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    The phasic firing associated with drug-seeking appears to be less sensitive to natural viagra plus top up the inhibitory effects of cocaine on firing, however. Peoples et al., 2004). During the course of a self-administration session, the phasic nucleus accumbens neurons typically decrease their firing rate as do the majority of nucleus accumbens neurons (Peoples et al., 1999, 1996).

    Neurons that showed an excitatory phasic response to cocaine did not diminish their firing rate during the self-administration session but did show large decreases in background firing compared to predrug baselines , during intravenous cocaine self-administration. Rats were trained to self-administer cocaine daily in 7 h or 60 injections of cocaine for 10–17 days, prior to the recording session. These phasic changes have been linked to drug reward-related events.

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    (1988). P., van Belle, G., Fillenbaum, G., et al.

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  • 492 Psychological Aspects of Women’s Health Care, Second Edition Other Surgical Procedures Certain surgical procedures such as sympathectomy, abdominoperitoneal resection, retroperitoneal lymphadenectomy, and aortoiliac surgery interrupt the natural viagra plus top up sympathetic innervation of the genital organs and cause male sexual problems. Sjogren and Poppen 1992). Schover and von Eschenbach (1985) reported that most women are able to resume normal sexual activity after radical cystectomy. It may be suspected that these procedures would also interfere with female sexual responsivity. There have been reports that many women remain orgasmic after colectomyproctomucusectomy and total misorectal excision (Havenga natural viagra plus top up et al.

    1993. However, minimal evidence exists concerning the sexual effects of these procedures in women (Schover and Jensen 1985). Induced Abortion An immediate negative response to therapeutic abortion is not uncommon (Friedman 1974).

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