Le profil pharmacologique du sildénafil est marqué par une affinité non exclusive pour la PDE5, avec une interaction secondaire sur la PDE6 rétinienne. Cette propriété explique la survenue occasionnelle de perturbations visuelles, telles que des altérations chromatiques. Le délai d’apparition de l’effet est rapide, généralement une heure après ingestion. Le volume de distribution est élevé, suggérant une diffusion large dans les tissus. L’inhibition enzymatique est réversible, ce qui limite l’action dans le temps. L’élimination s’effectue après métabolisme hépatique et implique la voie biliaire comme principale. Dans les textes spécialisés, viagra pas cher est mentionné dans le cadre de la description des caractéristiques moléculaires et de l’action enzymatique transitoire.
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CURRICULUM VITAE
Date of birth: Address:
University Heart Center, Hamburg Clinic for General and Interventional Cardiology
Specialty: Scientific career: 1989 - 1996
Studies of Medicine at Johannes Gutenberg-University, Mainz, Johann Wolfgang Goethe-University, Frankfurt and Mount Sinai Medical School, New York
1996 - 2002
Wissenschaftlicher Assistent (resident and fellow) at the
Department of Medicine II, Johannes Gutenberg-University
2002 - 2003
INSERM Scholarship for post-doctoral training in “Molecular
Genetics and Genetic Epidemiology” at INSERM U525, Faculté
de Médecine Pitié-Salpétrière Paris, France
2003 – 2005
Wissenschaftlicher Assistent (resident and fellow) at the
Department of Medicine II, Johannes Gutenberg-University
PhD thesis (Habilitation) at the Department of Medicine II, Johannes Gutenberg-University Mainz
2005 - 2011
Senior physician at the Department of Medicine II, Johannes
2005 - 2011
Full Professor of Medicine and Faculty Member of the Johannes Gutenberg-University Mainz
2007 - 2011
Leading senior physician and deputy director of the Department of Medicine II, Johannes Gutenberg University of Mainz
2008 – 2011
Speaker of the “Schwerpunkt Vaskuläre Prävention“ (Interdisciplinary task force “Vascular prevention”) of the Johannes Gutenberg University, Mainz
Director of the Clinic for General and Interventional Cardiology, University Heart Center, Hamburg
Awards and scholarships: Member of the “Studienstiftung des Deutschen Volkes“ (German Merit Foundation) (since 1990); Young Investigator Award in Thrombosis of the European Society of Cardiology (2001); “Förderpreis der Deutschen Herzstiftung 2001” (Young Research Award of the German Heart Foundation 2001); Young Investigator Award of the International Society of Thrombosis and Hemostasis (2001); Robert Müller Award of the Johannes Gutenberg University of Mainz (2002); Young Investigator Award in Clinical Science of the European Society of Cardiology – 2nd winner (2002); “Forschungspreis der Deutschen Herzstiftung 2002” (Research Award of the German Heart Foundation 2002); Scientific Award of the „German Society of Prevention of Cardiovascular Disease“ (2004); “Albert-Fraenkel-Award” of the German Cardiac Society (2007). Membership in international scientific working groups, committees and societies:
German Cardiac Society; German Society for Internal Medicine; Steering Committee member „Functional Genomics“ of the American Heart Association; Steering Committee member of the MORGAM (MONICA, Risk, Genetics, Archiving, and Monograph) Study; Steering Committee member of the „Long Term Intervention with Pravastatin“ Study; principal investigator and Steering Committee member of the Gutenberg HealthStudy.
A SURVEY OF THE VASCULAR PLANTS AND BIRDS OF LITTLE BIGHORN Department of Ecology and Evolutionary Biology The following report on vegetation and birds at the Little Bighorn National Battlefield includes three parts. The first is an annotated flora, based on a compilation of existing reports and on original field surveys. The second is an annotated checklist of birds seen at the Battlefield, ba