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There have been, perhaps, six critical conversations I’ve had that have shaped my professional consulting career. One of them was with an operations manager at a division of Federal Express. I had just completed a successful, nationwide training program for the field sales force, so my credibility and confidence were soaring. Then, I heard a simple, but challenging question. “We know how to measure sales productivity,” he said. “But is there something you can develop that will measure customer service productivity?” Reflexively, I thought, “Why bother? Even if we can do it, reps will hate it.” But I held my tongue, sensing that this was a rare opportunity to revisit some of my assumptions. My gut reaction was informed by years of doing seminars across the country in which I brought together sales and service people into the same sessions. Evaluations told me that they felt they were adversaries with mutually exclusive value systems. Sales types tend to see themselves as swashbucklers, rogues, high-wire types, who crave adventure and embrace risks. They thrive on contingent pay, on the prospect of receiving hefty commissions and bonuses when they make big sales. Service folks tend to be more risk averse. Often, they have a clerical mentality, which commends accuracy while penalizing mistakes. I sensed, to my core, that if we suggested to them that their pay should be even partly variable, based on achievement, they’d rebel. This was more than supposition on my part. I had introduced cross-selling programs for years into service departments, experience that informed my best-selling book, Selling Skills For The Non-Salesperson. I found I could design a great sales program for service people, yet many would balk, even after they had achieved success and financial rewards through it. They explained to me, in a very straightforward way, that they simply didn’t want to be salespeople, and that was that. Noting resistance from the rank and file, senior management, in those days, refused to push for implementation, despite the fact that big profits were being left on the table. What, if anything, has changed since I was asked this question? Four crucial things: (1) We know much more about measuring customer service achievement. (2) Job enlargement, downsizing, CRM, and the rise of professionalism in companies have all contributed to an expectation of broadened CSR responsibilities and heightened performance. (3) Global competition, especially from knowledge workers in countries such as India, China, and elsewhere, is beginning to exert pressure on domestic workers to find ways to increase their contributions, if only to keep jobs onshore. (4) Management is more cost and profit conscious than ever before. Customer Service Achievement If there have been three unwritten commandments in the past for being a capable CSR they have boiled down to: (1) Sound nice; (2) Defuse angry customers; and (3) Don’t make mistakes entering or retrieving data or reciting company policies. Now, associates are being discouraged from focusing primarily on themselves, on customer service, or the motions they go through as they work. They’re being required to focus on outcomes: on customer satisfaction and on customer loyalty. They’re being shown, through new training and unobtrusive, real-time performance measures, how to evaluate the impacts they’re having on transactional satisfaction and a customer’s decision to buy again from their organizations. To borrow a phrase from Peter F. Drucker, suddenly the customer handling process is being managed for results. If we can objectively monitor, measure, manage, and systematically replicate customer results, there’s no reason to deny better pay to the people that can produce them. Future articles will explore some of the other crucial changes that have occurred, as well as discuss the pragmatics of introducing a pay-for-performance plan into the customer service context. natural penile enlargment safe penis enargement natural penis enlargement where to buy vigrx natural penis enlargement pills penis enlagement pill magna rx herbal natural pnis enlargement penile enlargement pump

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There are nonsurgical options for prostate cancer. Hormonal therapy is just as popular as surgery, but maybe dismissed by many urologists as unproven. Many patients whose cancer has spread throughout the body find relief through reducing the amount of male hormone in the bloodstream which is what the cancer “feeds on". Without testosterone, impotency is almost inevitable. One such drug is the DES (diethistibestrol), a chemical that is similar to estrogen (a female hormone). Although DES brings with it a longer life and lessens the symptoms, it does have side effects. It kills a man’s sex drive, and many men report the nearly female effects: breast enlargement, thinning beards and even scrotal shrinkage. LH-RH Agonists (Leuprolide and Goserelin) can be used in later stages of prostate cancer. This is a synthetic pituitary hormone that regulates the release of testosterone into the bloodstream. After triggering an initial rush of testosterone, it causes a drastic decrease in testosterone which then starves the tumor. The side effects are occasional hot flashes, headaches, or impotence. It is usually administered through injections or implant pellets. Antiandrogens are hormones that inhibits the action of testosterone on cancer cells. It is also marketed to the brand name Flutamide, and it is frequently used in conjunction with other hormone treatments to lessen the pain of advanced prostate cancer Immunotherapy is a method used to build up the body's natural defense against diseases, including cancer. Some doctors combine immunotherapy with chemotherapy to help patients through the later stages of prostate cancer. Other sufferers use natural cures and herbs to help their bodies fight the cancer. Radiation and Hyperthermia Scientists do know that temperatures of 105°F or higher are deadly to cell division and weak cells. Scientists are attempting to put this information to work on prostate cancer by combining it with radiation to kill cancer cells. When applying heat to the whole body or to the localized area prior to radiation, it seem s to be more effective than either treatment alone There are Enzyme-inhibiting drugs such as Proscar by blocking production of an enzyme that triggers production of testosterone. Chemotherapy is usually considered a last resort for many cancer patients. The chemicals directly attack the cancer cells but usually end up killing many healthy cells as well. These are only a few of the treatments available for prostate cancer patients. Please discuss with your doctor as to what treatment may be the best option for you. vimax penis enlargement tip male pennis enlargement penile enlargment surgery photo pnis enlargement program penis enlargement tip herbal penis enlarement penis enhancement video penis enlargement picture homemade penile enlargement

Since the introduction of Rogaine in the early 1980's, androgenic mediated hair loss, or 'male pattern baldness' has been considered a treatable condition through the use of pharmaceutical preparations. The perception that over-the-counter and prescription drugs are the only means to successfully treat this type of hair loss is perpetuated by the lack of well-funded and publicized studies on the efficacy of natural treatments. However, as the understanding of the biological mechanism of male pattern baldness has become clear through a great body of research, the reality of an effective natural treatment regimen is at hand. After a review of the available natural products, some suggestions will be made for creating your own regimen for treating hair loss naturally. The overall cause of male pattern baldness is now well-known: this type of hair loss seen in about a third of the male population is mediated by the androgenic metabolite of testosterone known as dihydrotestosterone or DHT. The production of this now-infamous hormone increases later in life for many men, along with changes with the receptors for this hormone at the hair follicles. In general, the pertinent hair follicles shrink with continued exposure to the androgenic hormone, some forming only small, villus hairs, while others eventually die completely. Some sources claim these follicles are still getting an adequate blood supply, while others note a waxy buildup or scar-like tissue surrounding the follicles, preventing adequate nutrient delivery. Thus, the localized cause of hair loss, at the follicle level, is still being researched. This does not mean there has been success in discovery of natural hair loss remedies! The regrowth of hair due to androgenic-induced loss should be addressed on two fronts. First, the levels of DHT produced within the body (rather than topically) should be addressed, along with the binding of DHT at it's receptor sites. Second, hair growth should be stimulated topically with application of nutrients and/or DHT suppressors on the follicles themselves. Let's first address the suppression of DHT production and binding systemically (within the body). Prescription drugs such as Finasteride and Dutasteride are available which lower blood levels of DHT, and have been used to improve hair loss conditions. There are now several well-known natural, plant-based products which either reduce testosterone's conversion to DHT (via the 5-alpha-reductase enzyme system), block the binding of DHT to receptor sites, or both. Most common, and most important are Saw Palmetto Berry extract and Stinging Nettle Root extract. These to herbs work in combination to both block the conversion of testosterone to DHT and prevent it's binding to receptor sites in the scalp. Other herbs employed with similar functions include pygeum africanum and pumpkin seed oil, both used to bring into balance the testosterone/DHT ratio; lastly, the plant sterol Beta-Sitosterol is often used successfully to treat prostate enlargement, which has similar causes to male pattern baldness - whether it will support hair growth is not yet known, but it likely won't hurt!. Finally, getting an adequate supply of Zinc is also important in maintaining this hormonal balance. The entire androgen hormone regulation system is fairly complex; just remember these items: Saw Palmetto, Nettle Root (not leaf!), Pygeum, Zinc, and Beta-Sitosterol. By the way, if using a prostate formula for these nutrients, they should be taken in gel cap form - they are better absorbed this way than in plain powder, and hence more effective. In addition to these herbs, which are also commonly used around the world for blocking the creation and effects of DHT, Procyanidins, or Polyphenols, have been shown to inhibit DHT systemically, AND can stimulate hair growth when applied topically. These anti-oxidant compounds first became renown with the discovery of the amazing action of grape seed extract and it's powerful ability as a free-radical scavenger. More recently, Japanese researchers went through the effort of testing HUNDREDS of compounds in the laboratory for their effect on the stimulation of hair growth, and they found the compounds of grape seed extract grew hair at a greater rate than the pharmaceutical preparation Minixodil. With further testing, using variations of the polyphenols, they discovered those found in apple skin polyphenols to be even more effective, nearly twice effective as Rogaine. Further, with the addition of Forskolin, another herbal extract, the effect was even greater. Exciting news! The interesting thing is that these compounds actually stimulated the hair follicles to become active, whereas it seems Rogaine works by lowering blood pressure in the scalp, thereby increasing blood flow to the follicles. And these compounds did not produce an initial 'shedding' as Rogaine has been known to do. Ok, before we get to the good stuff - like how to create your own hair regrowth program, let's look at one more class of natural products - essential oils. Essential oils are powerful, aromatic compounds distilled from plants, with highly regarded medicinal properties, well beyond the effects of only their aromas. Rosemary essential oil has long been considered a 'hair tonic', more than likely because of it's ability to stimulate blood flow locally. A certain type of rosemary, known as rosemary verbenone, also contains compounds which influence skin regeneration. Recall the addition of Retin-A to the use of Rogaine? This was to stimulate the turnover of the skin, increasing the pace of the hair regrowth process. Other essential oils, such as Lavender, have an anti-inflammatory (inflammation is sometimes implicated in hair loss) and skin regenerating effects. Thyme and Cedarwood oils have also been studied, and the combination of these oils has been shown effective at hair growth stimulation in patients with alopecia areata. Given all this wonderful information, how does one combine them into an effective regimen? The best thing to do is keep it simple - the more simple it is, the more likely it is you'll stay with it for the several months it will take to see significant effects. So, for the systemic DHT suppression and inhibition, look at formulas either designed specifically for hair, or those for the support of the Prostate gland - they will contain almost the exact same ingredients. Look for a high-quality supplement, with standardized Saw Palmetto extract, Nettle Root extract, and Pygeum extract. Do not take the un-extracted herbs, they will not likely be strong enough in doses you are willing to consume. Saw Palmetto can be consumed in doses between 160 and 320mg daily, Nettle Root a bit more, and Pygeum significantly less. They should be in a gel cap, preferably in Pumpkin seed oil. Take a separate Beta Sitosterol supplement, around 400mg daily, if it is not included already. This is typically found in dry capsules, and there have not been reports of the importance of consuming this in an oil-based capsule, though you can take it with fatty food if you want to be sure (this may help the absorption). Add an oral supplement of Green Tea extract, Grape Seed extract, or Apple Polyphenol extract if you like, along with a good multivitamin. Now for the topical applications - the polyphenols can be mixed in water. Even better would be to find Nettle Root, grind it up and make a strong tea. To this, create a 1-3% solution by weight of the polyphenols in the liquid and apply twice daily (shake really well or use a blender). Grape seed extract is acceptable, though apple polyphenols would be best. They are hard to come by just yet, but are becoming more popular and available. A bulk supply is best, so you don't have to go opening capsules! A .5-1% addition of Forskolin herb extract can be made io increase effectiveness, but is not completely necessary. Applying right after a shower may make it easier to distribute the liquid on the scalp, and may also increase absorption. It is important to note that increasing the concentration beyond 1% for Grapeseed extract and 3% for Apple polyphenols extract is not advised - higher concentrations did not show increased efficacy - in fact, there may be an opposite effect. For the record, there are about 30 grams of water in one ounce; 1 gram of powder in this is just over a 3% solution. Finally, to this solution, a small amount of the Saw Palmetto blend from a ge lcap can be added - though the efficacy of this has not been noted in the literature. For the essential oils, use 1ml of each oil per one once of carrier oil (a blend of jojoba and grapeseed was used in the study showing hair regrowth in Scottland). Because this is isn't as attractive once applied, though you will smell nice, apply in the evening, before bed, between once a day and once every three days. Or apply during the day some time, massaging into the scalp, and leaving in for 20 minutes to an hour, then wash out. This will give enough time for the oils to penetrate the skin and have their effect. So there it is, the roundup of the more well-known and tested natural remedies for male pattern baldness. While Rogaine for growth stimulation, and Finasteride or Dutasteride for DHT inhibition are completely reasonable ways to go, their costs are high and the effects of their long term use are not well known. And then there are some folks that would prefer to stay away from chemically manufactured medicines altogether - hopefully this bit of information will help. There is much more research available on the internet, though hopefully this is enough information to get you confidently started. penis enlarement result enlarement forum free matter penis size natural penis enargement pills vimax enlargement free penis pills sample medical pnis enlargement penis enhancement without pills natural penis enlarement penis enlargement picture homemade penile enlargement

Gonorrhea is a common sexually transmitted disease that affects both men and women. New Gonorrhea infections are reported at over 600,000 per annum in US alone and of course many cases go unreported. The disease is common and if left un treated can be fatal. So, what exactly is it how do you know if you have it and how to you treat and prevent it? Let’s find out. Gonorrhea Definition Caused by bacteria know as Neisseria gonorrhoeae which grows and spreads in the warm, moist areas of the reproductive organs including the cervix, the urethra and the fallopian tubes in women The bacteria also grows in the anus mouth, throat and the eyes. Gonorrhea How Do you Catch It? Is spread through contact with the penis, vagina, mouth, or anus. Contrary to what some people believe ejaculation does not have to occur for gonorrhea to be transmitted and infect a person. Gonorrhea Symptoms Men with gonorrhea sometimes have no symptoms at all, others have some signs or symptoms that appear up to five days after infection; symptoms can take up to a month to appear. Symptoms include an intense burning sensation when during urination and or a white, yellow, or green discharge. Sometimes men also will see their testicles swell up. Most women who are infected however have no obvious symptoms. When a woman does have symptoms, they can be non-specific and are often mistaken for a bladder or vaginal infection. The initial symptoms in women include a burning sensation when urinating, increased vaginal discharge and vaginal bleeding. Symptoms of infection of the anus in both men and women can include discharge, itching, soreness, bleeding, or pain when going to the toilet. Rectal and anus infection also may cause no symptoms at all. In women, gonorrhea is a common cause of pelvic inflammatory disease (PID). PID can lead to internal abscesses and severe long term pelvic pain. PID can damage the fallopian tubes causing infertility or increase the risk of entopic pregnancy a potentially fatal condition where a fertilized egg grows outside the uterus, normally in the fallopian tubes. In men, gonorrhea can cause epididymitis, a painful condition of the testicles that can lead to infertility. Gonorrhea can also spread to the blood stream and enter the joints and this can be fatal if left un treated. Finally, those infected with Gonorrhea are more likely to receive the HIV virus that causes AIDS. Gonorrhea Detection A doctor will normally obtain a sample from the parts of the body likely to be infected. Gonorrhea that is present in the cervix or urethra can be diagnosed by taking a urine sample. Gonorrhea Cure Several drugs can be used to cure gonorrhea. However, drug-resistant strains of gonorrhea as many people with gonorrhea also have Chlamydia, another sexually transmitted disease. Antibiotics for both infections are therefore given together. Although medication will stop infection, it will not reverse any permanent damage done. People who have had gonorrhea and have been treated can get the disease again if they have sexual contact with persons infected with gonorrhea. Gonorrhea Prevention Is a sexually transmitted disease, it is therefore advisable to know something of your partners sexual history and be sure they are not infected before sexual intercourse. Condoms can also reduce the risk of transmission of gonorrhea. Consult your doctor This is just a brief introduction to Gonorrhea and anyone thinking they have the disease should seek medical advice from their doctor. Gonorrhea as we have seen can cause serious health problems and even lead to death so make sure you consult your doctor and get help as soon as possible. magna rx results review vimax penis enlargement penis elargement herb free penis enargement technique manual penis enlargment penis enlargement doctor medical pennis enlargement vimax testimonials homemade penile enlargement

A lot of men suffering from impotency right now might be surprised to know that statistically nearly 30 million men have problems with potency! If that’s some commonality that you share you might just want to read on a little further to know the cure! Impotency is no disease! It’s just a sexual dysfunction in men which can be treated completely with a little acknowledgement and open mindedness to approach the right kind of doctor. Let’s find out first how an erection occurs in men The male body gets an erection when there is some sexual stimulation. The penis is a vascular organ which gets erected when the brain sends a message of sexual arousal through the various nerve cells to the penis. This message relaxes the muscles in penis and causes the artery to the penis to dilate to twice its diameter. The blood flow automatically increases 16-fold and veins which carry the blood flow away from the penis are blocked. This causes the two spongy tissue shaft of the penis to fill with blood and results in an erection. When there is breakdown somewhere in this system men face erectile dysfunction or known in short as ED. How can Viagra help in overshadowing impotency? The first myth that needs to break down here is that Viagra is not a cure to impotency; it only addresses the erection problem in men and helps in achieving an erection during sexual activity. Sounds confusing? Well, what is meant is that impotency might be due to several physiological and psychological problems in men which can be treated only with the help of expert doctors which no Viagra cab solve. However, Viagra is a mere remedy to the response system in men helping them to get ‘turned on naturally’ during sexual stimulation. Sildenafil citrate- the prime ingredient of Viagra Sildednafil citrate the active ingredient of Viagra was originally discovered to treat high blood pressure as this helps to lower the pressure. However, it failed to treat BP and Pfizer Pharmaceuticals (drug manufacturer of Viagra) found out in 1993 that this ingredient did help men, with varying degrees of impotence, in getting aroused during sexual activity. Thus Viagra was discovered after testing more than 3000 men with almost 70% success rate on using the wonder drug. Consult a doctor before taking Viagra Viagra should not be popped as a love pill at random without consulting a doctor. This might be fatal to the body if one takes nitrate or nitroglycerine drugs as it will lead to a dangerous fall in blood pressure. This drug is not meant for women and children. And it is absolutely essential to let your doctor know your complete medical history if you plan to take this drug. Conclusion Get a doctor’s help if you face problems with erection for more than 25% of the time. Get good lifestyle habits like quitting smoking, drugs, alcohol etc, getting plenty exercise and eat balanced nutrition and cut down on saturated fats to avoid ED. Know the fact that with more and more innovation in medical science there would be better and more better remedies available in the market but all you have to first decide is to get in touch with the right doctor as soon as possible if you come across impotency. Sooner the better!