• Ethmoid sinusitis is the inflammation of a specific group of sinuses - the ethmoid sinuses - which sit between the nose and eyes. (medicalnewstoday.com)
  • Inflammation of the ethmoid sinuses can lead to pressure and pain around the nose and between the eyes. (medicalnewstoday.com)
  • In ethmoid sinusitis, this inflammation affects the ethmoid sinuses. (medicalnewstoday.com)
  • The allergic fungal sinusitis (AFS) cycle suggests that atopy, continuous antigenic exposure, and inflammation all have key roles in the perpetuation of the disease. (medscape.com)
  • Sinusitis is characterized by inflammation of the lining of the paranasal sinuses. (medscape.com)
  • Sinusitis is an inflammation of the sinuses. (medgadget.com)
  • Sinusitis is inflammation of the paranasal sinuses due to viral, bacterial, or fungal infections or allergic reactions. (merckmanuals.com)
  • Chronic sinusitis involves many factors that combine to create chronic inflammation. (merckmanuals.com)
  • Sinusitis is the inflammation/infection of 1 or more paranasal sinuses and occurs when there is obstruction of the normal sinus drainage mechanism. (drkennypang.com)
  • Sinusitis occurs when one or more sinuses become infected causing inflammation of the membranes that line the sinus cavity. (osteopathichealinghands.com)
  • If you have swelling of the eyelids and tissues around your eyes, and pain between your eyes, you may have inflammation of the ethmoid sinuses that are near the tear ducts in the corner of your eyes. (osteopathichealinghands.com)
  • Sinusitis , also known as rhinosinusitis , is inflammation of the mucous membranes that line the sinuses resulting in symptoms. (mdwiki.org)
  • Sinusitis (sinus infection) or rhinosinusitis is inflammation or painful swelling of the sinuses. (theayurvedaexperience.com)
  • Sinusitis is the inflammation of the membranes in the mucous lining of paranasal sinuses. (the-alternative-cure.org)
  • Sinusitis: Inflammation of the sinuses result in a plugged nose and thick nasal mucus accompanied by pain in the face. (utkalhospital.com)
  • Sinusitis, an inflammation of the tissue lining of the sinuses, is a problem that affects 14% of the people in this country. (dallasent.com)
  • In this article, we look at the causes, symptoms, and diagnosis of ethmoid sinusitis and when to see a doctor. (medicalnewstoday.com)
  • A person with ethmoid sinusitis may experience many symptoms common to all sinus infections. (medicalnewstoday.com)
  • In addition, they may experience symptoms specific to ethmoid sinusitis because of the position of these sinuses near the eyes. (medicalnewstoday.com)
  • When diagnosing ethmoid sinusitis, a doctor will ask the person how they have been feeling and carry out a physical examination to look for the characteristic signs and symptoms of sinusitis. (medicalnewstoday.com)
  • Unlike in adults, pediatric sinusitis is difficult to diagnose because symptoms of sinusitis can be caused by other problems, such as viral illness and allergy. (bmc.org)
  • If your child has acute sinusitis, symptoms should improve within the first few days of treatment. (bmc.org)
  • If your child suffers from one or more symptoms of sinusitis for at least 12 weeks, he or she may have chronic sinusitis. (bmc.org)
  • Surgery is considered for the small percentage of children with severe or persistent sinusitis symptoms despite medical therapy. (bmc.org)
  • Due to the many varieties of sinusitis and overlap in symptoms, diagnosis can be complex and you should look for a doctor who specializes in the sinuses. (norellehealth.com)
  • Generally, the main symptoms of sinusitis are a runny or severely congested nose paired with pain and pressure in your head and face. (norellehealth.com)
  • It is important that you understand the different symptoms below for a specific sinusitis location. (norellehealth.com)
  • Chronic sinusitis refers to when your sinus infection symptoms persist for 12 weeks or even longer. (homage.sg)
  • All four kinds of sinusitis share symptoms in common. (homage.sg)
  • What are the symptoms of sinusitis in a child? (tidelandshealth.org)
  • The symptoms of sinusitis can seem like other health conditions. (tidelandshealth.org)
  • People who suffer from allergies that affect the nose (like pollen allergy, also called hay fever), as well as people who may have chronic nasal symptoms not caused by allergy, are also prone to develop episodes of acute sinusitis. (osteopathichealinghands.com)
  • One of the most common symptoms of sinusitis is sinus pain, and the location depends on which sinus is affected. (osteopathichealinghands.com)
  • Acute and chronic sinusitis is strongly associated with nasal symptoms such as a stuffy nose, as well as with a general feeling of fullness over the entire face. (osteopathichealinghands.com)
  • Less common symptoms of sinusitis can include tiredness, decreased sense of smell, cough that may be more severe at night, sore throat, bad breath and fever. (osteopathichealinghands.com)
  • In this article we'll cover sinusitis symptoms, sinusitis causes and sinusitis remedies. (theayurvedaexperience.com)
  • Acute exacerbation of chronic sinusitis refers to when the signs and symptoms of chronic sinusitis aggravate but return to baseline after treatment. (theayurvedaexperience.com)
  • The primary symptoms of sinusitis are runny nose, random sneezing, nostril blockage, pressure around the head and headache that is also felt in the face as well as in the eyes. (the-alternative-cure.org)
  • If you have headaches in any of these locations in addition to other symptoms of sinusitis, it is possible that sinusitis is causing them. (ucihealth.org)
  • Acute sinusitis is usually caused due to the common cold and the symptoms in patients include nasal obstruction and congestion, which obstruct the sinuses by avoiding the flow of mucus. (fatposglobal.com)
  • When that happens bacteria, viruses or fungi can grow, leading to infection and the painful symptoms associated with sinusitis. (dallasent.com)
  • But unlike other types, the symptoms of recurrent sinusitis are repetitive, occurring five or more times a year. (dallasent.com)
  • Chronic sinusitis symptoms can last 12 or more weeks. (dallasent.com)
  • Acute sinusitis symptoms can be triggered by a cold, virus, or allergies . (dallasent.com)
  • There are four sinus cavities located in the head which are frontal, maxillary, ethmoid, and sphenoid. (medgadget.com)
  • Most of these infections follow acute ethmoid -- the small sinus cavities located between the nose and eyes -- sinusitis in generally healthy youngsters. (dailyherald.com)
  • Alteration of the bony architecture of the sinus cavities has been observed in chronic sinusitis. (qxmd.com)
  • Ethmoid Sinus are l ocated between the nasal cavities and the eye sockets. (theayurvedaexperience.com)
  • Excessive mucus will ultimately clog the cavities resulting in sinusitis. (theayurvedaexperience.com)
  • If a doctor thinks that ethmoid sinusitis is due to a bacterial infection, they may prescribe antibiotics, which are usually very effective. (medicalnewstoday.com)
  • Treatment of acute sinusitis consists of providing adequate drainage of the involved sinus and appropriate systemic treatment of the likely bacterial pathogens. (medscape.com)
  • This condition is often the result of infection spreading from nearby sources such as a sty, sinusitis, dental abscess, and skin breakdown (as from an infected insect bite), or due to bacterial dissemination through the bloodstream. (dailyherald.com)
  • Treatment of suspected bacterial infection is with antibiotics, such as amoxicillin /clavulanate or doxycycline , given for 5 to 7 days for acute sinusitis and for up to 6 weeks for chronic sinusitis. (merckmanuals.com)
  • Acute sinusitis is usually bacterial in origin. (drkennypang.com)
  • Orbital cellulitis can develop as a complication of acute bacterial sinusitis and can present with vision changes. (consultant360.com)
  • Sinusitis can be classified on the basis of periodicity (the tendency to recur at intervals), on the basis of location (which sinus cavity is infected) and on the basis of the causative agent (viral infection or bacterial infection). (theayurvedaexperience.com)
  • When sinusitis is caused by bacteria then it is called bacterial sinusitis. (theayurvedaexperience.com)
  • Generally, antibiotics are prescribed for bacterial sinusitis involving the sphenoid, frontal, or ethmoid sinuses, due to the chances of facing severe problems related to sinusitis. (fatposglobal.com)
  • On the basis of a postulated schema of the pathophysiology of allergic fungal sinusitis (AFS), a variety of treatment plans addressing its multiple contributing factors has emerged. (medscape.com)
  • Successful treatment of allergic fungal sinusitis (AFS) requires that the treatment plan account for each factor responsible for the propagation of the disease. (medscape.com)
  • The origin of corticosteroid therapy for long-term management of allergic fungal sinusitis (AFS) arose directly from the success of this strategy in the treatment of ABPA. (medscape.com)
  • This concept was emphasized by Bent and Kuhn, who noted eventual universal recurrence of allergic fungal sinusitis (AFS) in their patients who were not treated with systemic corticosteroids. (medscape.com)
  • Schubert and Goetz further studied the role of systemic corticosteroids in postoperative management of allergic fungal sinusitis (AFS), demonstrating a significant increase in the time to revision sinus surgery in patients with allergic fungal sinusitis (AFS) who received prolonged courses of postoperative corticosteroids. (medscape.com)
  • Topical corticosteroids are accepted as standard therapy in the postoperative treatment of allergic fungal sinusitis (AFS), but they possess a limited benefit before surgery because nasal access is restricted. (medscape.com)
  • Schubert and Goetz noted no adverse effects in their series of 67 patients with allergic fungal sinusitis (AFS) who were treated for up to 1 year with systemic corticosteroids, but long-term follow-up study for this form of therapy is lacking. (medscape.com)
  • The adverse effect profile of systemic corticosteroids warrants careful consideration when they are used in a long-term fashion to control allergic fungal sinusitis (AFS). (medscape.com)
  • The similarity between allergic fungal sinusitis (AFS) and ABPA led to an empiric and theoretical concern that immunotherapy using specific fungal antigens in patients with either of these diseases might incite further allergic reactions by adding to the patient fungal antigenic stimulus. (medscape.com)
  • CT scanning is characteristic in allergic fungal sinusitis and is one of the major criteria for diagnosis. (medscape.com)
  • Allergic fungal sinusitis is a form of chronic sinusitis characterized by diffuse nasal congestion, markedly viscid nasal secretions, and, often, nasal polyps. (merckmanuals.com)
  • Given the patient's history of chronic allergies, coupled with the imaging findings of an expansive hyperdense mass, the differential was narrowed to a chronic fungal process with an allergic component, most likely allergic fungal sinusitis (AFS). (consultant360.com)
  • Rarely, fungal infections can cause acute sinusitis. (osteopathichealinghands.com)
  • Mucosal changes have been well described in chronic sinusitis, yet little is known about the underlying bone, despite clinical and experimental evidence suggesting that bone may be involved in chronic sinusitis. (nih.gov)
  • Intracranial complications from sinusitis are fortunately rare but can have high morbidity and mortality. (medscape.com)
  • Orbital and intracranial complications of acute infectious sinusitis (SIA) pose a diagnostic and therapeutic problem. (ajol.info)
  • Sinusitis the base of the skull (frontal, ethmoid and sphenoid) are more involved in intracranial complications. (ajol.info)
  • Charts were identified by searching for ICD-9 codes for acute sinusitis, orbital cellulitis, orbital abscess, intracranial abscess, meningitis, cavernous sinus thrombosis, and thrombosis of intracranial sinuses. (news-medical.net)
  • the ethmoid sinuses present at birth and are more commonly associated with orbital complications and the frontal sinuses develop later in childhood and are associated with intracranial complications. (news-medical.net)
  • Regularly, intracranial difficulties or serious sinusitis need to made do with medical procedure. (hipertek.net)
  • Intracranial complications of sinusitis (ICS) occur in 3% to 11% of hospitalized children with sinusitis. (contemporarypediatrics.com)
  • Because the nasal mucosa is simultaneously involved, and because sinusitis rarely occurs without concurrent rhinitis, rhinosinusitis is the preferred term for this condition. (medscape.com)
  • Sinusitis is of three types which are acute sinusitis, recurrent acute rhinosinusitis and chronic rhinosinusitis. (medgadget.com)
  • The most common reason for doing sinus surgery is "chronic rhinosinusitis"/ "chronic sinusitis" (See Adult Sinusitis ). (sinushealth.com)
  • An MRI was taken at the hospital and the radiologist impression were complete opacification of a somewhat expanded appearing left sphenoid sinus, suggested an appearance of the sphenoid sinus mucocele, extensive but partial opacification in the right sphenoid sinus and posterior ethmoid air cells bilaterally, indicative of chronic sinusitis in an otherwise normal study. (svmic.com)
  • Although small, the maxillary (behind the cheek) and ethmoid (between the eyes) sinuses are present at birth. (bmc.org)
  • The ethmoid sinuses are hollow spaces in the bones around the nose. (medicalnewstoday.com)
  • Chronic sinusitis or recurrent episodes of acute sinusitis numbering more than four to six per year, are indications that you should seek consultation with an otolaryngologist (an ear, nose, and throat ENT specialist). (bmc.org)
  • Ethmoid sinusitis refers to when your ethmoid sinuses, located on either side of your nose bridge immediately adjacent to your eyes, are inflammed. (homage.sg)
  • Maxillary sinusitis refers to when your maxillary sinuses, located on either side of your nose, below your eyes, are inflamed. (homage.sg)
  • Frontal sinusitis refers to when your frontal sinuses, located immediately above your nose and eyebrows, are inflamed. (homage.sg)
  • Sphenoidal sinusitis refers to when your sphenoidal sinuses, located on the front of your nose bridge, next to the ethmoid sinuses, are inflamed. (homage.sg)
  • Another group of people who may develop chronic sinusitis are those with significant anatomic (structure) variations inside the nose, such as a deviated septum, that leads to blockage of mucus. (osteopathichealinghands.com)
  • Sinusitis can be caused by infection , allergies , air pollution , or structural problems in the nose. (mdwiki.org)
  • Pain between the eyes, eyelid swelling, or tenderness on the side of your nose indicates the ethmoid sinuses. (dallasent.com)
  • Ethmoid sinusitis can spread outside of the borders of the sinus and cause orbital cellulitis, a subperiosteal orbital abscess, an orbital abscess, superior orbital fissure syndrome, or cavernous sinus thrombosis. (medscape.com)
  • A Taiwanese study, by Chang et al, found that among patients in the report, orbital complications of paranasal sinusitis most commonly arose from ipsilateral maxillary (82%) and ethmoid (76%) sinuses. (medscape.com)
  • In their sinusitis practice guideline published in the journal Pediatrics, Dr. Ellen Wald and colleagues note that the most common complications of acute pediatric sinusitis are periorbital and orbital infections. (dailyherald.com)
  • Orbital sufferers are most often secondary to ethmoidal sinusitis in children and fronto -maxillary adults. (ajol.info)
  • These findings seemed to be the result of postoperative bowing of the medial ethmoid walls with a corresponding increase in orbital volume. (qxmd.com)
  • Resulting post-operative deficits include outward drifting of the right eye due to muscle damage and fluid buildup within the ethmoid sinuses secondary to orbital wall fractures. (anatomicaljustice.com)
  • CT of the orbits with and without contrast shows a hyperdense area near the medial aspect of the left orbit consistent with orbital tissue entering the left ethmoid paranasal sinus (Figure). (medscape.com)
  • Global Sinusitis Treatment Market size was USD 3.06 billion in 2021 and projected to grow from USD 3.3 billion in 2023 to USD 4.7 billion by 2032, exhibiting a CAGR of 4% during the forecast period. (fatposglobal.com)
  • Bacteria cause most ethmoid sinus infections. (medlineplus.gov)
  • Sinusitis is caused due to the blockage of nasal cavity by accumulation of fluid due to the presence of various germs like virus and bacteria. (fatposglobal.com)
  • The nasal pathways become blocked due to congestion leading to a build-up of bacteria, a sinus infection, or sinusitis. (dallasent.com)
  • Recurrent sinusitis may require surgery to improve sinus drainage. (merckmanuals.com)
  • Common risk factors for sinusitis include factors that obstruct normal sinus drainage (eg, allergic rhinitis, nasal polyps, nasogastric or nasotracheal tubes, nasal packing) and immunocompromised states (eg, diabetes, HIV infection). (merckmanuals.com)
  • Sinusitis can stem from a variety of factors which cause interference with air flow in the sinus cavity and drainage of mucus out of the sinuses. (theayurvedaexperience.com)
  • Recurrent sinusitis is characterized by pressure, pain, discolored drainage, and loss of smell and taste. (dallasent.com)
  • Two otolaryngologist-head and neck surgeons reviewed the case records of children who were treated for a complication of acute sinusitis for more than seven years at Children's Medical Center of Dallas. (news-medical.net)
  • Patients were included if their charts documented evidence of a complication of acute sinusitis on admission. (news-medical.net)
  • How Will the Doctor Treat Sinusitis? (bmc.org)
  • Several market opportunities are being created by the innovation of new treatment options and creating market expansion by development of new drug delivery techniques and drug combinations to treat sinusitis. (fatposglobal.com)
  • A retrospective study by Crovetto-Martínez et al indicated that odontogenic maxillary sinusitis frequently spreads to the anterior ethmoid sinus but that such involvement does not reduce the success of functional endoscopic sinus surgery. (medscape.com)
  • The study included 55 patients with odontogenic sinusitis who were treated with functional endoscopic sinus surgery, with the sinusitis extending to the anterior ethmoid sinus in 52.7% of cases. (medscape.com)
  • The investigators determined that 92.3% of the patients with odontogenic sinusitis alone were cured by surgery (middle meatal antrostomy), compared with 96.5% of those with anterior ethmoid sinus involvement (middle meatal antrostomy plus anterior ethmoidectomy). (medscape.com)
  • It is formed by the upward movement of anterior ethmoid cells after the age of 2. (medscape.com)
  • These are: the ethmoid, maxillary, frontal and sphenoid sinuses. (fjmc.org)
  • Air-fluid level (arrow) in the maxillary sinus suggests sinusitis. (medscape.com)
  • We therefore believe that the diagnosis of chronic maxillary sinusitis in children is mostly wrong as well as the decision to operate upon the maxillary sinus before sanation of the ethmoid sinuses. (thieme-connect.com)
  • Analogous to irrigation treatment of the maxillary sinus the displacement-method by Proetz is the only possible irrigation for the ethmoid sinus. (thieme-connect.com)
  • Maxillary sinusitis can be from a blocked maxillary sinus or as the result of dental problems, as many who are diagnosed share a trait of the close proximity of the teeth and the sinus floor. (norellehealth.com)
  • Additionally, histomorphometry techniques were used to determine ethmoid bone physiology in individuals undergoing surgery for chronic sinusitis. (nih.gov)
  • Overall, individuals undergoing surgery for chronic sinusitis were found to have evidence of marked acceleration in bone physiology with histologic changes including new bone formation, fibrosis, and presence of inflammatory cells. (nih.gov)
  • When Is Surgery Necessary for Sinusitis? (bmc.org)
  • The authors of "Complications of Acute Sinusitis in Children," are Lance E. Oxford MD, and John McClay MD, both from the Department of Otolaryngology-Head and Neck Surgery, University of Texas-Southwestern Medical Center , Dallas, TX. (news-medical.net)
  • Thirty nine patients (37.5 percent) underwent surgery for a complication of sinusitis. (news-medical.net)
  • Anatomical changes of the ethmoid cavity after endoscopic sinus surgery. (qxmd.com)
  • Plasticity of the ethmoid sinus framework after endoscopic surgery, however, is a newly described entity. (qxmd.com)
  • A wrongful diagnosis of acute sinusitis was made, leading to unnecessary ethmoid sinus removal surgery. (anatomicaljustice.com)
  • Surgery is not a cure for sinusitis, but it is an important step for some patients. (sinushealth.com)
  • Functional endoscopic sinus surgery or fess is another approach your doctor may recommend to treat chronic sinusitis. (foodpharmacy.blog)
  • Sinusitis can be diagnosed with various ciliary function tests, blood tests, sinus CT scans, nasal cytology & allergy testing etc., and the treatment involves decongestants to surgery based on the severity. (fatposglobal.com)
  • Global Sinusitis Treatment Market is expected to reach USD 4.7 billion, growing at a CAGR of 4% during forecast period owing to the increasing sinusitis due to the pollution, growing demand for diagnostic tests and treatment, and growing advancements in technology related to sinusitis surgery which are all driving the demand for the growth of the Global Sinusitis Treatment Market. (fatposglobal.com)
  • There are several treatment options available for sinusitis treatment like using Corticosteroids, Analgesics, Surgery Antibiotics, Antihistamines etc. (fatposglobal.com)
  • The ENT physician assessed Mister Jackson's condition as severe acute sphenoid sinusitis with excruciating pain and pressure with possible early meningeal signs, and immediately admitted Mister Jackson to the hospital. (svmic.com)
  • Conclusion: Patients with severe olfactory dysfunction were more likely to have mucosal eosinophilia and BM thickening on ethmoid histopathological examination compared with normosmic patients. (elsevierpure.com)
  • An x-ray called a CT scan may help to determine how completely your child's sinuses are developed, where any blockage has occurred, and confirm the diagnosis of sinusitis. (bmc.org)
  • The review confirmed previous research reporting a higher incidence of sinusitis complications in males (66.3 percent). (news-medical.net)
  • The seasonal incidence is likely secondary to the increased incidence of viral upper respiratory infections in the fall and winter, which is the most common predisposing factor for the development of acute sinusitis in children. (news-medical.net)
  • The objective of this study was to determine the incidence and extent of changes in ethmoid size after ethmoidectomy. (qxmd.com)
  • This increment in issues of common cold & flu increases the incidence of acute sinusitis and is anticipated to drive the demand for the growth of the global sinusitis treatment market in the forecast period. (fatposglobal.com)
  • Headache or facial pain or pressure of a dull, constant, or aching sort over the affected sinuses is common with both acute and chronic stages of sinusitis. (mdwiki.org)
  • When an infection lasts between four to twelve weeks and shows a transformation between acute and chronic sinusitis, it is called sub acute sinusitis . (theayurvedaexperience.com)
  • Sinusitis can either be acute, meaning that a person has it for only a short time, or chronic, where it lasts for more than 12 weeks , even with treatment. (medicalnewstoday.com)
  • Over-the-counter decongestants and antihistamines are not general effective for viral upper respiratory infections in children, and the role of such medications for treatment of sinusitis is not well defined. (bmc.org)
  • [1] [5] Recommended initial treatment for acute sinusitis is watchful waiting . (mdwiki.org)
  • [10] Treatment of sinusitis in the United States results in more than US$ 11 billion in costs. (mdwiki.org)
  • Aside from that, you can have this natural sinusitis treatment steamed to lessen its untoward taste. (the-alternative-cure.org)
  • Water treatment is also effective in treating sinusitis. (the-alternative-cure.org)
  • In some cases, sinusitis and headache disorders occur together, potentially necessitating treatment for both simultaneously. (ucihealth.org)
  • Global Sinusitis Treatment Market is classified based on the Disease into Acute Sinusitis, Sub-acute Sinusitis, and Chronic Sinusitis. (fatposglobal.com)
  • Global Sinusitis Treatment Market is classified based on the Route of Administration into Injectable, Nasal, Topical, Oral. (fatposglobal.com)
  • Oral segment dominated the market in 2021 and is expected to continue its dominance over the forecast period owing to the presence of several benefits of oral administration even the sustained & controlled delivery system, ease of administration, easy to formulate solid dosage forms, patient compliance, which are expected to boost the growth of the oral segment in Global Sinusitis Treatment Market during the forecast period. (fatposglobal.com)
  • There is a requirement for better approach to treatment in adults with acute sinusitis. (fatposglobal.com)
  • The expansion of several drug therapies and the increasing R&D efforts deliver new alternative solutions for sinusitis treatment. (fatposglobal.com)
  • The scan showed sinusitis in the ethmoid and sphenoid sinuses, but the maxillary and frontal sinuses appeared clear. (svmic.com)
  • Acute sinusitis in immunocompetent patients in the community is almost always viral (eg, rhinovirus, influenza, parainfluenza). (merckmanuals.com)
  • Coronal sinus CT is the imaging study of choice in the evaluation of patients with sinusitis. (drkennypang.com)
  • Interestingly, curing sinusitis can "cure" asthma in these patients. (norellehealth.com)
  • Acute sinusitis will resolve with a 10-day course of antibiotics in 90 percent of patients. (fjmc.org)
  • A retrospective chart review was conducted of all patients admitted to Children's Medical Center of Dallas from January 1995 to July 2002 with complications of acute sinusitis. (news-medical.net)
  • A total of 116 complications of acute sinusitis were diagnosed in the 104 patients. (news-medical.net)
  • Many times, we do not know exactly why patients have chronic sinusitis. (sinushealth.com)
  • The use of garlic is not just confined in fighting hypertension and other cardiovascular diseases for this are also effective in providing remedy in patients with sinusitis. (the-alternative-cure.org)
  • Sinusitis has innate anti-viral properties that kill the causative agent of the sinusitis secondary to upper respiratory tract infections. (the-alternative-cure.org)