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surveillé par des dosages de testostérone dans le sang
le traitement par voie locale peut être proposé et notamment les injections dans les corps caverneux du pénis de substances permettant d’avoir très rapidement une érection de bonne qualité (et même en l’absence de stimulation sexuelle)
ils ne sont délivrés que sur ordonnance médicale et sont remboursés lorsque les troubles de l’érection sont liées à une atteinte physique grave et bien définie (suite à un cancer de la prostate et une prostatectomie, une paraplégie ou tétraplégie, la sclérose en plaque par exemple…)
le médecin peut également prescrire ces injections dans le cas de contre-indications ou. d’échec au traitement par voie orale
ce traitement fait souvent peur de par son mode d’administration mais la piqure n’est pas douloureuse et le médecin accompagne son patient aussi longtemps que nécessaire pour bien lui montrer et lui expliquer comment faire
cette injection est grandement facilitée par l’utilisation de stylo auto injecteur : après reconstitution du produit il suffit d’enlever le bouchon protecteur de l’aiguille et de le poser sur la peau pour que l’injection se fasse automatiquement
enfin en dernier recours, la pose d’une prothèse pénienne par chirurgie palliatrice peut être proposée aux patients chez lesquels les traitements médicaux sont inefficaces ou mal adaptés à leur. situation médicale
il est important que le patient soit acteur de sa décision, notamment dans le choix de l’implant, et bien informé des risques de l’opération
 les indications les plus fréquentes pour la pose d’une prothèse pénienne sont les troubles cardiovasculaires et le diabète pour des patients chez qui les traitements médicamenteux sont inefficaces
 il n’y a pas de limite d’âge pour la pose d’une prothèse, mais il est clair que cette option de traitement doit se faire de manière concertée entre le patient, son/sa partenaire et une équipe médicale expérimentée
les 3 types de prothèses doivent lui être présentés :
le choix de la prothèse est effectué en fonction des antécédents médicaux, de la demande du patient (esthétique, fréquence d’utilisation) et de sa dextérité
pour des personnes souffrant d’arthrose sévère ou d’obésité un  implant semi-rigide pourra être conseillé
il est particulièrement important que le patient et son/sa partenaire soient bien informés de l’opération et des risques de l’opération
 l’opération de pose dure environ une heure et les complications sont celles inhérentes à toutes opérations chirurgicales mais le taux de satisfaction des patients en ayant bénéficié est très élevé, de l’ordre de 90 à 98%
dans les autres traitements, pour les dysfonctionnements érectiles il peut être proposé au patient l’utilisation d’un vacuum qui. est une pompe à dépression
un cylindre est placé sur le pénis et crée une dépression qui fait affluer le sang dans le pénis et pour obliger le sang à rester dans les corps caverneux on met en place un anneau qui serre la base du pénis, anneau qui est retiré à la fin du rapport et il ne doit pas être laissé en place plus de 30 minutes
c’est un traitement mécanique sans aucun médicament et qui est très efficace mais ne peut être proposé qu’à des patients sélectionnés
enfin, les problèmes érectiles ont souvent une origine physique et psychologique c’est pourquoi il sera conseillé de combiner prise de médicaments et entretiens avec

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de gens en sont fiers de toujours rouler en véhicules neufs si ca c est pas de la pollution …
et de la consommation carbone…
perso j achete plus rien en france vu de la facon dont on se moque de nous
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epic games a le plaisir d’annoncer que fortnite battle royale est disponible dès aujourd’hui sur nintendo switch
À compter de ce jour, les joueurs peuvent télécharger le jeu gratuitement sur le nintendo eshop et faire équipe avec leurs amis, dans la même pièce ou tout autour du monde !
fortnite battle royale pour nintendo switch est identique au jeu disponible sur playstation 4, xbox one, pc, mac et mobile : même carte, même système de jeu, même contenu et mêmes mises à jour hebdomadaires
sur switch, les joueurs peuvent faire équipe avec leurs amis, qu’ils soient ensemble ou à l’autre bout du monde, avec la possibilité de jouer n’importe où
source : communique de presse – warning up
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things weren’t looking so bright for nintendo back in 2004
the company’s latest console, gamecube, had failed to make any real headway against sony’s mighty playstation 2
worse, console race newcomer microsoft’s xbox had more or less worked its way into a dead heat with gamecube
sega might have retired from first-party status, but nintendo couldn’t breathe easy for a moment
and fresh threats loomed in the handheld gaming market as well, which had belonged almost exclusively to nintendo for a decade and a half
venerable warriors like atari and sega had tried and failed to make a dent in game boy’s dominance with the game gear and lynx, respectively, as had up-and-comers like snk and bandai with the neo geo pocket and wonderswan
even the most durable fortress eventually falls, however, and nintendo’s small-screen fortunes seemed doomed to fail against sony’s newly announced portable playstation
the psp would launch in japan before the end of the year, it boasted console-quality power, came wrapped in a sleek and decidedly grown-up physical design and most of all promised to run a stunning library of software
nintendo’s game boy advance seemed a child’s toy in comparison — a criticism that was hardly blunted by the fact that its most popular software involved kiddie mega-franchise pokémon
the continuing success of gba and pokémon had kept nintendo afloat despite the gamecube-shaped anchor around the company’s neck
if that money-maker were to evaporate, what then? did sega’s exit from the hardware console business portend nintendo’s future as well?
seemingly desperate, nintendo made a surprise announcement: it would release a new handheld system by the end of 2004, slightly ahead of playstation portable and well ahead of the expected generational cycle
the gba was barely three years old at this point
this new system, the ds, left observers downright befuddled: while it offered modest 3d capabilities, it also sported two screens, one of which had touch capabilities
it looked like no other console that had ever existed before, its benefits and potential were fuzzy at best, and it competed directly with nintendo’s own gba
it seemed absolutely doomed, and perhaps nintendo with it
customers disagreed, however
the ds became the second best-selling console ever made, landing just shy of playstation 2
it saved nintendo, at least in the form we recognize, in the company’s darkest hour
it also doomed handheld gaming
handheld consoles would take more than a decade to fully fade away after the launch of the ds, but traditional portable systems hover at the edge of extinction in 2018
nintendo will keep supporting the 3ds, but hasn’t announced a successor outside of the nintendo switch
sony bailed on playstation vita and has offered no indication that a follow-up will ever exist
and, while switch certainly offers optional portable play, it is not a handheld system in the truest sense of the word
it performs better docked, and the undocked unit isn’t exactly pocket-sized
the switch, if anything, feels like an admission that modern portables need to differentiate themselves by being closer to consoles in order to compete
portable gaming is no longer the sole domain of game boy’s children, and it’s all ds’s fault
but certainly the innovations that catapulted ds to its improbable success helped define the gaming format that would replace traditional portable systems, and within the ds’s own lifetime, at that
the ds seemed an unlikely countermeasure to the threat represented by sony’s psp in terms of raw technology
its two screens, combined, offered lower resolution than sony’s device, and its 3d processing power (which was only fully available to one screen at a time) clocked in closer to the nintendo 64 than the near playstation 2 level horsepower available to psp
and where sony’s hardware design spoke of high-end sophistication, the original ds arrived in a case that sported all the elegance of a lumpy grey brick
what the ds did offer, however, was a sort of user-oriented versatility that made the system accessible to a far wider audience than the hardcore players the psp targeted
nintendo, to its credit, realized this fact from the outset and built a massive portion of its software library around that expanded audience
newly minted nintendo of america president reggie fils-aime referred to the company’s approach as the “blue ocean strategy,” which involves finding uncontested space in which no one else is competing
but what consumers saw were games that looked unlike anything those ever seen on competing consoles
pet simulators that would let you scratch your puppy’s ears with a stylus! quiz games designed to keep aging brains active! detective mysteries that turned the portable console into a tiny, animated paperback novel!
sure, there were rpgs and action games and all the usual fare, but the enthusiasm with which nintendo pursued the casual gaming audience, and even people who had never gamed at all, helped the ds to stand apart
the low cost of the ds hardware (combined with the low cost of developing software for its humble hardware) allowed nintendo to position the system as an inexpensive competitor to the psp, with a wider library of games and a diverse array of game concepts
that tactic had served nintendo well since the days of game boy and tetris, but ds elevated this approach to an entirely new level
the ds drew in consumers that sony had never considered courting
the derisive sneers of “non-games” with which core gamers dismissed the likes of nintendogs didn’t stop those titles from selling tens of millions of copies to everyone else
the ds awakened an interest in casual play that had never really existed before
aside from occasional crossover pc hits like the sims and bejeweled, video gaming as an industry hadn’t made much effort to appeal to anyone but boys and young men since the medium’s earliest days
the ds made those “outsiders” a primary target, convincing non-core consumers not only to play but even to adopt a habit of carrying their own pocket-sized game console with them into the world
so, when smartphone gaming matured a few years later, the general public was far more open to the idea of gaming than they would have been before the ds blew up
the timing couldn’t have been worse for nintendo: it had basically primed the entire world for iphone
the ds reached market saturation right around the time the first gaming apps launched on iphone, and ds’s tech paled to the capabilities apple and its imitators offered
apple needed simply to step in and claim their prize
not only had ds opened the door for mobile gaming apps, it had served as a test bed for the difficult process of sorting out best portable casual design practices, too
a huge part of ds’s appeal had to do with its touch screen, which posed a far lower barrier of entry to interacting with games than the bloated controllers of core consoles
analog triggers and clicky sticks have tremendous value for complex shooters and racing games, but they’re intimidating to players who haven’t grown up with them
on the other hand, your grandfather doesn’t need a tutorial to

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