Why we should not consume more Coffee or tea- Caffeine




What are the Effects of Caffeine?
If you are suddenly feeling jittery after you have taken lot of coffee or tea, there's a correct reason for that. Caffeine can cause a number of physical side effects, including:

* increasing heart rate
* increasing blood pressure
* increasing sweat production

Caffeine also acts as a diuretic. This means that it causes you to lose fluid from your body, which can leave you dehydrated and fatigued. If your body absorbs too much caffeine, it is possible to go into "caffeine overdose," which causes symptoms of nausea and light headache, as well as respiratory problems.


Effects of Caffeine on Your Baby


Caffeine is thought to pose certain risks during pregnancy. Though researchers debate how much caffeine is acceptable during pregnancy, there is evidence to suggest than any amount will cause some physical effects on your little one. This is because caffeine passes through your placenta and is absorbed by your baby. Adults are able to break down caffeine fairly quickly, thanks to chemicals inside of our body. However, your developing baby can't do this as efficiently. This means that caffeine will be stored inside of his blood for longer periods of time, and could reach dangerously high levels.

Caffeine also affects other aspects of your baby's health. It is known to increase your baby's heart rate and may affect how much he moves in uterus. Because caffeine is a diuretic, it can also affect the nutrition your baby receives from you. Caffeine intake may cause you to absorb less iron and calcium from foods, a possible detriment to your baby's overall fetal development.

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Swine flu-Continues




What precautions can I take to help protect myself and my family?

Good hygiene can help to reduce the spread of a wide range of viruses, including influenza viruses. The Health Protection Agency advises everyone to follow these precautions at all times:

* Frequently wash your hands with soap and water.
* When coughing or sneezing, cover your mouth and nose with a tissue if possible.
* Dispose of used tissues promptly and carefully. Put them in a bag and then bin them.
* Clean hard surfaces (e.g. door handles) frequently.
* Ensure children follow this advice.

If you intend to travel to an affected country, you should check the advice provided by the Foreign and Commonwealth Office. The Health Protection Agency website provides comprehensive advice for people returning to the India from a country affected by influenza A (H1N1). If the disease begins to affect more people in the India, more information will be made available through leaflets, websites and the media. This will tell you how you can help protect yourself and your family and what to do if you think you are infected.

How can washing my hands help to protect me?

Washing your hands frequently can help to protect you from a wide range of infections.


Washing your hands frequently is the best way to protect yourself from a wide range of illnesses, including influenza. Everytime you touch something, germs can transfer to your hands. Touching your eyes, nose or mouth with unwashed hands could transfer the germs from your hands into your body. Washing your hands frequently, helps to remove the germs and stop them spreading to you and other people.

How can I remove flu viruses from surfaces?

An infected person could spread germs to surfaces around them when they cough or sneeze, or touch them with unwashed hands or used tissues. Cleaning surfaces regularly can help to stop influenza viruses and other germs spreading around your home, to you and other people.

Cleaning surfaces with detergent and water can remove germs from an item provided you scrub all the surfaces and rinse them thoroughly with clean water. However, where proper rinsing is not possible (e.g. large or fixed surfaces such as kitchen worktops, toilet flushes and door handles) it is important to use a disinfectant to help kill the germs. It is particularly important to clean and disinfect surfaces that people often touch with their hands, such as;

* handles and switches
* taps and toilet flush handles
* kitchen worktops
* telephone receivers
* computer keyboards.

Cleaning and disinfecting surfaces using products that destroy influenza viruses will give extra reassurance.


Is it safe to eat pork and other foods derived from pigs?

You cannot get influenza by eating properly handled and prepared pork or other foods derived from pigs (e.g. bacon, sausages). However, good food hygiene helps to prevent a wide range of infections, so it is important that all food is always prepared hygienically.

* Never eat raw or poorly cooked meat.
* Keep raw meat away from cooked and ready-to-eat foods.
* Use a separate chopping board and knife to prepare raw meat.
* Wash your hands immediately after handling raw meat.
* Clean and disinfect surfaces and utensils immediately after contact with raw meat.

If someone develops flu symptoms, what should they do?

If you live in or have recently travelled to an area affected by by influenza A (H1N1), and are experiencing flu-like symptoms, you should stay at home to limit contact with others, and seek medical advice by telephoning your GP, NHS Direct or (in Scotland) NHS 24. You can contact NHS Direct by telephoning 0845 4647. In Scotland, you can contact NHS 24 by telephoning 08454 24 24 24.

If the risk of catching influenza A (H1N1) increases in the India, the Health Protection Agency will issue further advice.

Is this the start of a human flu pandemic?

Although this influenza A (H1N1) virus can spread from person to person, and is causing outbreaks of flu in some countries, it is too early to say whether this particular virus will cause a global human pandemic. The World Health Organisation is closely monitoring the situation.

What is swine flu fever or influenza and influenza A (H1N1)?




What is swine influenza and influenza A (H1N1)?

Swine influenza is a contagious respiratory disease that normally only affects pigs. It is commonly caused by H1N1 strains of swine influenza A virus. However, other strains, such as H1N2, H3N1 and H3N2 also circulate in pigs. While it is not usual for people to get swine flu, human infections do occasionally happen, mainly after close contact with infected pigs.

During March/April 2009, a new strain of swine influenza virus emerged in Mexico, and started to cause illness in humans. The World Health Organisation says that this new strain of influenza, called influenza A (H1N1), can spread from person to person. Experts around the world are working closely with the World Health Organisation to help determine what risk this virus poses to the public. There is some concern that this new strain could cause a human flu pandemic
How does swine flu spread amongst pigs?

Pigs can get swine flu if they inhale respiratory droplets expelled by an infected pig. They can also get infected through direct or indirect contact with an infected pig.

What symptoms do infected pigs show?

Signs of swine influenza in pigs can include dullness, fever, coughing and breathlessness. Some infected pigs (about 1 to 4 %) may die, but most pigs recover rapidly.

Which countries have infected pigs?

Swine influenza is present in all pig-producing countries around the world, including the India. Outbreaks in pigs occur throughout the year. However, many countries routinely vaccinate pigs against swine influenza.

Should I take any special precautions when handling pigs?

Although there is no indication that the current human infections are linked to cases of swine influenza in pigs in the India, the Department for the Environment, Food and Rural Affairs (DEFRA) advises pig keepers to maintain high levels of hygiene. Pig keepers should look out for unusual signs of respiratory disease in their pigs and contact their veterinary surgeon if they are concerned or require any advice on protecting their pigs from swine flu.

Which countries have human cases of influenza A (H1N1)?

During March/April 2009, Mexico reported an increase in the number of people with severe respiratory infections. Human infections with influenza A (H1N1) were then confirmed in Southern California and Texas. Since then, the World Health Organisation has confirmed human cases of influenza A (H1N1) in several countries around the world, including the India.

What are the symptoms of influenza A (H1N1) in humans?

When people are infected with swine flu viruses, their symptoms are usually similar to those of normal seasonal influenza. These include fever, tiredness, lack of appetite, coughing and a sore throat. Some people may also have vomiting and diarrhoea. In Mexico, some people infected with influenza A (H1N1) have had severe illness and died. However, in almost all cases outside Mexico, including the India, the symptoms of influenza A (H1N1) have been mild, and people have made a full recovery.

How does influenza A (H1N1) spread between people?

This new influenza virus is thought to spread in the same way as seasonal flu; in tiny droplets, expelled from the mouth and nose of an infected person when they talk, cough or sneeze. People may get infected if they breathe in these droplets or if they touch someone or something that is contaminated with the virus (e.g. a used tissue or door handle), and then touch their nose or eyes.

Is there a vaccine to protect people from influenza A (H1N1)?

There is no vaccine available to protect people from the influenza A (H1N1) virus currently causing illness in humans, and we don't yet know if the normal seasonal flu vaccine can provide any protection. It could take four to six months to develop an effective vaccine.

Is treatment available?

Antiviral medicines, such as oseltamivir or zanamivir, are available from your GP. These may shorten the illness and reduce the risk of complications. These drugs may cause side-effects and are not suitable for everyone, so your GP will only prescribe them if the benefits outweigh the risks.

What precautions can I take to help protect myself and my family from Swine fever?

Good hygiene can help to reduce the spread of a wide range of viruses, including influenza viruses. The Health Protection Agency advises everyone to follow these precautions at all times:

* Frequently wash your hands with soap and water.
* When coughing or sneezing, cover your mouth and nose with a tissue if possible.
* Dispose of used tissues promptly and carefully. Put them in a bag and then bin them.
* Clean hard surfaces (e.g. door handles) frequently.
* Ensure children follow this advice.

If you intend to travel to an affected country, you should check the advice provided by the Foreign and Commonwealth Office. The Health Protection Agency website provides comprehensive advice for people returning to the India from a country affected by influenza A (H1N1). If the disease begins to affect more people in the India, more information will be made available through leaflets, websites and the media. This will tell you how you can help protect yourself and your family and what to do if you think you are infected.
Swine fever

Mesothelioma- Its Signs and Symptoms





Mesothelioma Signs and Symptoms
Symptoms of mesothelioma may not appear until 20 to 50 years after exposure to asbestos. Shortness of breath, cough, and pain in the chest due to an accumulation of fluid in the pleural space are often symptoms of pleural mesothelioma.

Symptoms of peritoneal mesothelioma include weight loss and cachexia, abdominal swelling and pain due to ascites (a buildup of fluid in the abdominal cavity). Other symptoms of peritoneal mesothelioma may include bowel obstruction, blood clotting abnormalities, anemia, and fever. If the cancer has spread beyond the mesothelium to other parts of the body, symptoms may include pain, trouble swallowing, or swelling of the neck or face.

These symptoms may be caused by mesothelioma or by other, less serious conditions.

Mesothelioma that affects the pleura can cause these signs and symptoms:

* chest wall pain

* pleural effusion, or fluid surrounding the lung

* shortness of breath

* fatigue or anemia

* wheezing, hoarseness, or cough

* blood in the sputum (fluid) coughed up

In severe cases, the person may have many tumor masses. The individual may develop a pneumothorax, or collapse of the lung. The disease may metastasize, or spread, to other parts of the body.

Tumors that affect the abdominal cavity often do not cause symptoms until they are at a late stage. Symptoms include:

* abdominal pain

* ascites, or an abnormal buildup of fluid in the abdomen

* a mass in the abdomen

* problems with bowel function

* weight loss

In severe cases of the disease, the following signs and symptoms may be present:

* blood clots in the veins, which may cause thrombophlebitis

* disseminated intravascular coagulation, a disorder causing severe bleeding in many body organs

* jaundice, or yellowing of the eyes and skin

* low blood sugar level

* pleural effusion

* pulmonary emboli, or blood clots in the arteries of the lungs

* severe ascites

A mesothelioma does not usually spread to the bone, brain, or adrenal glands. Pleural tumors are usually found only on one side of the lungs.

All about Mesothelioma-FAQ on Mesothelioma


Mesothelioma Common Questions

What is Mesothelioma? What is the difference between pleural mesothelioma and peritoneal mesothelioma?
Malignant mesothelioma is a disease in which a cancerous tumor grows on the mesothelium - the sac lining the internal body cavities. The specific type of mesothelioma is named for the tissue where the cancer started. Pleural mesothelioma starts in the chest, in the pleura that surrounds the lungs (outer lining of the lungs and internal chest wall). It makes up about 70% of mesothelioma cases. Peritoneal mesothelioma starts in the lining of the abdominal cavity.

Although sometimes referred to as "asbestos lung cancer", mesothelioma is not the same as lung cancer. Lung cancers occur inside the lung itself; mesothelioma occurs in the lining of the lung. Mesothelioma is rare, striking fewer than 3000 Americans per year.

How do you get malignant mesothelioma?
Mesothelioma is caused by asbestos exposure. Asbestos, once regarded as a miracle mineral, was popular due its lightweight but tough characteristics as well as for its heat-resistant properties. This naturally occurring mineral was used in many commercial and consumer products, from construction materials such as cement, roofing shingles and insulation, to consumer and industrial applications such as hair dryers, automobile brake pads and pipe insulation.



Most people with malignant mesothelioma worked on jobs where they breathed asbestos. Others were exposed to asbestos in a household environment, often without knowing it.

How much exposure does it take to get the disease? What is the latency period?
Very little exposure can result in mesothelioma. Sometimes people who worked with asbestos for as little as one or two months get mesothelioma. The "latency period" refers to the time between asbestos exposure and diagnosis of the disease. For mesothelioma, the latency period can be decades long, and people exposed in the 1940s, 50s, 60s, and 70s are now being diagnosed.

What are the symptoms of mesothelioma?
Our mesothelioma symptoms page goes into detail about the signs of this cancer. Please note that it is important to seek professional medical advice when trying to diagnose for mesothelioma. The major symptoms include:

•Shortness of breath caused by expanding pleural effusion
•Persistent dry cough
Other symptoms may include:

•Fatigue
•Night sweats
•Fever
•Pain under the rib cage
•Swelling or lumps in the abdomen
•Unexpected weight loss
How do doctors treat malignant mesothelioma?
Each patient has an individualized treatment plan which takes into account the type and stage of the cancer as well as the patient's overall health. Traditional mesothelioma treatments include surgery, chemotherapy, radiation or a combination of these. Contact us at 1-877-367-6376 if you want to talk about reviewing treatment options.

Is there any promising research or are there promising new drugs for mesothelioma?
Scientists and doctors are engaged in research at various cancer centers all over the United States. Researchers are constantly trying to develop new and more effective drugs as well as new treatment techniques. In the past few years, there have been several major advances in the management of mesothelioma, including more accurate staging, improvements in surgical techniques and postoperative care, new chemotherapy regimens, and new radiotherapy techniques such as intensity-modulated radiation therapy. Some of this research is being conducted through clinical trials, for which you may be eligible. Please call us if you need additional information on current trials.


What should I do if I think I've been exposed to asbestos but don't have mesothelioma?
You probably will not get this rare disease, but you should remain vigilant and get regular check-ups. Let your doctor know about your asbestos exposure.


I was exposed to asbestos when I was in the military. Could that be how I got mesothelioma?
The armed forces used asbestos extensively in the 20th Century, and because of the long latency period only now are many veterans getting mesothelioma. People were exposed in all branches of the service, in a variety of jobs. We have worked with veterans from all over the country. We can help you find VA resources and medical assistance. Our veterans section goes into more detail or feel free to call us at 1-877-367-6376.

Where can I find information on living with mesothelioma?
Mesothelioma Aid is a good website for resource for families dealing with mesothelioma. It includes advice and referrals to other resources for coping with cancer, caregiving, financial challenges, and support groups. Alternatively, contact us here at Mesothelioma Web for help finding resources for living with this disease

Practical solutions for an improved life for BPO workers

Practical solutions for an improved life for BPO workers

* Try to follow a regular sleep schedulePractical solutions for an improved life for BPO workers
* Make sleep your top priority. At least till your body gets adjusted, avoid doing things that will keep you alert and awake when you need to sleep.
* Get dark, solid curtains for your bedroom. Wear an eye mask to get total darkness. Even a bit of light can make your body react and tell you it's time to wake up!
* The temperature in your room has to be kept cool and soothing.
* See that you are not disturbed on any count. Family members need to be given proper instructions to this effect.
* Play relaxing music. Suddenly the market is flooded with soothing music meant especially for people who need some external inducement - so stock yourself with your fave music.
* It is better and will make you more productive if you can snatch at least a half hour shut eye before you leave for your job.
* Even before you start on your job, practise keeping awake at nights.
* Always wear dark glasses when you leave for home in the morning. This way, your body does not get alerted by the sunlight to keep awake during the day.

How to get proper nutrition

* Never miss breakfast. See to it that this is the first meal of the day whatever be the time.
* Did you know that the so-called 'energy' sports drinks are chock full of sugar and caffeine? Practical solutions for an improved life for BPO workersAvoid them as far as possible.
* Instead drink plenty of water - it will help you to flush out toxins.
* Limit your tea/coffee intake as far as possible.
* Consume nutritious snacks. Your daily diet must contain a lot of fibre.
* Foods like chips, candy, all deep fried foods, and whole milk products should be given the miss at night.
* As far as possible carry home made food - that way you can ensure you are getting nutritious food.

Exercise regimen

* Whatever time you wake up should be the best time for exercise. Your body gets a wake up alert with exercise because your body temperature gets raised.
* Avoid any form of exercise at least before two hours of your sleeping time. Sleeping will become difficult because of the raised body temperature and metabolic rate and you might end up trying to count sheep.
* Exercise till you perspire for at least three to four times a week. Each session should last for half an hour minimum.
* Most companies now provide recreation centres and gym facilities for employees. Check out on these and make the best use of them.

How to improve family life

* Have a frank talk with the family about the demands of a night shift. Make them understand your situation and the impact your job is having on you.
* Try to schedule time wit friends and family into your waking hours and off days.
* Try to make good friends in your work circle to make up for lost friendships due to the night shift.
* Hang up a big message board at home so that all the family members can exchange notes and inform each other about their plans for the day.
* Plan for family outings at least once a month.

How to tackle lack of alertness

* Always work in a brightly lit atmosphere
* Do not take up sensitive work that would involve important decisions when you are feeling sluggish
* Keep taking short walks either inside the work area or outside whenever you can do so
* Stretching exercises are very important. Keep stretching your limbs and changing your posture. Try to alternate between sitting, standing and walking whenever you find time. Snack on fruits and salads whenever you feel hungry. Avoid sweets that will give you a temporary high
* Try to take short power naps during break. This will rejuvenate you
* You could take a cup of tea or coffee - only when you really need to be shaken awake
* Try to vary your daily routine so that you don't get stuck in a rut.

As you can see, you don't have to get stressed out just because you are on a night shift. Tackle the problem sensibly and you will get on top of the situation in no time. Take good care of your health and you will be able to face any problem successfully.

What are the Prevention and Expectations about Mesothelioma

PREVENTION & EXPECTATIONS
What can be done to prevent the disease? Since the 1970s, the Environmental Protection Agency and the Occupational Safety and Health Administration have regulated the asbestos industry in the U.S. In the past, asbestos was used as a fire retardant and an insulator. Other products are now used in its place. The controversy involving exposure to different forms of asbestos continues.
There are two major types of asbestos: chrysotile and amphibole. It is thought that exposure to the amphibole form is more likely to cause mesothelioma. However, chrysotile has been used more frequently, hence many mesotheliomas are caused by chrysotile.
Removal is taking place in schools and other public buildings throughout the U.S. The hope is that these measures will greatly reduce the occurrence of this cancer.
What are the long-term effects of the disease? A mesothelioma is a highly aggressive tumor that is generally deadly. Current treatment of malignant mesothelioma is designed to make the person with cancer comfortable. Although long-term survival cannot usually be expected, the case of famed paleontologist Stephen Jay Gould is a noted exception.
What are the risks to others? Mesothelioma is not contagious and cannot be passed from one person to another. The exposure to the asbestos that caused the cancer occurred many years to several decades before the disease appeared. People who live with asbestos workers have a higher risk of getting this cancer.
What happens once treatment is over? Although mesothelioma is very unpleasant it's still important for person after treatment is over to keep up all follow-up appointments and that's vital because further testing is always needed to check whether cancer is coming back or to examine possible side effects that could be rather unpleasant and what's even worse permanent.

NOTABLE PEOPLE THAT DIED FROM MESOTHELIOMA
Mesothelioma, though rare, has had a number of notable patients. Australian anti-racism activist Bob Bellear died in 2005. British science fiction writer Michael G. Coney, responsible for nearly 100 works also died in 2005. American film and television actor Paul Gleason, perhaps best known for his portrayal of Principal Richard Vernon in the 1985 film The Breakfast Club, died in 2006. Mickie Most, an English record producer, died of mesothelioma in 2003. Paul Rudolph, an American architect known for his cubist building designs, died in 1997.
Bernie Banton was an Australian workers' rights activist, who fought a long battle for compensation from James Hardie after he contracted mesothelioma after working for that company. He claimed James Hardie knew of the dangers of asbestos before he began work with the substance making insulation for power stations. Mesothelioma eventually took his life along with his brothers and hundreds of James Hardie workers. James Hardie made an undisclosed settlement with Mr Banton only when his mesothelioma had reached its final stages and he was expected to have no more than 48hrs to live. Australian Prime Minister-elect Kevin Ruddmentioned Mr Banton's extended struggle in his acceptance speech after winning the 2007
Australian Federal Election.
Steve McQueen was diagnosed with peritoneal mesothelioma on December 22, 1979. He was not offered surgery or chemotherapy because doctors felt the cancer was too advanced. McQueen sought alternative treatments from clinics in Mexico. He died of a heart attack on November 7, 1980, in Juárez, Mexico, following cancer surgery. He may have been exposed to asbestos while serving with the US Marines as a young adult—asbestos was then commonly used to insulate ships' piping—or because of its use as an insulating material in car racing suits. (It is also reported that he worked in ashipyard during World War II, where he might have been exposed to asbestos.
United States Congressman Bruce Vento died of mesothelioma in 2000. The Bruce Vento Hopebuilder is awarded yearly by his wife at the MARF Symposium to persons or organizations who have done the most to support mesothelioma research and advocacy.
After a long period of untreated illness and pain, rock and roll musician and songwriter Warren Zevon was diagnosed with inoperable mesothelioma in the fall of 2002. Refusing treatments he believed might incapacitate him, Zevon focused his energies on recording his final album The Wind including the song "Keep Me in Your Heart," which speaks of his failing breath. Zevon died at his home in Los Angeles, California, on September 7, 2003.
Christie Hennessy, the influential Irish singer-songwriter, died of mesothelioma in 2007, and had stridently refused to accept the prognosis in the weeks before his death. His mesothelioma has been attributed to his younger years spent working on building sites inLondon.
Bob Miner, one of the founders of Software Development Labs, the forerunner of Oracle Corporation died of mesothelioma in 1994.

HISTORY
The first lawsuit against asbestos manufacturers was brought in 1929. The parties settled that lawsuit, and as part of the agreement, the attorneys agreed not to pursue further cases. It was not until 1960 that an article published by Wagner et al first officially established mesothelioma as a disease arising from exposure to crocidolite asbestos. The article referred to over 30 case studies of people who had suffered from mesothelioma in South Africa. Some exposures were transient and some were mine workers. In 1962 McNulty reported the first diagnosed case of malignant mesothelioma in an Australian asbestos worker. The worker had worked in the mill at the asbestos mine in Wittenoom from 1948 to 1950.
In the town of Wittenoom, asbestos-containing mine waste was used to cover schoolyards and playgrounds. In 1965 an article in the British Journal of Industrial Medicine established that people who lived in the neighbourhoods of asbestos factories and mines, but did not work in them, had contracted mesothelioma.
Despite proof that the dust associated with asbestos mining and milling causes asbestos related disease, mining began at Wittenoom in 1943 and continued until 1966. In 1974 the first public warnings of the dangers of blue asbestos were published in a cover story called "Is this Killer in Your Home?" in Australia's Bulletin magazine. In 1978 the Western Australian Government decided to phase out the town of Wittenoom, following the publication of a Health Dept. booklet, "The Health Hazard at Wittenoom", containing the results of air sampling and an appraisal of worldwide medical information.
By 1979 the first writs for negligence related to Wittenoom were issued against CSR and its subsidiary ABA, and the Asbestos Diseases Society was formed to represent the Wittenoom victims.
Thank you-mesothelium.blogspot.com

What are things affect all Children's Health

Child Health
Child Health is very important thing that everybody should know. Do you how many health problems that children are supposed to face when they grow. As we know the victims of these diseases are those who are not taking care by their parents. So parents are real careless people. So this is for all parents. Pls note this list and get correct advices from Doctors and Nutrition specialists to take care of your Children growth.

Warts
Sepsis
Whipple's Disease
Tetanus
Common Cold
Rotavirus
Valley Fever
Typhus
Leprosy
Salmonella
Strep Throat
Typhoid Fever
Scarlet Fever
Ringworm
Rheumatic Fever
Whooping Cough
Yellow Fever
Rabies
Lassa Fever
Tuberculosis
Influenza
Diphtheria
German Measles Or Rubella
Q Fever
Smallpox
Polio
Elephantiasis
Cholera
Anthrax
Jaundice
Roseola
Chicken Pox

Mesothelioma- A type of cacer caused by Asbestos continues

EPIDEMIOLOGY
Incident

Although reported incidence rates have increased in the past 20 years, mesothelioma is still a relatively rare cancer. The incidence is approximately one per 1,000,000. For comparison, populations with high levels of smoking can have a lung cancer incidence of over 1,000 per 1,000,000. Incidence of malignant mesothelioma currently ranges from about 7 to 40 per 1,000,000 in industrialized Western nations, depending on the amount of asbestos exposure of the populations during the past several decades. It has been estimated that incidence may have peaked at 15 per 1,000,000 in the United States in 2004. Incidence is expected to continue increasing in other parts of the world. Mesothelioma occurs more often in men than in women and risk increases with age, but this disease can appear in either men or women at any age. Approximately one fifth to one third of all mesotheliomas are peritoneal.

Between 1940 and 1979, approximately 27.5 million people were occupationally exposed to asbestos in the United States . Between 1973 and 1984, there has been a threefold increase in the diagnosis of pleural mesothelioma in Caucasian males. From 1980 to the late 1990s, the death rate from mesothelioma in the USA increased from 2,000 per year to 3,000, with men four times more likely to acquire it than women. These rates may not be accurate, since it is possible that many cases of mesothelioma are misdiagnosed as adenocarcinoma of the lung, which is difficult to differentiate from mesothelioma.

Risk factors
Working with asbestos is the major risk factor for mesothelioma. A history of asbestos exposure exists in almost all cases. However, mesothelioma has been reported in some individuals without any known exposure to asbestos. In rare cases, mesothelioma has also been associated with irradiation, intrapleural thorium dioxide (Thorotrast), and inhalation of other fibrous silicates, such as erionite.

Asbestos is the name of a group of minerals that occur naturally as masses of strong, flexible fibers that can be separated into thin threads and woven. Asbestos has been widely used in many industrial products, including cement, brake linings, roof shingles, flooring products, textiles, and insulation. If tiny asbestos particles float in the air, especially during the manufacturing process, they may be inhaled or swallowed, and can cause serious health problems. In addition to mesothelioma, exposure to asbestos increases the risk of lung cancer, asbestosis (a noncancerous, chronic lung ailment), and other cancers, such as those of the larynx and kidney.
The combination of smoking and asbestos exposure significantly increases a person's risk of developing cancer of the airways (lung cancer, bronchial carcinoma). The Kent brand of cigarettes used asbestos in its filters for the first few years of production in the 1950s and some cases of mesothelioma have resulted. Smoking modern cigarettes does not appear to increase the risk of mesothelioma. Some studies suggest that simian virus 40 (SV40) may act as acofactor in the development of mesothelioma.
Exposure
Asbestos was known in antiquity, but it wasn't mined and widely used commercially until the late 1800s. Its use greatly increased duringWorld War II. Since the early 1940s, millions of American workers have been exposed to asbestos dust. Initially, the risks associated with asbestos exposure were not publicly known. However, an increased risk of developing mesothelioma was later found among shipyard workers, people who work in asbestos mines and mills, producers of asbestos products, workers in the heating and construction industries, and other tradespeople. Today, the U.S.Occupational Safety and Health Administration (OSHA) sets limits for acceptable levels of asbestos exposure in the workplace, and created guidelines for engineering controls and respirators, protective clothing, exposure monitoring, hygiene facilities and practices, warning signs, labeling, recordkeeping, and medical exams. By contrast, the British Government's Health and Safety Executive (HSE) states formally that any threshold for mesothelioma must be at a very low level and it is widely agreed that if any such threshold does exist at all, then it cannot currently be quantified. For practical purposes, therefore, HSE does not assume that any such threshold exists. People who work with asbestos wear personal protective equipment to lower their risk of exposure.

Occupational

Exposure to asbestos fibres has been recognised as an occupational health hazard since the early 1900s. Several epidemiological studies have associated exposure to asbestos with the development of lesions such as asbestos bodies in the sputum, pleural plaques, diffuse pleural thickening, asbestosis, carcinoma of the lung and larynx, gastrointestinal tumours, and diffuse mesothelioma of the pleura and peritoneum.

The documented presence of asbestos fibres in water supplies and food products has fostered concerns about the possible impact of long-term and, as yet, unknown exposure of the general population to these fibres. Although many authorities consider brief or transient exposure to asbestos fibres as inconsequential and an unlikely risk factor, some epidemiologists claim that there is no risk threshold. Cases of mesothelioma have been found in people whose only exposure was breathing the air through ventilation systems. Other cases had very minimal (3 months or less) direct exposure.

Commercial asbestos mining at Wittenoom, Western Australia, occurred between 1945 and 1966. A cohort study of miners employed at the mine reported that while no deaths occurred within the first 10 years after crocidolite exposure, 85 deaths attributable to mesothelioma had occurred by 1985. By 1994, 539 reported deaths due to mesothelioma had been reported in Western Australia.

Paraoccupational Secondary Exposure

Family members and others living with asbestos workers have an increased risk of developing mesothelioma, and possibly other asbestos related diseases. This risk may be the result of exposure to asbestos dust brought home on the clothing and hair of asbestos workers. To reduce the chance of exposing family members to asbestos fibres, asbestos workers are usually required to shower and change their clothing before leaving the workplace.

Asbestos in buildings

Many building materials used in both public and domestic premises prior to the banning of asbestos may contain asbestos. Those performing renovation works or diy activities may expose themselves to asbestos dust. In the UK use of Chrysotile asbestos was banned at the end of 1999. Brown and blue asbestos was banned in the UK around 1985. Buildings built or renovated prior to these dates may contain asbestos materials.

Environmental Exposure

Incidence of mesothelioma had been found to be higher in populations living near Naturally Occurring Asbestos (NOA).


TREATMENT

Treatment of MM using conventional therapies has not proved successful and patients have a median survival time of 6 - 12 months after presentation. The clinical behaviour of the malignancy is affected by several factors including the continuous mesothelial surface of the pleural cavity which favours local metastasis via exfoliated cells, invasion to underlying tissue and other organs within the pleural cavity, and the extremely long latency period between asbestos exposure and development of the disease.


Surgery
Surgery, either by itself or used in combination with pre- and post-operative adjuvant therapies, has proved disappointing. A pleurectomy/decortication is the most common surgery, in which the lining of the chest is removed. Less common is an extrapleural pneumonectomy (EPP), in which the lung, lining of the inside of the chest, the hemi-diaphragm and the pericardium are removed. It is not possible to remove the entire mesothelium without killing the patient.

Radiation

For patients with localized disease, and who can tolerate a radical surgery, radiation is often given post-operatively as a consolidative treatment. The entire hemi-thorax is treated with radiation therapy, often given simultaneously with chemotherapy. This approach of using surgery followed by radiation with chemotherapy has been pioneered by the thoracic oncology team at Brigham & Women's Hospital in Boston. Delivering radiation and chemotherapy after a radical surgery has led to extended life expectancy in selected patient populations with some patients surviving more than 5 years. As part of a curative approach to mesothelioma, radiotherapy is also commonly applied to the sites of chest drain insertion, in order to prevent growth of the tumor along the track in the chest wall.

Although mesothelioma is generally resistant to curative treatment with radiotherapy alone, palliative treatment regimens are sometimes used to relieve symptoms arising from tumor growth, such as obstruction of a major blood vessel. Radiation therapy when given alone with curative intent has never been shown to improve survival from mesothelioma. The necessary radiation dose to treat mesothelioma that has not been surgically removed would be very toxic.

Chemotherapy
In February 2004, the United States Food and Drug Administrationapproved pemetrexed (brand name Alimta) for treatment of malignant pleural mesothelioma. Pemetrexed is given in combination with cisplatin. Folic acid is also used to reduce the side-effects of pemetrexed.

Immunotherapy
Treatment regimens involving immunotherapy have yielded variable results. For example, intrapleural inoculation of Bacillus Calmette-Guérin (BCG) in an attempt to boost the immune response, was found to be of no benefit to the patient (while it may benefit patients with bladder cancer). Mesothelioma cells proved susceptible to in vitro lysis by LAK cells following activation by interleukin-2 (IL-2), but patients undergoing this particular therapy experienced major side effects. Indeed, this trial was suspended in view of the unacceptably high levels of IL-2 toxicity and the severity of side effects such as fever and cachexia. Nonetheless, other trials involving interferon alpha have proved more encouraging with 20% of patients experiencing a greater than 50% reduction in tumor mass combined with minimal side effects.

Heated Intraoperative Intraperitoneal Chemotherapy
A procedure known as heated intraoperative intraperitoneal chemotherapy was developed by Paul Sugarbaker at the Washington Cancer Institute. The surgeon removes as much of the tumor as possible followed by the direct administration of a chemotherapy agent, heated to between 40 and 48°C, in the abdomen. The fluid is perfused for 60 to 120 minutes and then drained.

This technique permits the administration of high concentrations of selected drugs into the abdominal and pelvic surfaces. Heating the chemotherapy treatment increases the penetration of the drugs into tissues. Also, heating itself damages the malignant cells more than the normal cells.

Mesothelioma- Kind of Cancer caused by Exporure to Asbestos

Why we should not Expose to Asbestoe more? 
Mesothelioma is a form of cancer which is caused by previous exposure to asbestos. In this disease, cancer (malignant) cells develop in the mesothelium (a protective lining that covers most of the body's internal organs). Its most common site is the pleura (outer lining of the lungs and chest cavity), but it may also occur in the peritoneum (the lining of the abdominal cavity) or the pericardium (a sac that surrounds the heart).

Most people who develop mesothelioma have worked on jobs where they inhaled asbestos particles, or have been exposed to asbestos dust and fibre in other ways, such as by washing the clothes of a family member who worked with asbestos, or by home renovation using asbestos cement products. Unlike lung cancer, there is no association between mesothelioma and smoking.

SYMPTOMS

Usually, Symptoms of mesothelioma may not appear until 20 to 50 years after exposure to asbestos. The symptoms of pleural mesothelioma are shortness of breath, cough, and pain in the chest due to an accumulation of fluid in the pleural space.

Symptoms of peritoneal mesothelioma include weight loss and cachexia, abdominal swelling and pain due to ascites (a buildup of fluid in the abdominal cavity), bowel obstruction, blood clotting abnormalities, anemia, and fever. Symptoms may include pain, trouble swallowing, or swelling of the neck or face if the cancer has spread beyond the mesothelium to other parts of the body.

These symptoms may be caused by mesothelioma or by other, less serious conditions.

Mesothelioma that affects the pleura can cause these signs and symptoms:

  • chest wall pain
  • pleural effusion, or fluid surrounding the lung
  • shortness of breath
  • fatigue or anemia
  • wheezing, hoarseness, or cough
  • blood in the sputum (fluid) coughed up

In severe cases, the person may have many tumor masses. The individual may develop a pneumothorax, or collapse of the lung. The disease may metastasize, or spread, to other parts of the body.

Tumors that affect the abdominal cavity often do not cause symptoms until they are at a late stage. Symptoms include:

  • abdominal pain
  • ascites, or an abnormal buildup of fluid in the abdomen
  • a mass in the abdomen
  • problems with bowel function
  • weight loss

In severe cases of the disease, the following signs and symptoms may be present:

  • blood clots in the veins, which may cause thrombophlebitis
  • disseminated intravascular coagulation, a disorder causing severe bleeding in many body organs
  • jaundice, or yellowing of the eyes and skin
  • low blood sugar level
  • pleural effusion
  • pulmonary emboli, or blood clots in the arteries of the lungs
  • severe ascites

A mesothelioma does not usually spread to the bone, brain, or adrenal glands. Pleural tumors are usually found only on one side of the lungs.

DIAGNOSIS

To diagnose mesothelioma is difficult because the symptoms are similar to those of a number of other conditions. Diagnosis begins with a review of the patient's medical history. A history of exposure to asbestos may increase clinical suspicion for mesothelioma. A physical examination is performed, followed by chest X-ray and often lung function tests. The X-ray may reveal pleural thickening commonly seen after asbestos exposure and increases suspicion of mesothelioma. A CT (or CAT) scan or an MRI is usually performed. If a large amount of fluid is present, abnormal cells may be detected by cytology if this fluid is aspirated with a syringe. For pleural fluid this is done by a pleural tap or chest drain, in ascites with an paracentesis or ascitic drain and in a pericardial effusion with pericardiocentesis. While absence of malignant cells on cytology does not completely exclude mesothelioma, it makes it much more unlikely, especially if an alternative diagnosis can be made (e.g. tuberculosis, heart failure).

If cytology is positive or a plaque is regarded as suspicious, a biopsy is needed to confirm a diagnosis of mesothelioma. A doctor removes a sample of tissue for examination under a microscope by a pathologist. A biopsy may be done in different ways, depending on where the abnormal area is located. If the cancer is in the chest, the doctor may perform a thoracoscopy. In this procedure, the doctor makes a small cut through the chest wall and puts a thin, lighted tube called a thoracoscope into the chest between two ribs. Thoracoscopy allows the doctor to look inside the chest and obtain tissue samples.

If the cancer is in the abdomen, the doctor may perform a laparoscopy. To obtain tissue for examination, the doctor makes a small opening in the abdomen and inserts a special instrument into the abdominal cavity. If these procedures do not yield enough tissue, more extensive diagnostic surgery may be necessary.

Doctors have begun testing the Mesomark assay which measures levels of soluble mesothelin-related proteins (SMRPs) released by diseased mesothelioma cells. The procedure could diagnose mesothelioma earlier than conventional methods thus improving the survival prospects for patients.

Typical immunohistochemistry results
PositiveNegative
EMA (epithelial membrane antigen) in a membranous distributionCEA (carcinoembryonic antigen)
WT1 (Wilms' tumour 1)B72.3
CalretininMOC-3 1
Mesothelin-1CD15
Cytokeratin 5/6Ber-EP4
HBME-1 (human mesothelial cell 1)TTF-1 (thyroid transcription factor-1)

SCREENING

There is no universally agreed protocol for screening people who have been exposed to asbestos. However some research indicates that theserum osteopontin level might be useful in screening asbestos-exposed people for mesothelioma. The level of soluble mesothelin-related protein is elevated in the serum of about 75% of patients at diagnosis and it has been suggested that it may be useful for screening.

STAGING

Mesothelioma is described as localized if the cancer is found only on the membrane surface where it originated. It is classified as advanced if it has spread beyond the original membrane surface to other parts of the body, such as the lymph nodes, lungs, chest wall, or abdominal organs.

PATHOPHYSIOLOGY

The mesothelium consists of a single layer of flattened to cuboidal cells forming the epithelial lining of the serous cavities of the body including the peritonealpericardial and pleural cavities. Deposition of asbestos fibres in the parenchyma of the lung may result in the penetration of the visceral pleura from where the fibre can then be carried to the pleural surface, thus leading to the development of malignant mesothelial plaques. The processes leading to the development of peritoneal mesothelioma remain unresolved, although it has been proposed that asbestos fibres from the lung are transported to the abdomen and associated organs via the lymphatic system. Additionally, asbestos fibres may be deposited in the gut after ingestion of sputum contaminated with asbestos fibres.

Pleural contamination with asbestos or other mineral fibres has been shown to cause cancer. Long thin asbestos fibers (blue asbestos,amphibole fibers) are more potent carcinogens than "feathery fibers" (chrysotile or white asbestos fibers).However, there is now evidence that smaller particles may be more dangerous than the larger fibersThey remain suspended in the air where they can be inhaled, and may penetrate more easily and deeper into the lungs. "We probably will find out a lot more about the health aspects of asbestos from [the World Trade Center attack], unfortunately," said Dr. Alan Fein, chief of pulmonary and critical-care medicine at North Shore-Long Island Jewish Health System. Dr. Fein has treated several patients for "World Trade Center syndrome" or respiratory ailments from brief exposures of only a day or two near the collapsed buildings.

Mesothelioma development in rats has been demonstrated following intra-pleural inoculation of phosphorylated chrysotile fibres. It has been suggested that in humans, transport of fibres to the pleura is critical to the pathogenesis of mesothelioma. This is supported by the observed recruitment of significant numbers of macrophages and other cells of the immune system to localised lesions of accumulated asbestos fibres in the pleural and peritoneal cavities of rats. These lesions continued to attract and accumulate macrophages as the disease progressed, and cellular changes within the lesion culminated in a morphologically malignant tumour.

Experimental evidence suggests that asbestos acts as a complete carcinogen with the development of mesothelioma occurring in sequential stages of initiation and promotion. The molecular mechanisms underlying the malignant transformation of normal mesothelial cells by asbestos fibres remain unclear despite the demonstration of its oncogenic capabilities. However, complete in vitro transformation of normal human mesothelial cells to malignant phenotype following exposure to asbestos fibres has not yet been achieved. In general, asbestos fibres are thought to act through direct physical interactions with the cells of the mesothelium in conjunction with indirect effects following interaction with inflammatory cells such as macrophages.

Analysis of the interactions between asbestos fibres and DNA has shown that phagocytosed fibres are able to make contact withchromosomes, often adhering to the chromatin fibres or becoming entangled within the chromosome. This contact between the asbestos fibre and the chromosomes or structural proteins of the spindle apparatus can induce complex abnormalities. The most common abnormality is monosomy of chromosome 22. Other frequent abnormalities include structural rearrangement of 1p, 3p, 9p and 6q chromosome arms.

Common gene abnormalities in mesothelioma cell lines include deletion of the tumor suppressor genes:

Asbestos has also been shown to mediate the entry of foreign DNA into target cells. Incorporation of this foreign DNA may lead to mutations and oncogenesis by several possible mechanisms:

  • Inactivation of tumor suppressor genes
  • Activation of oncogenes
  • Activation of proto-oncogenes due to incorporation of foreign DNA containing a promoter region
  • Activation of DNA repair enzymes, which may be prone to error
  • Activation of telomerase
  • Prevention of apoptosis

Asbestos fibres have been shown to alter the function and secretory properties of macrophages, ultimately creating conditions which favour the development of mesothelioma. Following asbestos phagocytosis, macrophages generate increased amounts of hydroxylradicals, which are normal by-products of cellular anaerobic metabolism. However, these free radicals are also known clastogenicand membrane-active agents thought to promote asbestos carcinogenicity. These oxidants can participate in the oncogenic process by directly and indirectly interacting with DNA, modifying membrane-associated cellular events, including oncogene activation and perturbation of cellular antioxidant defences.

Asbestos also may possess immunosuppressive properties. For example, chrysotile fibres have been shown to depress the in vitro proliferation of phytohemagglutinin-stimulated peripheral blood lymphocytes, suppress natural killer cell lysis and significantly reducelymphokine-activated killer cell viability and recovery. Furthermore, genetic alterations in asbestos-activated macrophages may result in the release of potent mesothelial cell mitogens such as platelet-derived growth factor (PDGF) and transforming growth factor-β (TGF-β) which in turn, may induce the chronic stimulation and proliferation of mesothelial cells after injury by asbestos fibres.


Soft Drins or silent killers A truth about Pepsi and coca cola




To clean corrosion from car battery terminals : Pour a can of Coca-Cola over the terminals to bubble away the corrosion To remove grease from clothes : Pour a can of Coke into a load of greasy clothes, add detergent, and run through a regular cycle. The Coca-Cola/Pepsi will help loosen grease stains WE DRINK THIS STUFF! OF COURSE TO CLEAN OUR SYSTEM TOO. AFTER ALL WE ARE PAYING FOR IT. For your information The average pH of soft drinks, a.g. Coke & Pepsi is 3.4. This acidity is strong enough to dissolve teeth and bones! Our human body stops building bones at around the age of 30. After that it shall be dissolving the bones every year through the urine depending on the acidity of the food intake. All the dissolved calcium compounds get accumulated in the arteries, veins, skin, tissue and organs, which affects the functioning of the kidney assisting in formation of kidney stones. Soft drinks do not have any nutritional value (in terms of vitamins and minerals). They have higher sugar content, higher acidity, and more additives such as preservatives and colorings. Some people like to take cold soft drinks after each meal, guess what's the impact? Few Examples Two months ago, there was a competition in Delhi University "Who can drink the most Coke?h The winner drank 8 bottles and died on the spot because of too much carbon dioxide in the blood and not enough oxygen. From then on, the principal banned all soft drinks from the university canteen. Someone put a broken tooth in a bottle of Pepsi and in 10 days it got dissolved! Teeth and bones are the only human organ that stays intact for years after death. The Impact? Our body has an optimum temperature of 37 for the functioning of digestive enzymes. The temperature of cold soft drinks is much less than 37, sometimes quite close to 0. This lowers the effectiveness of the enzymes and puts stress on our digestive system, digesting less food. In fact the food gets fermented. The fermented food produces bad smelling, gases, decays and forms toxins, which are absorbed in the intestines, get circulated in the blood and is delivered to the whole body. This spread of toxins can lead to the development of various diseases. Imagine what the drink must be doing to your soft intestines and stomach lining! Request Forward this message to your friends to increase the awareness of these soft drinks "Keep your head & your heart in the right directions and you will never have to worry about your feet

Cold- A serious problem of Children and also to others.

Common cold is mostly occurs in children because they are often in close contact with each other in daycare centers and schools. Common cold is also known as a viral upper respiratory tract infection. It is a contagious illness that can be caused by a number of different types of viruses. On an average the following points has came out:
· Adolescents and adults got seven colds per year
· Adults got two to four colds per year
· Kids in kindergarten got 12 colds a year
· Preschool children have nine colds a year
· Women especially aged between 20 to 30 years, have more colds than men
· People older than 60 have less than one cold a year
Seasonal changes in relative humidity also may affect the prevalence of colds. The most common cold-causing viruses survive better when humidity is low-the colder months of the year.
Causes of Common ColdThere is also no evidence that your chances of getting a cold are related to factors such as exercise, diet, or enlarged tonsils or adenoids. It is also not proven that a person can get a cold from exposure to cold weather or from getting chilled or overheated.
· Common cold mostly spread by hand-to-hand contact. If a person with cold touches his/her nose and then touches some other person, then the virus transferred to other person.
· The virus of common cold can be available on some objects such as pens, books, and coffee cups for several hours and can be acquired from touching these objects.
· Coughing and sneezing spread the common cold very easily, infact this is very poor mechanisms for spreading a cold.
On the contrary, medical research have suggests that psychological stress and allergic diseases affecting your nose or throat may have an impact on getting infected by cold viruses.
Signs & Symptoms of Common ColdMany people with a cold feel tired and achy. These symptoms typically last from three to 10 days. Symptoms of a common cold include
· Cough
· Difficulty breathing through nose
· Headache
· Hoarseness
· Mucus buildup in nose
· Nasal stuffiness and drainage
· Sneezing
· Sore throat
· Swelling of sinuses
· High Fever (102 degrees Fahrenheit)
Cold symptoms can last from 3 to 10 days, but like most people recover in a week. Colds occasionally can lead to bacterial infections of middle ear or sinuses, requiring treatment with antibiotics.
Diagnosis of Common ColdThere is no specific test to diagnose common cold. The diagnosis is based on the symptoms reported and the physical examination made by your health care provider.
Preventions of Common ColdThere are several ways you can keep yourself from getting a cold or passing one on to others.
· Cold virus present on hands can easily enter through eyes and nose. So, keep your hands away from those areas of your body
· Avoid close contact with people who have colds
· Avoid being close to uninfected people, if you have cold
· Cover your nose or mouth while sneezing or coughing
· Wash your hand thoroughly with soap and water
· Cleaning environmental surfaces with a virus-killing disinfectant might help prevent spread of infection.
Treatments of Common ColdSometimes, an infection with bacteria can follow the cold virus. Bacterial infections are treated with antibiotics. But antibiotics play no role in treating the common cold. Antibiotics only work against illnesses caused by bacteria and colds are caused by viruses.
There is no cure for the common cold, but you can get relief from your cold symptoms by
· Drinking plenty of fluids
· Gargling with warm salt water
· Getting proper bed rest
· Taking aspirin or acetaminophen-Tylenol
· Using petroleum jelly for a raw nose
· Inhaling steam may temporarily relieve symptoms of congestion
Vitamin C has been considered to reduce the duration of symptoms from a common cold. Medical research has not supported this. While there is news about treating the common cold with zinc, this is still not considered to be confirmed by adequate scientific research. Its benefits remain unproven.
Home remedies for Common ColdThe major home remedy that a person should have on the common cold is hand washing. Hand washing has clearly been shown to prevent the spread of common cold. This can be particularly effective in public places and is recommended before meals.
Several treatments that can ease the symptoms associated with a common cold also exist.
· Acetaminophen or ibuprofen can help with the muscle aches.
· Antihistamines may help reduce nasal drainage. Only those antihistamines that can also cause drowsiness seem to work.
· Cough can be controlled with cough syrups containing dextromethorphan.
· Drink lots of fluids
· Nasal sprays can help reduce symptoms. Nasal sprays should not be used for more than three days because then the nose can become dependent on them and a worse stuffy nose will result when they are discontinued.
· Stay in a moist environment
· Use throat lozenges for sore throat
When to seek Medical AdviceYour doctor won't be able to identify the specific virus causing cold symptoms, but can examine your child's throat and ears and take a throat culture to make sure the symptoms aren't from another condition that may need specific treatment.
· Swollen glands, severe sinus pain, cough that produces mucus may indicate a complication or more serious illness requiring a visit to your healthcare provider.
· If you have a sore throat with fever and no cold symptoms, you should be seen by your doctor because this type of sore throat is more likely to be a Strep throat or other serious illness.
· If you notice facial pain, tooth pain, or yellow drainage from your nose accompanied by a fever, it is possible that you have an infection of the nasal passages (sinusitis) or a dental infection that would benefit from a medical evaluation and a course of antibiotics.
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