiu Fang)

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Jerusalem, March 21 (Reporters Wang Zhuolun and Lu Yingxu) The Israeli military issued a situation report on the 21st, saying that the Israeli army had killed about 140 Palestinian militants during its military operation at Shifa Hospital in Gaza City, and more than 600 suspects were taken back to Israel for investigation.

The report said that the Israeli army found weapons and intelligence documents of Palestinian armed groups at Al-Shifa Hospital. Israeli troops will continue operations in the Shifa Hospital area.

Israeli media quoted military officials as saying the military operation at Shifa hospital was expected to last for several days.

On the 18th, Israeli troops stormed into Shifa Hospital and issued a statement saying that intelligence showed that Palestinian Islamic Resistance Movement (Hamas) militants had recently entered Shifa Hospital and used the hospital as a command center.

The Israeli army took military action against Shifa Hospital in November last year and claimed that Hamas ‘combat command center and military equipment were found in the hospital. The Gaza Strip health department denied this.

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Beijing, March 14: U.S. President Biden posted on social media saying that he would study petitions from several trade union organizations against China’s subsidies to shipyards. In response, He Yadong, spokesman of the Ministry of Commerce, said on the 14th that China firmly opposes unilateral trade protectionism that ignores WTO rules.

At a regular press conference held by the Ministry of Commerce on the same day, He Yadong said that the accusations made by relevant US organizations against China are completely untenable. Several reports have pointed out that the main reason for the decline of the U.S. shipbuilding industry is over-protection. The development of China’s shipbuilding industry benefits from enterprises strengthening scientific and technological innovation and accelerating high-end, intelligent and green development. The United States blames China for its own industrial development problems, which lacks factual basis.

What I want to emphasize is that the US Section 301 is a typical unilateralist measure that violates the basic principles of the WTO and blatantly ignores and undermines multilateral rules. The previous Section 301 measures taken by the United States against China have been ruled to violate WTO rules. He Yadong said that he hopes the United States will make prudent decisions and not repeat the same mistakes. China will pay close attention to relevant progress, take all necessary measures, and resolutely defend its legitimate rights and interests.

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Washington, March 12 (Reporters Xiong Maoling and Hu Yousong) According to calculations and reports from many mainstream media in the United States, current President Biden confirmed the Democratic presidential nomination for the 2024 U.S. presidential election on the 12th.

Biden won the Democratic primaries in Georgia and Mississippi that day, and more than half of the total number of delegates to this year’s Democratic National Convention has been locked. That means he will be the Democratic presidential candidate again. Biden issued a statement thanking voters for once again letting him represent the Democratic Party, while attacking Republican opponent, former President Trump.

According to calculations by US media, Trump won the Republican primaries in Georgia and Mississippi. He is close to locking in this year’s Republican presidential nomination and is expected to face Biden again in the general election. Biden won the 2020 U.S. presidential election, but Trump refused to admit defeat and claimed large-scale electoral fraud.

On the 12th, primary elections were held in Georgia, Mississippi, Washington and other states and territories. As of press time, the U.S. media have not released the results of primary elections in places other than Georgia and Mississippi.

Trump and Biden recently held respective campaign events in Georgia, attacking each other and kicking off the showdown. The New York Times article wrote: The duel between the two officially begins, which will be a painful, cruel and lengthy competition.

The primary election is the first phase of the U.S. presidential election and will last until June. After the primary election, the Democratic Party and the Republican Party will each hold a national convention to formally nominate the presidential and vice presidential candidates. The polling day for this year’s U.S. election is November 5. (Participating reporter: Sun Ding)

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According to a report by the Russian News Agency on March 20, the Polish Ministry of Defense released a message saying that the NATO Northeast Division, composed of multinational forces, practiced defensive operations during exercises held in imaginary areas near the Russian border.

Poland’s Ministry of Defense said: During the Loyalty Lecda 2024 exercise, soldiers of the multinational Northeast Division were given such a task to carry out defensive operations in an imaginary area similar to the situation in northeastern Poland.

Reported that the command department of NATO’s Northeast Division refused to disclose details of the exercise content.

According to reports, the NATO Northeast Division headquarters is located in Elblong, Poland, and its mission is to coordinate the actions of NATO troops deployed in Poland, Lithuania, Latvia and Estonia. (Compiled by Liu Yang)

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Beijing, March 13 (Xinhua)– six more countries! The expansion of visa-free moments sends a strong signal of China’s opening up.

Reporter

Starting from March 14, China will try out the visa-free policy for ordinary passport holders in Switzerland, Ireland, Hungary, Austria, Belgium and Luxembourg. This is another expansion of China’s visa-free circle of friends following the formal entry into force of the China-Thailand visa abolition agreement on the 1st of this month.

According to the relevant arrangements, people from Switzerland and other six countries who hold ordinary passports to China for business, sightseeing, visiting relatives and friends and transit for no more than 15 days from March 14 to November 30 in 2024 can enter China visa-free. People from the above-mentioned countries who do not meet the visa-free conditions are still required to apply for a visa to come to China before entering the country.

As of early March, China had concluded visa abolition agreements covering different passports with 157 countries and reached visa simplification agreements or arrangements with 44 countries. Including Singapore, Antigua and Barbuda and Thailand, which have signed visa abolition agreements with China since the beginning of this year, 23 countries have implemented comprehensive visa abolition arrangements with China. In addition, more than 60 countries and regions have granted Chinese citizens visa-free or visa-on-arrival treatment.

Leon, a Swiss businessman, runs a tourism service in Geneva and has many Chinese partners. He said that after China’s visa-free entry into force for Switzerland, it will be more convenient to visit friends or discuss cooperation in China. I believe there will be more Swiss like me, planning to go to China for a visit.

For some time, the Chinese side has continuously introduced a number of visa optimization measures to come to China, including reducing the contents of visa application forms, reducing visa fees in stages, simplifying the examination and approval procedures for studying in China, exempting some applicants from fingerprints, visa-free appointments, and trying out visa-free policies for some countries, to further solve the difficulties and congestion points of foreigners coming to China.

During the Spring Festival this year, the number of inbound tourists from China reached 3.23 million, and the number of visa-free tourists from France, Germany, Malaysia and Singapore increased significantly, and the total number of inbound travel orders from these countries doubled compared with the same period in 2019.

The Chinese side also continues to launch a series of practical measures to make life convenient for foreigners and make them feel at home.

In order to better meet the diversified payment service needs of groups, including foreign visitors to China, the “opinions on further optimizing payment Services to enhance payment convenience” was officially released on March 7. a series of requirements are put forward in improving the environment for accepting bank cards, continuously optimizing the environment for the use of cash, and improving the convenience of mobile payment.

In addition, in view of the practical problems encountered by foreign visitors in using mobile payment, the people’s Bank of China instructs Alipay and Tenpay to optimize their business processes, improve the efficiency of binding overseas bank cards, and simplify identity verification arrangements while effectively protecting the security of personal information. Major payment institutions are instructed to raise the limit of individual transactions for foreign visitors to China to use mobile payments from US $1000 to US $5000, and the annual cumulative transaction limit from US $10,000 to US $50, 000.

In various scenes that are closely related to people’s lives, such as food, housing, transportation, travel, shopping, entertainment, and medicine, the small move of getting through the last kilometer one by one reflects the consideration of constantly improving the level of international service and promoting people-to-people exchanges between China and foreign countries.

Continuously improve the convenience of Chinese and foreign personnel exchanges and foreign personnel in China, taking into account the actual needs of people in Sino-foreign exchanges, has a strong realistic pertinence, but also in line with the trend of world integration and development. Su Xiaohui, an associate researcher at the China Academy of International Studies, said that the release of these good news and the acceleration of related work once again demonstrated China’s posture and sincerity in strengthening opening up and cooperation.

At the just-concluded national two sessions, China announced to the world a series of practical measures to promote high-level opening up to the outside world and strengthen international exchanges and cooperation.

We will step up efforts to attract foreign investment, promote the implementation of the eight actions to support high-quality co-building of Belt and Road Initiative, and do a good job in international cooperation platforms such as the entry Expo, the Service Trade Fair, the Consumer Expo and the chain Expo. In the bright picture of holding the new session of the Forum on China-Africa Cooperation hand in hand and mutual benefit, the cake of cooperation between China and the rest of the world is bound to grow bigger and bigger.

Yang Mingjie, director of the China Institute of Modern International Relations, said that in the context of the weak global economic recovery, instability and uncertainty, the strong signal of openness and cooperation sent by China has injected more momentum and valuable certainty into promoting the common development of the world. The relationship between China and the world market will be closer and colorful.

Over the past few days, international media and scholars have expressed their confidence in the prospects of China’s opening up and development: China’s further opening up to the outside world provides growth opportunities for global partners and China’s new development provides new opportunities for the world. This is in line with the strong desire of the people of all countries for peaceful development.

Starting from spring, a vibrant China will write more wonderful stories about blending with the world and achieving each other. (reporters Wang Bin, permit, Shi Jingnan, Ren Qinqin, Zhu Chao, Wu Yue)

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On the 24th local time, Sandis Saka, governor of Enga Province, Papua New Guinea, publicly issued a document saying that the landslide that occurred in the province in the early morning of the day was an unprecedented natural disaster that caused huge losses to property and human lives. The landslide affected more than six villages in the province, and it is not yet possible to calculate specific losses.

Sandis Saka expressed sympathy to local communities and families, as well as to the people affected by the disaster and the victims.

Sandis Saka said that the Nga provincial government deployed a Rapid Incident Response Service team to the scene that morning to carry out rescue work and conduct a rapid assessment of the extent of local damage. The team is composed of officials from the Provincial Disaster Relief Office, Provincial Health Bureau, Police, Papua New Guinea Defense Force, and international organizations based in Papua New Guinea such as the Office of International Migration and the United Nations Development Program.

At about 3 a.m. local time on the 24th, a village in Enga Province, Papua New Guinea suffered a landslide. Local residents said the estimated death toll exceeded 100. Authorities have not yet confirmed the number of casualties. (General reporter Liu Zhimin)