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Viagra is by far the most recognizable brand name and for the drug sildenafil citrate. It is produced and marketed by the pharmaceutical giant Pfizer, and is also sold under the name Ravatio and Caverta in certain locations throughout the world. Viagra is produced for one reason and one reason only, to treat erectile dysfunction, or as it's more commonly known, ED. It comes in the form of a blue pill in 25mg, 50mg, and 100mg dosages. Although it is available only by way of a doctor’s prescription, you can actually buy Viagra on the Internet if you so choose. The drug Viagra wasn't even intended to treat what is so widely known for now, in the beginning. It Was designed in the 1990s with the for the purpose of treating a form of heart disease known as angina pectoris. It didn't work for the purpose it was intended, however, researchers of the drug noticed an interesting side effect of the drug at those who are testing it. It consistently induced erections. They had a gold mine on their hands and they knew it. It was then patented in 1996 with the intention of development as a treatment for ED. By 1998 it had passed the necessary tests for FDA approval, and was released to the public where it was received with open arms and open legs. Erectile dysfunction is a very common disorder in men, and is brought about by any number of factors. Some of the most common causes behind ED are psychological in origin, and some are equally based on physical abnormalities. The vast majority of men will find that they will have some difficulty getting or maintaining an erection at at one time or another, even though they may be perfectly healthy. These are the instances where Viagra has proven to be very effective indeed. Some cases of ED can be caused by damage to the nervous system, diabetes, or hypogonadism, and in these cases Viagra may not be effective. If a doctor you to effectively screen new officers of questions to see if it can help you pay Viagra is classified as a PDE5 inhibitor. Pretty fancy name isn't it? PDE5 causes a compound called cyclic GMP or cGMP to degrade. Since cGMP causes the arterial smooth muscles in the penis to relax, which will then allow the penis to become engorged blood which is how an erection is created. Stopping or restricting the action of PDE5 will result in penile erections if the individual has an otherwise clean bill of health. Some other PDE5 inhibitors available today include Levitra, and Cialis. You have probably heard of all of them because they advertise very aggressively for this lucrative market. Viagra is not without side effects and some of them include headaches, stomach upset, flushing, and sweating. Viagra has been reported to also cause blurred vision in some cases, and in some rare cases have actually been reports of temporary blindness. Viagra should not be taken in conjunction with drugs designed for angina pectoris, combination can cause a serious drop in blood pressure that may be very dangerous. Even though it is available on the internet, it is always wise to consult a qualified physician before taking any drug, including Viagra. natural penis enlarement pills penis enlagement review surgical penis elargement vimax truth about penis enlargement permanent penis elargement cheap penis enlargement natural penis enhancement penis enhancement excercises

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Today, here, and around the world, many people have considered having Cosmetic Surgery, or Plastic Surgery performed. Many more have had plastic surgery done, some with multiple procedures. Plastic Surgery, by definition, is a broad term for operative manual and instrumental treatment which is performed for functional or aesthetic reasons. Medical treatment for Facial injuries dates back over 4,000 years. The word "plastic" is a derivative of the Greek word plastikos meaning to mould or shape; however, contrary to common belief, the term “plastic surgery” is not related to modern plastics at all. Cosmetic Surgery was first known to have been performed in Roman times. The Romans had the ability to perform simple procedures such as repairing damaged ears, in modern times referred to as Otoplasty, this is one of the most simple of procedures. One report discusses a patient getting his earlobes repaired after years of wearing heavy earrings. The excess lobes were trimmed and the hole sewn together. One of the more expensive plastic surgeries performed at the time, the removal of branding and scars, was a commonly executed procedure. Freed slaves paid a high price indeed for this type of surgery. It was felt that this common practice reduced the stigma of having been a slave in this ancient times. In ancient India physicians were able to use skin graft reconstruction techniques as early as 800 B.C. From ancient times to the early nineteenth century, we find a living tradition of plastic operations of the nose, ear and lip. The Kangra (correctly pronounced as 'Kangada') district in Himachal Pradesh was most famous for its plastic surgeons. Some scholars are of the opinion that the word 'Kangada' is made from 'Kana + gadha' (ear repair). The British archaeologist Sir Alexander Cunningham (1814-93) had written about the tradition of Kangra plastic surgery procedures. We also have information that in the reign of Akber ,a Vaidya named Bidha used to carry out plastic operations in Kangra. The Charaka-Sanhita and the Sushruta-Sanhita are among the oldest known manuscripts on Ayurveda (the Indian science of medicine). Chronologically speaking, the Charaka-Sanhita is believed to be the earliest work, and deals with medicine proper and containing a few passages on surgery. The Sushruta-Sanhita, a work of the early centuries of the Christian era, mainly deals with surgical knowledge rather than medicine. The extant Sushruta-Sanhita is, according to its commentator Dalhanacharya (of twelth century AD), a amendment by Nagarjuna. The original Sushruta-Sanhita was based on a series of lectures between Kashiraj Divodas (or Dhanvantari) and his disciples, Sushruta and others. In 15th Century Europe, a man by the name of Heinrich von Pfolspeundt , a German physician and a member of the Teutonic Order of Knights was one of the first known Europeans to have performed cosmetic surgery. Dr. Pfolspeundt was one of the first doctors of the late medieval and early Renaissance period to take medical practices beyond the very crude conditions that had existed through much of the Middle Ages. During his time, a good number of German physicians, especially those in Strasbourg, helped to serve the advancement of the study of medicine. Dr. Pfolspeundt described a procedure to make a new nose for a person who lacks one. He stated that by removing skin from the back of the arm and suturing it into place a new nose could be created. From Italy we have records that would indicate that in the year 1442, Branca, a surgeon of Catania in Sicily, carried out plastic surgery of the nose, Also known as rhinoplasty, using a skin flap from the face. This procedure was very similar to the one described in the Sushruta-Sanhita, an Ayurvedic compendium composed in the early centuries of the Christian era. His son Antonio continued his work and was the first known to use a skin flap from the arm for reconstructing the nose. The Boinias family carried on with his work. The plastic operations carried out by the Boinia brothers are described in a book published in 1568 by Fioravanti, a doctor of Bologna, Italy. At the hands of Gasparo Tagliacozzi (1546-99), a professor of surgery and of anatomy at the Bologna University, that plastic surgery attained wide fame in Europe. His book De curtorum chirurgia per insitionem (The surgery of defects by implantation), printed in 1597, was the first scientific composition on plastic surgery. Tagliacozzi had described a method of substitution of the nose by skin from the arm and of replacement of the ears and lips, demonstrating his work throughout his manuscript by way of a large number of illustrations. The Church dignitaries of the time regarded cosmetic surgery as an interference in the affairs of the Almighty. After his death they not only excommunicated Tagliacozzi, but also had his corpse exhumed from its church grave, and placed it in unconsecrated ground. The great Voltaire (1694-1778) wrote a satirical poem on Tagliacozzi and his operation on the nose, using flap from the buttocks. However, due to the many dangers of surgery in those times, cosmetic surgery was rarely performed until around the 1900’s. The United States first plastic surgeon was Dr. John Peter Mettauer, born in Virginia in 1787, who in 1827 performed the first cleft palate surgery on record with instruments he himself designed. There are two very broad fields of aesthetic surgery, Cosmetic Surgery and Reconstructive Surgery. Reconstructive surgery, including microsurgery, focuses on undoing or masking the destructive effects of trauma, previous surgery or disease. Examples of such operations are the rebuilding of amputated or damaged arms or legs; repairing cleft palates or lips, badly formed noses, and ears; and reconstructing a breast after mastectomy. Reconstructive surgery may include moving tissue from other parts of the body to the affected area. Cosmetic surgery however, is an elective surgery, usually done more for aesthetic reasons rather than to repair an injured area. In many cases, however, there are medical reasons for having some procedures done, such as breast reduction (for back pain relief) and Mastopexy (also known as a “breast lift). 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‘Big Chest and the Lion’ [Prelude to After Eve II: Big Chest] By Dennis L. Siluk The Man-eaters, as they were known, otherwise called the lions, jaguars, tigers of the ancient days, were not much different than, the new breed, so named by Short-legs as “The Stone-Builder’s,” the reason being, they had no second thoughts about killing the members of the Horde, nor the Branch-People; rather they seemed to harbor thoughts and acts as if they were summoned to do so, a duty that had to be announced; thus, all the inhabitants in these two areas were beastly trophies to them. The Folk in the Horde, along with several others of the Branch-People were terrified in a way of the new invaders of the land, the new neighbors, and their fathomless predator style of hunting. They were a threat more serious than the famine or the plague that had vanquished the land in the past. ◊ I had seen one time Big-chest walk into a campsite of theirs, the Stone-Builders that is, I tried to tell this story to my brother Stern-toes, once, but I never could explain it right, but I think he got the jest of it, if not the seriousness, we did both laugh at the Stone-builders for hours on end, afterwards. As I was about to say, Short-legs and Little-eyes witnessed this whole happening from a distance of course. The Stone-Builders were full of what they called ‘wone, or wine,” something along that order, some sounds take me back a bit, they had new sounds all the time, ones never heard of before their arrival on the scene. Well, Big-chest, noticed in the evening, they had killed a man-either; there were four of them at a campfire, just laughing, and drinking, and being playful like a group of little cubs. Actually they did get a little over physical with one another, like the wild boars after one of us, wanting to eat us for dinner, and then settled down again. It was winter so there was a chill in the air, and not much leafy trees to hide us, but we remained in the distant woods nonetheless, with a pile of leaves at our knees in case we needed to camouflage ourselves more. As always, Big-chest was confident of his abilities, he stood in the woods, no shadow, just a big blob of muscle, fuzzy hair and sharp beady small squinty eyes, pinned on the four individuals, and their lion. He was actually blocking our vision a bit, but I think he did that because he wanted to show his audience, who was the king. Then unsuspected, he walked into the camp, among the four, he had seen their weapons by the fire, where the lion was. He was swaying his body like huge trees in a storm. Closer and closer he came to the fire, no one noticed, can’t figure it out, could they not hear him, for I could, way back in the woods. His fingers almost touching the ground, he had long thick arms, fingers, and perturbing muscles. Then all of a sudden two of the four turned their necks to see what was in back of them, and almost went into shock, the other two stood up, all four were some fifteen feet from their weapons. The two who were squatting, were closest to the fire, the other two where a little farther away, standing, I think one was releasing himself, he made a puddle and was trying to cover it up, we just went, wherever, and whenever we had to. Big-chest took his right hand, hit the head of one of the squatters as he was about to stand, and his head flopped like a dead fish out of water; flopping back and forth, as if to jump back into the creek. The other one tried to get to his weapon, but Big-chest picked him up by one leg, his penis showing, they all liked covering them up for some reason, and Big-chest just laughed, and tossed him into the fire, after twisting him about for a few seconds, breaking the leg in several places I expect. Then one of the two standing routed himself through the woods yelling something like, “hhhh eel pppp...!!” Not sure what that meant. The last one, I call him the brave one, pulled out a sharp object, about the length of his hand, and stood in front of Big-chest as if he was going to fight him. He looked similar to a banana compared to him. I asked myself, ‘is he crazy, run! And run fast, while you can.’ Big-chest just looked dumfounded at the figure in front of him, and picked him up, picked up the seven food lionesses, and put her over his shoulder, the crazy Stone-Builder charged at him during this event and Big-chest with a quick turn, knocked the man on the ground with the man-eater still well balanced over his shoulder. Then like a dead fish, he kicked him in the mid section, sweeping him into the fire. He could not move. Early winter We had no way of knowing which winter would be good to us or bad for us, and winter this one year had come early, and therefore our food supply was depleted rather quickly. When Little-eyes and I returned back to the cave that evening we had told in our symbolic way, at the Banana Cave, the entire horde how Big-chest killed the Eve people. And you could hear the laughing for miles around. I think Big-chest had taken his trophy to a cave in our area, and was having dinner at the time. 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Introduction Trieste is an Adriatic coastal city in northeastern Italy, close to the border with Slovenia. The sea in the Gulf of Trieste is very clear and clean, with limestone cliffs and rocky beaches. The centre of the city has a mid-European feel, more Austrian than Italian, Trieste was the seaport of the Hapsburg Empire. Unique Points You can enjoy a combination of a sea/beach holiday and the attractions of a cultural city. It is an ideal destination for a short break but you could easily spend a week here too. The Verdi Theatre hosts an opera season in the winter and an operetta festival in summer. You can swim in the beautiful clear sea, stroll the promenade, and walk along the cliff paths. Take in the wonderful art collection at the Revoltella Museum. You can sip coffee on Piazza Unita Italia with its grand 19th century buildings, which face onto the sea. Getting there Ryanair flies into Trieste from London Standsted. The airport is 35 kms west of Trieste but there is regular public transport on Coach 51 into Trieste. Getting around If you do decide to hire a car, it is worth checking that you can take it into Slovenia and Croatia if you are considering day trips there. Trieste has a good public transport network. There is a "Trieste by Bus" city tour in 13 stops. This is available on Saturdays and Sundays at 2pm from the end of June to mid October. The two and a half hour trip allows you to see the city's main attractions. The cost is around five euros per person. You can take the Opicani tram up to the Carso plateau, 348 metres above sea level. This funicular tramway was built in 1902. The tram leaves from Piazza Oberdan in the city centre up Scorolo hill to the plateau above. History According to folklore Trieste was founded by Tergeste, a friend of Jason and the Argonauts. Ancient Tergeste as a Roman colony is dated to around 178 BC. It became more important during the reign of Octavian when roads were improved. The city has had many rulers during its history: Goths, Byzantines, and Lombards. In the 13th century Trieste was forced to swear allegiance to Venice. To escape Venetian domination, Trieste sought the protection of Duke Leopold of Austria. Trieste was of great importance to the Hapsburg Empire as a seaport and was made a Freeport in 1719. Without customs barriers the port and city flourished. At the end of the First World War with collapse of the Hapsburg Empire, Trieste was returned to Italy in 1918. Trieste was taken over by the Third Riech when Italy withdrew from the Second World Ward in September 1943. Two years later there was a 40-day Occupation by Tito's Yugoslav forces. After 9 years under an Anglo-American government Trieste was handed over to the Italian government. Trieste's history may help explain why 70% of Italians apparently did not know that Trieste was part of Italy in a recent opinion poll! With EU enlargement Trieste is ideally placed as the only natural port in the centre of Europe. Trieste is one of three finalists to host the international Expo of Science, Technology and Culture in 2008. If its bid is successful there will be more investment in the area and Trieste will become better known on the world map. Literary Connections The Irish author James Joyce lived in Trieste during the early part of the 20th century. When he first arrived he worked as a tutor at the Berlitz School of English. He went on to write "The Dubliners", "The Portrait of an Artist as a Young Man" and start "Ulysses" in Trieste. The rich mix of central European and Eastern Mediterranean culture in Trieste is said to have had a great influence on his writing. Joyce was English tutor to Itali Svevo, the Italian novelist. Svevo was born in Trieste in 1861, his Mother was part of a Triestian Jewish family, and his Father was of German descent. Joyce encouraged and praised Svevo's work and Svevo wrote critiques of Joyce's work. Svevo's book, "The Confessions of Zeno", was virtually ignored in Italy. However Joyce recommended the book to publishers in France, where it was hailed as a masterpiece. The book is an autobiography of Zeno, written for Zeno's psychoanalyst, to help get to the bottom of his smoking addiction. Svevo is credited by Welleck as "an Italian novelist with permanent appeal as a psychoanalytical psychologist and as a portrayer of the inhabitants of Austrian and later Italian Trieste and their often uncertain national allegiance." Jan Morris wrote the book, "Trieste and the Meaning of Nowhere". Morris claims this is her final book, a self- examination based in Trieste. Morris changed gender. Jan Morris first visited Trieste at the end of the Second World War as young Welsh soldier. She describes how the city "curiously haunted her" . She revisited the city as an elderly woman. Morris describes Trieste as "natural capital of the nation of nowhere". By this she means a home for the so-called "Fourth World" . This is a scattered group with the common values of humour and understanding, usually exiles in their own communities but probably numerous enough to form their own nation. I laughed at Clay Risen's comment in his piece about Trieste in the Square Table in Spring 2003. He observed that "Trieste is the only city in Eruope which appears more often in reflective essays than in guide books of newspaper travel sections." Exploring the city The best way to explore the city is to walk around. The Piazza dell' Unita d'Italia is the heart of the city. The square was created towards the end of the 19th century. It houses the City Hall, with its clock tower featuring statues of Mikeze and Lakeze, figures from Trieste folklore; Government House, with its gilded mosaic wall decorations; and the former Head Office of Lloyd Triestino, built in Renaissance style by an Austrian architect. The Victory Lighthouse lights the Gulf of Trieste and commemorates the dead of the First World War. It stands almost 70 metres high with a scaled dome containing a statue of winged Victory. At the base of the column is the anchor of the torpedo boat Audace, the first Italian ship to enter the harbour in 1918. The lighthouse took 4 years to complete and was officially opened in 1927. The Old Stock Exchange is a fine example of neo-classical architecture, resembling a Greek temple. The Old Stock Exchange stands by the so called Grand Canal. However this is rather an misnomer as the canal is very short. There is a statue of Joyce by one of the bridges. The Arco di Riccard is a Roman gate to the city thought to date from 33 AD. It is in Piazzetta di Ricordo in the old city. You can see the Roman amphitheatre at the foot of San Guisto hill. The Verdi Opera Theatre opened in 1801. It is of a similar style to La Scala in Milan. Museums There are many museums in Trieste, most of which are closed on Mondays. Probably the best is The Revoltella Museum, which was founded in 1872 when Baron Revoletta left his home and art collection to the city of Trieste. He also set up an endowment, which enabled a larger collection to be acquired. The Art Gallery has now spread over three buildings in order to house the ever-expanding collection by many Italian and other artists. Other museums include: The Regional Centre for the Study of Ancient and Modern Military History The Civic Museum The Museum of Oriental Art Piccolo Pharmacy Museum The Railway Museum Café society As Trieste is a port it was one of the first European cities to take to coffee in a big way. The first coffee houses in Trieste opened at the beginning of the 18th century. These cafés become very popular with artists and intellectuals. Several of the original cafes are going strong, the Tommeseo and the Cafee degli Specchi. Triestines are very particular about their coffee. If you order a cappuccino the Trieste version will be a black coffee with a little milk. You would need to order an Italian cappuccino. Mixing spirits with coffee is a no-no, viewed as a beverage favoured by foreign lorry drivers! Cultural and Sporting Events The Barcolana is held on the second Sunday of October. This is a sailing competition which has run for 30 years and has almost 2000 vessels competing. There are other events during the week such as the Saturday nighttime regatta. The winner is the boat, which can achieve the highest number of laps around the San Guisto basin. The Music Festival takes place for three evenings at the Piazza d'Italie. There is a line up of Italian and international talent and it's free. From October to May the concert and opera season unfolds in the historic neo-Classical Teatro Comunale Giuseppe Verdi (opened in 1801 and designed by Matteo Petch, architect of Milan's La Scala) and the modern Sala Tripcovich. The festival of Light Opera is held in July and August at the Verdi. Figures of international renown congregate in Trieste for performances of such works as Fritz Kreisler's "Sissi", "The Land of Smiles" and Franz Lear's "Judith". Castello Miramare This castle was built for Archduke Maximilian as a residence by the sea. Maxilmilian and his wife, Charlotte of Belgium, came to live here in 1860. However their stay only lasted for 4 years as Maximilian was despatched to Mexico, where he been offered the throne in an attempt to end the Civil War there. Rebel forces killed Maximilian. Charlotte lived at the Castello alone briefly and then returned to her native Belgium. You can visit the castle and gardens. In July and August the tragic love story is brought to life in a "Sons et Lumieres". The voice of the Castle caretaker recounts the love story of Maximilian and Charlotte. Performances in English and German can be requested on Saturdays by phoning +39 40 414177 Castello di Duino This old castle dates from the 11th century, the only recognisable remains are the tower and an arch. The new castle was completed in the 15th century. Legend tells that in medieval times a young princess fell in love with a local boy. Her Father locked her away in a tower and had her lover killed in the courtyard below and the corpse thrown in the sea. In despair the Princess leapt from the tower, her screams turned her to stone as she hurtled down. Near the shore is a rock that looks like a woman's body. Some say that "Dama Biance" still haunts the area searching for her lost love. Duino Castle has only recently opened its doors to the public. Prince Carlo Allessandro and his family still live in the castle. The castle has accommodated many famous guests: Dante, Listz and Struass. The coastal path, the Rilke Promenade from Duino to Sistians is named after the German poet, a guest at the castle from 1911 - 1912. The Grotta Gigante, the Giant Cave This cave is the largest accessible cave in the world. It is estimated that you could fit St Peters Cathedral inside. The cave was first explored in 1840 by Lidner. In 1904, a four- year project started to turn the cave into a tourist attraction. It took 4000 candles to light the cave, electricity was only installed in 1957. There are hourly guided visits. You can find out about opening hours by phoning 040 327312. Swimming The beach at Sistinna Spiaggia is said to be one of the best in Italy. It can be reached by the no. 51 and 21 buses from Trieste. Grignano is closer to Trieste and is reached by the no. 36 bus. Where to eat Harry's Grill in the Hotel Gran Duchi is one of Trieste's most exclusive restaurants. I have eaten at this restaurant. I was even served with a pre-starter, a delicious titbit of stuffed aubergine, and a pre-dessert, a lovely strawberry mousse. The accompanying bread and bread sticks has been freshly baked. My (proper) starter was stuffed pasta, the main course was sea bass, topped off with white chocolate mousse rippled with passionfruit sauce. It is entirely possible to have a lighter meal, if you can resist the temptation. In Summer you can sit out on the pedestrianised square. Main courses cost from 16 - 26 euros. Piazza dll"Unita d"Italia 2, tel: 040 660606 Al Bragozzo is the best-known restaurant at the port, which specialises in seafood. The simply yet creatively prepared meals pay homage to the sea and its heritage by combining the elements of Italian cuisine and the riches of the Mediterranean. Specialties include spaghetti alla Giorgio (with tomatoes and herbs), ravioli stuffed with herbs, monkfish braised with artichokes (and cooked with white wine), and spaghetti with lobster. There are also many preparations of salmon and shrimp. You can eat at the outdoor tables, weather permitting, if you visit in the summer. Main courses cost from 10 - 25 euros. Riva Nazario Sauro 22. tel: 040 303001. There are many buffets in Trieste. These are restaurants which specialise in pork, often in various stews, sausages and soups. Two of the best known are: Re di cappe, Via Geppa 11, tel 040 370330 Da Giovanni, Via S Lazzaro 14, tel 040 639396 Day trips Exploring the Carse The Triestine cares starts at Montefalcone in the north and stretches down adjacent to the Slovenian border. The area is known as a paradise for botanists with a mixture of continental flora and Mediterranean vegetation. There is talk of the area achieving national park status. The Carsic house in Rupingrande has a collection of traditional furniture and local costumes. During the first week in May the works of local painters are exhibited during the Majence Festival, in San Dorligo delle Valle. The best known event is the Carsic Wedding, every second year on the last Sunday of August in Monrupino. There are dances every night of the preceeding week. On the wedding day the bridal procession, all dressed in traditional costume, walk to the fortress church for the marriage ceremony. Grado and Aquiliea Aquiliea was founded in the first century BC. It occupies a strategic defence location. It became a Patriarchs's seat andmany beautiful churches were built. The Bascilica is considered to be one of the most important monuments of early Christianity. There are two museums to visit there. Grado was the extreme southern part of the port of Aquileia. Now it a beautiful island city joined to the mainland by a causeway. It boasts 20 kms of fine sandy beaches. Grado was very popular as a spa during the days of the Austrio Hungarian Empire with its healing sands. Grado can be reached by the no 21 bus from Trieste. There is also a boat service during the Summer. Muggia Muggia is a pretty coastal town just south of Trieste, which can be reached by ferry from Trieste during the summer. The town is of Venetian origin, surrounded by medieval walls with a 14th century castle and a pretty port. Slovenia The Slovenian border is just a few kilometres from Trieste. The Lipica Stud and Riding School is under a half hour drive from Trieste. It was originally founded in 1580 by Archduke Charles for breeding royal horses for the Austrian court. Now you can tour the stud farm (6 Euros) or have a riding lesson, starting at 16 euros. Croatia Croatia can be easily reached through by passing through the narrow strip of coastal Slovenia. Wine Country Every Sunday during April, May and June you can visit specific wineries in the area to try their products. There are various wine itineraries you can follow. Venice Venice can be reached by direct train from Trieste. The journey takes around two hours. The train takes you right into the centre of Venice.