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A pension scheme erectile dysfunction rx kansas city Surprisingly, Chiao says this is fairly accurate: "There are definitely paper procedures and books, certainly in the Soyuz and, I imagine, the Chinese spacecraft as well," Chiao says. "On the shuttle we had paper books. The problem would be, having not been trained, she may not know how to follow the instructions. She might not even know the language. But the books are there, and they're definitely used."