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A prophetic website by Jouko Piho in Finland. Right now there are messages together on this site. I do not update these pages anymore. Welcome to visit my new prophetic site!

The address is http: Older prophecies during - Oldest prophecies during - This is a page for questions about life, religion, Bible, prophecy, Israel, end times, survival, wars and politics etc. So, send me jouko. You are welcome to write in my guestbook. It is not meant to be only for one visit, but you may write there as many times as you wish, share your thoughts and links etc.

My name is Jouko Piho. I am a year-old retired elementary school teacher. I have studied theology in Stockholm, Sweden at Uppsala University in I live in Finland in the town of Loviisa with my wife Ritva. God has called me to a prophetic endtime ministry.

I will update my pages all the time. My background is Pentecostal-Charismatic-Lutheran. I am now a member of a Lutheran Church in Loviisa, Finland. My main idea is to oppose New World Order.

That's why I am speaking and writing that it would be best for Finland to get out of European Union and euro. If you want to give me any feedback , please contact me! I am also interested in new prophecies. My new English website: My new Finnish website: My old Finnish website: Thanks for visiting my website! Click the map to enlarge it. You may see also the list of all visitor countries. I created these web pages on February 3, Last updated on November 04 , These pages are not updated anymore.

My new prophetic website is http: Dreams , visions and prophecies. I was awake when I saw in the afternoon on a vision. I saw a big sludge tank which was full of faeces.

Then I saw how a man with white clothes went into the sludge tank. The man's clothes became soon totally dirty. When this man turned around I saw that on his chest was his name which was Sweden. There were also other men in the sludge tank, but I could not see their names.

Then I saw a man with white clothes on the brink of the sludge tank. The man of Sweden in the tank began to shout to this white clothed man that also this man would come to the sludge tank.

This man did not however agree to the proposal. When a man standing on the brink of the sludge tank turned around I saw that on his chest was the name Finland. After that two persons in the sludge tank approached the man of Finland trying to pull the man down into the sludge tank.

They did not however succeed in their attempt. When these two persons turned around I saw that in their chests were the names Tarja Halonen the former president of Finland and Erkki Tuomioja the present foreign minister of Finland. I felt that the filthy sludge tank describes Sweden's acceptance of homosexuality and the recognition of the state of Palestine. Behind those ideas are the evil powers of darkness.

I was in my vision in Pasila, the suburb of Helsinki. Suddenly several people appeared and they said to a man: The members of government have ordered us to get you. Come immediately because you must go to the TV-studio where you may speak to the people of Finland. I sensed in my vision that Finland was in a state of emergency. This president separates Finland from European Union and euro and Finland gets its own currency, the Finnish mark. Afterwards I have understood that the president is the same person as the future prophet of Finland who has been prophesied to appear in Finland by many prophets.

In the beginning this president will meet resistance and he is going to be ridiculed, but it will fail, because the president has a support of the people. People abroad will be very astonished: Finland will have a great revival and the fear of God will fill the hearts of Finnish people when they turn again to God in prayer and repentance.

After Obama was elected in she prophesied that he would be re-elected for a second term in Many didn't believe it. The major prophets prophesied that the other man, Mitt Romney , would win.

Now Glenda Jackson has another prophetic word regarding President Obama. It is going to be suspended because evil is going to arise and some disasters are going to happen and some things are going to be put in place and the President is not going to be removed. He is going to stay in. The church has got to get back to prayer. Prayer is the power He gave the church and we have to get the faith of God. Two dreams by Ted McAlister in and I have had a few strange dreams in the last 2 years.

The first dream I had happened in two nights before the last US President election. As that dream started out I was walking in a hallway and I did not know where I was at. I then noticed that on the right side of the wall were paintings that looked to be over years old. I then knew I had to be in a very fancy place. Then I looked up and saw I was coming to the end of the long hallway and that there was a 90 degree turn to the right. The next section of hallway looked pitch black dark.

I then knew when I reached that area I would have to feel around the corner for a light switch. Then when I got within 5 feet of the corner a monster just as described in the Holy Bible that has 7 heads and ten horns on jumped from the dark hallway out to where I was. It then started chasing me back the other way and I ran as fast as I could.

I then noticed I was coming to the other end of the hallway and there was a giant window and a door side by side. I knew if the door did not lead outside that I would back up and bust through the window. When I opened the door it let me outside and there was a huge yard and a wall like fence on the far side. I ran across that yard and climbed the fence.

When I got to the top of the fence I saw it was wide enough for me to stand on. Then I turned around to see if the monstrous beast that was chasing me would be coming outside after me. Just as I started climbing down the outside of the wall to get to the road is when I woke up falling out of my bed.

What I think this dream means is that before Obama's second term is up that Satan is going to have control of the whole world's governments. Then in the last three weeks I started having a dream where it showed me looking upward toward the sky and then what looked like an angelic figure was coming toward me but instead of being dressed in white and having the white wings like all of GOD's Angels have, it was totally black.

I then remember waking up as that black angel started coming toward me like he was going to attack me. The only thing I can figure this one means is that Satan's dark angels are making their attacks on all of us who have accepted Jesus Christ as Lord and Savior. With these two dreams combined together I have a feeling that before much longer we may be very near the time of the 7 year tribulation and be at the point where all who are Christian or Jewish will be looked at as outlaws and be hunted down and killed.

Do we really want Russia and China to rule the World instead? The invasion of America by Russian and also Chinese troops does not seem to be a credible possibility right now, but in the future the situation will be totally different.

USA will be weakened because of many calamities - and then the enemy will strike when USA is weak, wounded and asleep. Here are some reasons for a downfall. USA will be complacent and sleep in a deceptive feeling of peace, as was said in the dream above.

There are hungry people everywhere. USA will have severe natural disasters as tsunamis and earthquakes. USA will be hit by many deadly infectious diseases. USA will have a strong internal unrest and civil war.

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However, in the study cited above, 15 few patients responded to less than mg. The treating physician should determine the minimal effective dose. More flexibility is available with this form of alprostadil because it can be used twice in a hour period.

Penile pain 11 to 32 percent and minor urethral discomfort are the most common reported adverse effects of transurethral administration, with dizziness 2 percent and symptomatic hypotension 3 percent being the most serious. Because it is a smooth muscle relaxant, transurethral alprostadil should not be used during sexual intercourse with a pregnant woman. Sildenafil Viagra , whose labeling was approved by the U. Food and Drug Administration FDA in March , is the first oral medication to be marketed for the treatment of erectile dysfunction.

Sildenafil inhibits the conversion of cGMP to guanosine monophosphate in the corpus cavernosum, thereby increasing the available concentration of cGMP. This reaction is largely catalyzed by the enzyme phosphodiesterase type 5. Sildenafil inhibits this enzyme, resulting in relaxation of the cavernosal smooth muscle. It undergoes hepatic metabolism and has a half-life of about four hours. Because of its unique locally acting mechanism of potentiating the physiologic response to sexual arousal, sildenafil is effective in men with erectile dysfunction of organic, psychogenic or combined causes.

The use of sildenafil in women is under study but has not yet been approved. The most common side effects of sildenafil are headache, flushing and dyspepsia Table 4. Postmarketing reports released by the manufacturer indicate infrequent occurrences of priapism. Because of the presence of phosphodiesterase in the retina, patients with retinitis pigmentosa should not be given sildenafil. Oral sildenafil in the treatment of erectile dysfunction: N Engl J Med ; Med Lett Drugs Ther ;40 The most important concern is the labeled contraindication for patients taking nitrates of any kind because of the potential for sudden severe hypotension.

Patients taking nitrates have high levels of nitric oxide in the bloodstream. Sildenafil potentiates the effect of the nitrates by inhibiting the breakdown of cGMP, causing hypotension due to severe vasodilation. The manufacturer has warned emergency physicians of this dangerous side effect in an effort to avoid the possibility of giving nitroglycerin to a patient with chest pain who presents to the emergency department after taking sildenafil.

Paramedics across the country have also been cautioned to ask men with chest pain if sildenafil has been taken before they administer sublingual nitroglycerin. As of May , postmarketing reports of sildenafil have not resulted in a change by the FDA concerning the safety of the drug.

Although several patients have died after receiving prescriptions for sildenafil, it is unclear how many of these deaths resulted from appropriate use of the medication. Between late March and July , 3. During the same period, 69 patients in the United States died after the confirmed use of sildenafil. No cause of death could be found in 21 of these cases. Of the remaining 48 deaths, 46 were attributed to cardiovascular events.

Twelve of the men who died had taken nitroglycerin, either prescribed or self-administered. Postmarketing studies are continuing. Recently, the American College of Cardiology and the American Heart Association released a consensus statement regarding the use of sildenafil in patients with cardiovascular disease.

The panel's recommendations are summarized in Table 5. Sildenafil is clearly contraindicated in the following: Cardiovascular effects of sildenafil are potentially hazardous, with use dependent on individual clinical assessment, in the following: Patients with congestive heart failure and borderline low blood pressure, and borderline low volume status.

Use of sildenafil Viagra in patients with cardiovascular disease. J Am Coll Cardiol ; The management of angina in patients who have taken sildenafil within 24 hours involves the use of non-nitrate antianginal drugs such as beta blockers.

The use of heparin, narcotics, aspirin or calcium channel blockers for acute coronary artery syndromes is not contraindicated. If nitrates are inadvertently administered to a patient who has taken sildenafil and hypotension occurs, aggressive fluid resuscitation with the patient in the Trendelenburg position is the first step. An intravenous alpha-adrenergic agonist phenylephrine or an alpha- and beta-adrenergic agonist norepinephrine can be given if needed to support blood pressure.

An intra-aortic balloon counterpulsation pump can be used if pharmacologic measures are ineffective. The first published efficacy trial of sildenafil involved only 12 patients, but it is the only study that included objective measurements of penile rigidity.

In the men who took the mg dose of sildenafil, the mean duration of erection was increased by 10 minutes at the base of the penis and six minutes at the tip of the penis compared with placebo.

The second phase of this study involved a diary of erectile activity in which 10 of 12 patients reported improved erectile activity while receiving sildenafil. The largest published trial of sildenafil evaluated efficacy based on the previously validated International Index of Erectile Function.

Sildenafil was recently studied in a large series of diabetic men with erectile dysfunction and was found to be well tolerated and effective. The incidence of mild adverse effects was higher in the group taking sildenafil, but the incidence of cardiovascular events was similar in both groups.

Sildenafil should initially be prescribed at 50 mg to be taken one hour before anticipated intercourse. The dose can be increased to mg if needed. A mg tablet is also available; this should be the starting dose for men older than 65 and in patients with hepatic or renal dysfunction. Sildenafil should not be used more than once a day and should not be used in combination with other drugs for erectile dysfunction.

Erectile dysfunction is increasingly being recognized as a common, treatable disorder. The development of sildenafil has prompted an unprecedented number of men to seek treatment. Sildenafil may not be appropriate for all patients, but other therapeutic options discussed in this article may be of benefit. A thoughtful evaluation may reveal treatable causes and provide family physicians with an opportunity to become involved in the comprehensive health care of men who otherwise would not have sought medical attention.

Already a member or subscriber? Shenenberger graduated from the University of South Carolina School of Medicine, Columbia, and completed a residency in family practice as co-chief resident at Naval Hospital Jacksonville.

Address correspondence to Anthony J. Reprints are not available from the authors. The opinions and assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Navy Medical Department or the Naval Service at large. The evaluation and management of erectile dysfunction. Psychiatr Clin North Am. The role of nitric oxide in the physiology of erection. New oral therapies for the treatment of erectile dysfunction.

Assessment and treatment of impotence. Med Clin North Am. Lue TF, Broderick G. Evaluation and nonsurgical management of erectile dysfunction and priapism. Endocrinologic evaluation of impotence. Harrison's Principles of internal medicine. Buvat J, Lemaire A. Endocrine screening in 1, men with erectile dysfunction: Routine prolactin measurement is not necessary in the initial evaluation of male impotence.

J Gen Intern Med. Comparison of intraurethral liposomal and intracavernosal prostaglandin-E1 in the management of erectile dysfunction. Intracavernous injection of alprostadil for erectile dysfunction. Med Lett Drugs Ther. Long-term follow-up of patients receiving injection therapy for erectile dysfunction. Treatment of men with erectile dysfunction with transurethral alprostadil: N Engl J Med.

Intraurethral alprostadil for impotence. Center for Drug Evaluation and Research, U. Food and Drug Administration, October J Am Coll Cardiol. Sildenafil, a novel effective oral therapy for male erectile dysfunction. Sildenafil for treatment of erectile dysfunction in men with diabetes: Sildenafil Diabetes Study Group. This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference.

This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP.

Want to use this article elsewhere? Evaluation of Asymptomatic Microscopic Hematuria in Adults. Outpatient Detoxification of the Addicted or Alcoholic Patient.

Sep 15, Issue. Newer Pharmacologic Alternatives for Erectile Dysfunction. With the introduction of effective pharmacologic therapies for erectile dysfunction, more men are seeking treatment. Patients using nitrates Cardiovascular effects of sildenafil are potentially hazardous, with use dependent on individual clinical assessment, in the following: Read the full article.

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下伊那郡喬木村のイベントです。 ㎡の敷地に、黄色や赤のポピーが一面に咲き乱れます。. About me. My name is Jouko Piho.I am a year-old retired elementary school teacher.I have been also a Bible teacher and editor-in chief at a Interdenominatiol Bible School SYKR in Finland in years I have studied theology in Stockholm, Sweden at Uppsala University in As a follow-up to Tuesday’s post about the majority-minority public schools in Oslo, the following brief account reports the latest statistics on the cultural enrichment of schools in Austria. Vienna is the most fully enriched location, and seems to be in roughly the same situation as Oslo. Many thanks to Hermes for the translation from