What is Papillomavirus

Papillomavirus are small cells that are associated with STD (Sexual Transmitted Disease), Cervical Cancer, and other diseases. They are just 55mm in diameter and at least 10% of young women in England are infected with some type of papillomavirus by the age of 16. There are over 100 types of Papillomavirus, ranging from the harmless ones that cause warts, to others that cause cancer.

About 40 types affect the genital area, and 4 are responsible for some common genital diseases. Types 16 and 18 fall under what is known as “high-risk” types and cause abnormal cells, which lead to cancer. These types, along with about 10 others, are easily transmitted from one person to another by sexual relations or genital contact.

Although using a condom is good protection from most sexual diseases, such as AIDS or HIV, they only offer partial protection from papillomavirus cells. 80% of all women will, at one point or another, become infected with at least one type by the age of 50.

The Papillomavirus infects the skin and mucous membranes, lining the cervix. The progression is slow from abnormal benign cells to cancer and sometimes will lie there undetected for many years, before becoming diagnosed.

A third of all women will die within 5 years of diagnosis, but the statistics are changing, as the medical world advances. Recently a vaccine against papillomavirus cells was released, called Gardasil, which so far, has shown highly encouraging results against some types of papillomavirus. Generally, though, once the abnormal cells have developed into cancer, the two options are surgery or radiation, to eliminate them.

In many cases, there are no symptoms to indicate the status and the only true way to discover if you are in infected is to have an annual Pap Smear by a gynaecologist. The “low risk” types are transmitted either environmentally or by touch, but the body builds up antibodies naturally against them.

Women are not the only ones affect by cancer-causing types of papillomavirus. Men could get penile cancer as well. It is a DNA based virus, which is why certain types advance to cancer. Normal cells grow, divide and die, whereas cancer ones just carry on dividing. This happens because the DNA is damaged, and since DNA is hereditary, the defect can be passed on to one’s children. Being a DNA-based virus, the high-risk papillomavirus attacks the DNA in the cells, causing them to become cancerous.

In order for cervical cancer to take form completely, a woman would need a history of infections with the types involved. The risks are generally quite low and for most the chances of getting a high-risk type of papillomavirus is small. However a simple test once a year will eliminate any doubt with your doctor.

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What is Swine Flu?

Swine flu or swine influenza is a disease common in swine, with normal flu-like symptoms, but caused by any strain of the swine influenza virus (SIV – virus endemic in pigs). Though rare in humans, individuals with greater exposure to swine could contract swine influenza if the swine are carrying the particular rare strain of the SIV that is capable of affecting humans. Even then, it is a rare occurrence for the strain to be able to pass from human to human. This could occur if the SIV is able to mutate into a form that can be easily transmitted among humans.

» Read more: What is Swine Flu?

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Basilar Migraine – Not Just Another Migraine

Basilar migraine or basilar artery migraine as it is sometimes called, is one of those atypical headaches that can have frightening symptoms. This pain is unlike usual migraines. The pain is usually severe, throbbing at localized at the back of the head. It may be accompanied by severe vertigo (the sense that the room is spinning), difficulty walking and most commonly, visual disturbances.

Now what is meant by visual disturbances? Well, just about anything from blurry vision to blindness. This is caused by the fact that the basilar artery, where the problem is happening, is located in the back of the head. This artery feeds blood and oxygen to the back of the brain where the visual centers are located..if you have a problem in that area it definitely affects your vision.

Other common migraine headache symptoms may also occur such as nausea, vomiting and having the light and sounds bother you. Rarer symptoms are jerking movements of the eyes, ringing in the ears and loss of consciousness. Severe vertigo is quite common and can be disabling.

Why Is This Serious? A basilar migraine can increase the risk of stroke. Although a neurovascular condition like all other migraines, one of the problems is that aneurysms (an out-pouching of the artery) may occur in this area.

If caught, aneurysms are generally followed with more imaging such as a CT angiogram which gets a much better look at it. Surgery is recommended to “clip” it when it gets to a certain size. For cerebral aneurysms the limit is usually 10mm although some surgeons have told me they will do the procedure on a smaller one if the patient has neurological symptoms.

Testing For Basilar Migraine If you present to a doctor with the symptoms of basilar migraine, unfortunately since it mimics a stroke so closely, be prepared for a bit of a full work up to rule out stroke. This most probably will include an MRI or CT of the brain right away and possibly an MRA to look at the arteries of the brain. Again this would not only find a stroke but also find an aneurysm. A full examination including some testing for vertigo and hearing (if necessary) should be performed.

If the doctor is suspicious about possible seizures (they sometimes present with vertigo and headache) then an EEG is necessary. This is just a study to look at the electrical waves in the brain and involves wearing some scalp electrodes and getting your hair messed up!

Treatment Once a stroke has been ruled out, treatment is pretty straight forward. If the headache is disabling and occurs a couple of times a month, then you need to be on daily therapy for awhile, perhaps a few months to a year.

While many preventative medications for migraine are familiar to most headache sufferers, the drug of choice for this type of headache is verapamil taken once or twice a day. If you cannot take this medication, a beta-blocker such as Inderal is a good choice also.

If an attack does occur, most people can manage it well with a small dose of a pain killer. Many people also wonder why they cannot take their usual medications for migraine but unfortunately, all triptans such as Imitrex, are contra-indicated for this.

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