Mesothelioma is a very rare form of cancer that affects the pleural membranes (coverings of the lungs), the peritoneal membranes (coverings of the abdominal organs) or the pericardium (covering of the heart). Mesothelioma is generally seen in people exposed to asbestos. The tumor often takes years to develop and screening people exposed to asbestos remains the only option for early intervention against this disease. People who have held jobs in the construction, shipbuilding and manufacturing industry need to be screened routinely. The following screening tests can be useful to diagnose mesothelioma.
Imaging:
Imaging tests like a simple chest X-Ray, CT Scans, and Magnetic Resonance Imaging (MRI) are often very useful and they may show thick, nodular masses on the pleural surface.
Needle Biopsies:
Under a local anaesthetic, the doctor will insert a large, hollow needle into the chest cavity. The needle is rotated and withdrawn to collect a sample of the tissue in the process. The sample is then examined in the laboratory for malignant cells. The needle biopsy is only about 40% accurate.
Open Biopsy:
This is one of the most accurate methods to diagnose mesothelioma. A larger tissue sample is often obtained with an open biopsy. However the procedure is performed under general anaesthetic.
Cytology:
Cytology of the pleural fluid has little value in diagnosing mesothelioma and is not routinely performed. Almost 85% of the times cytology is negative or inconclusive despite the presence of mesothelioma. Cytology can be performed in conjunction with a biopsy.
Even with the best screening techniques available today, mesothelioma escapes detection. Early screening and routine screening are crucial in people exposed to asbestos in order to prevent serious consequences. Whilst there are no definite cures yet, the speed at which medicine is making progress a cure for mesothelioma should definitely be around the corner. Till then early detection remains the best possible weapon against this disease. Victims of mesothelioma should take appropriate action against their former employers and should get in touch with lawyers who have experience handling these issues.
Article Source: http://EzineArticles.com/?expert=Rajgopal_Venkataraman
Tuesday, October 7, 2008
Mesothelioma and Litigation - How to Get Cash For Asbestos Lung Cancer Palliative Care
Mesothelioma is a particularly nasty form of lung cancer, and mesothelioma litigation is increasingly being used as a means of getting cash for asbestos lung cancer palliative care. Without it, many families would not be able to afford professional care for their loved ones, and would have to tend for them themselves at the worst possible time for them and for the patient.
Incidences of mesothelioma asbestos lung cancer are steadily increasing, which indicates just how insidious this disease is. Caused by inhalation of asbestos fibers, the symptoms can take upwards of 40 years after exposure to appear, and may people who suffer do not even remember being exposed to the substance. It does not take much exposure, and many cannot understand the diagnosis when it is available because they cannot remember ever being exposed to asbestos.
There are no known 100% effective conventional medical treatments for mesothelioma, and the prognosis is generally bad. However, there are several things that can be done to alleviate pain and make the patient's life more comfortable. While drugs can help, hospice care is an option that takes pressure of the family and provides a comfortable environment for the patient. However, these alternatives can be expensive and if responsibility can be placed on an employer for the exposure that ultimately led to the disease, then compensation can pay for the palliative care.
This is not seeking charity, but rather making those responsible pay for the treatment. A high level of compensation will be needed to pay for the treatment and care needed, and in order to achieve this result you will require the services of a good mesothelioma attorney. Any lawyer will not do due to the specialized knowledge needed to persuade judges and juries that there very few causes of asbestos lung cancer other than exposure to the fibrous silicates that make up asbestos.
The compensation awarded can be very large, although smokers will receive less since their habit can be construed as contributing to the disease. Mesothelioma is not just another word for asbestos cancer, but is in fact a cancer of the mesothelium, a membrane that lines many body cavities, including the thoracic, or chest cavity. The lining of the lungs is called the pleura, so mesothelioma refers to any form of lung cancer involving that membrane. In fact 80% of mesothelioma cases are caused by smoking.
It is therefore very difficult for smokers to blame asbestos exposure for mesothelioma unless they have been working with asbestos. However, a good asbestos attorney should be able to secure a reasonable level of compensation, even for a smoker. It will be a fight though, since the asbestos companies and employers that required employees to work with the substance are aware of the high levels of compensation being awarded, and now actively fight such cases.
When you consult a law firm with a view to instructing them to fight your mesothelioma case, you should insist on talking with the attorney that will be handling your case. You can then discuss your strategy, and you can make sure that your attorney has had previous success with such cases. You don't want to retain a loser!
Ask questions, and determine the success rate of your prospective attorney in such cases. He or she must also appreciate your condition and understand how you feel, so that they can fight your case properly. Nothing can beat experience in a mesothelioma asbestos cancer lawsuit, so make sure that you get the best you can afford. Better still: tell them their fee depends upon them winning!
Article Source: http://EzineArticles.com/?expert=Ruth_Jones
Incidences of mesothelioma asbestos lung cancer are steadily increasing, which indicates just how insidious this disease is. Caused by inhalation of asbestos fibers, the symptoms can take upwards of 40 years after exposure to appear, and may people who suffer do not even remember being exposed to the substance. It does not take much exposure, and many cannot understand the diagnosis when it is available because they cannot remember ever being exposed to asbestos.
There are no known 100% effective conventional medical treatments for mesothelioma, and the prognosis is generally bad. However, there are several things that can be done to alleviate pain and make the patient's life more comfortable. While drugs can help, hospice care is an option that takes pressure of the family and provides a comfortable environment for the patient. However, these alternatives can be expensive and if responsibility can be placed on an employer for the exposure that ultimately led to the disease, then compensation can pay for the palliative care.
This is not seeking charity, but rather making those responsible pay for the treatment. A high level of compensation will be needed to pay for the treatment and care needed, and in order to achieve this result you will require the services of a good mesothelioma attorney. Any lawyer will not do due to the specialized knowledge needed to persuade judges and juries that there very few causes of asbestos lung cancer other than exposure to the fibrous silicates that make up asbestos.
The compensation awarded can be very large, although smokers will receive less since their habit can be construed as contributing to the disease. Mesothelioma is not just another word for asbestos cancer, but is in fact a cancer of the mesothelium, a membrane that lines many body cavities, including the thoracic, or chest cavity. The lining of the lungs is called the pleura, so mesothelioma refers to any form of lung cancer involving that membrane. In fact 80% of mesothelioma cases are caused by smoking.
It is therefore very difficult for smokers to blame asbestos exposure for mesothelioma unless they have been working with asbestos. However, a good asbestos attorney should be able to secure a reasonable level of compensation, even for a smoker. It will be a fight though, since the asbestos companies and employers that required employees to work with the substance are aware of the high levels of compensation being awarded, and now actively fight such cases.
When you consult a law firm with a view to instructing them to fight your mesothelioma case, you should insist on talking with the attorney that will be handling your case. You can then discuss your strategy, and you can make sure that your attorney has had previous success with such cases. You don't want to retain a loser!
Ask questions, and determine the success rate of your prospective attorney in such cases. He or she must also appreciate your condition and understand how you feel, so that they can fight your case properly. Nothing can beat experience in a mesothelioma asbestos cancer lawsuit, so make sure that you get the best you can afford. Better still: tell them their fee depends upon them winning!
Article Source: http://EzineArticles.com/?expert=Ruth_Jones
Mesothelioma - Your Questions Answered
Q. What is Mesothelioma?
A. Mesothelioma is a rare but potentially fatal cancer that affects a layer of the body called as mesothelium. Typically mesothelioma develops in the lining of the chest or abdominal cavity. There are three forms of mesothelioma:
1. Pleural mesothelioma. Mesothelioma that affects the coverings of the lungs.
2. Peritoneal mesothelioms. Mesothelioma that affects the covering of the abdominal organs.
3. Pericardial mesothelioma. Mesothelioma that affects the covering of the heart.
Pleural is the most common followed by peritoneal and lastly pericardial.
Q. What are the causes of mesothelioma?
A. Asbestos is the number one cause of mesothelioma. Asbestos is a fine fiber material that is resistant to heat. These fibers when inhaled get into the air passages and then reach the pleural cells. The asbestos injures the pleural cells and this injury leads to either benign or malignant transformation. Asbestos is found in many types of industrial supplies and equipments. Asbestos exposure does not lead to mesothelioma immediately. Often it takes decades before the person manifests the symptoms of the disease. Smoking does not lead to mesothelioma though the risk is more for a smoker exposed to asbestos.
Q. What are the symptoms of mesothelioma?
A. Often mistaken for pneumonia, mesothelioma is very difficult to diagnose based on symptoms alone. The most common symptoms include:
Persistent cough.
Shortness of breath.
Chest pains.
Swelling up of face and neck.
Coughing up blood.
Nausea and vomiting.
Weight loss.
Loss of appetite.
Not everyone exposed to asbestos will develop mesothelioma. However keep in mind the risk of asbestos exposure and mesothelioma and speaking to a doctor will help in screening and early detection of the disease.
Q. What treatment options are available for mesothelioma?
A. Mesothelioma is often a very difficult disease to diagnose and treat. The various treatment options include:
Surgery in early stages to reduce tumor burden.
Chemotherapy with agents like Cisplatin.
Radiotherapy.
Gene therapy.
Immunotherapy.
Photodynamic therapy.
Article Source: http://EzineArticles.com/?expert=Rajgopal_Venkataraman
A. Mesothelioma is a rare but potentially fatal cancer that affects a layer of the body called as mesothelium. Typically mesothelioma develops in the lining of the chest or abdominal cavity. There are three forms of mesothelioma:
1. Pleural mesothelioma. Mesothelioma that affects the coverings of the lungs.
2. Peritoneal mesothelioms. Mesothelioma that affects the covering of the abdominal organs.
3. Pericardial mesothelioma. Mesothelioma that affects the covering of the heart.
Pleural is the most common followed by peritoneal and lastly pericardial.
Q. What are the causes of mesothelioma?
A. Asbestos is the number one cause of mesothelioma. Asbestos is a fine fiber material that is resistant to heat. These fibers when inhaled get into the air passages and then reach the pleural cells. The asbestos injures the pleural cells and this injury leads to either benign or malignant transformation. Asbestos is found in many types of industrial supplies and equipments. Asbestos exposure does not lead to mesothelioma immediately. Often it takes decades before the person manifests the symptoms of the disease. Smoking does not lead to mesothelioma though the risk is more for a smoker exposed to asbestos.
Q. What are the symptoms of mesothelioma?
A. Often mistaken for pneumonia, mesothelioma is very difficult to diagnose based on symptoms alone. The most common symptoms include:
Persistent cough.
Shortness of breath.
Chest pains.
Swelling up of face and neck.
Coughing up blood.
Nausea and vomiting.
Weight loss.
Loss of appetite.
Not everyone exposed to asbestos will develop mesothelioma. However keep in mind the risk of asbestos exposure and mesothelioma and speaking to a doctor will help in screening and early detection of the disease.
Q. What treatment options are available for mesothelioma?
A. Mesothelioma is often a very difficult disease to diagnose and treat. The various treatment options include:
Surgery in early stages to reduce tumor burden.
Chemotherapy with agents like Cisplatin.
Radiotherapy.
Gene therapy.
Immunotherapy.
Photodynamic therapy.
Article Source: http://EzineArticles.com/?expert=Rajgopal_Venkataraman
Saturday, October 4, 2008
The Facts About Peritoneal Mesothelioma
Peritoneal mesothelioma is a rare form of mesothelioma that accounts for approximately 20% of all mesothelioma cases. Peritoneal mesothelioma affects the tissue lining the abdomen which is called the peritoneum hence the name of this form of the cancer. The peritoneum protects the contents of the abdomen and is therefore very important.
Currently, only one cause of peritoneal mesothelioma is known and this is exposure to asbestos dust and fibres. Only a couple of months of exposure to asbestos without sufficient protection can lead to peritoneal mesothelioma thirty to fifty years later. Those suffering from peritoneal mesothelioma are mostly elderly men who worked amongst asbestos decades ago when workers were not protected from asbestos dust. Many of these men are currently lodging multi-million dollar lawsuits against the companies who exposed them to asbestos. Asbestos fibres can get into the peritoneum in two different ways. The most common way they reach the peritoneum is by them getting trapped in the trachea (windpipe) and bronchi (inside the lungs) by mucus and end up being swallowed. From here they can pass through the intestine wall into the peritoneum. The second way in which asbestos fibres can reach the peritoneum is by them lodging inside the lungs. They then move into the lymphatic system and get transported to the peritoneum. Constant exposure to asbestos leads to a great number of fibres being built up in the peritoneum.
The symptoms of peritoneal mesothelioma are generally only felt when the cancer has developed greatly. The symptoms include nausea, vomiting, weight loss, abdominal pains and loss of appetite. As the cancer matures, the symptoms will become more pronounced and severe. To learn more about the symptoms of peritoneal mesothelioma.
There are several treatments for peritoneal mesothelioma although all of them have a poor success rate. The likelihood of a patient surviving depends on how early and aggressively the cancer is treated. Chemotherapy, radiation therapy and surgery are the most commonly used methods of treatment. Research into the treatment of peritoneal mesothelioma is being conducted in research stations in the United States and by many pharmaceutical companies.
Article Directory: http://www.articledashboard.com
Currently, only one cause of peritoneal mesothelioma is known and this is exposure to asbestos dust and fibres. Only a couple of months of exposure to asbestos without sufficient protection can lead to peritoneal mesothelioma thirty to fifty years later. Those suffering from peritoneal mesothelioma are mostly elderly men who worked amongst asbestos decades ago when workers were not protected from asbestos dust. Many of these men are currently lodging multi-million dollar lawsuits against the companies who exposed them to asbestos. Asbestos fibres can get into the peritoneum in two different ways. The most common way they reach the peritoneum is by them getting trapped in the trachea (windpipe) and bronchi (inside the lungs) by mucus and end up being swallowed. From here they can pass through the intestine wall into the peritoneum. The second way in which asbestos fibres can reach the peritoneum is by them lodging inside the lungs. They then move into the lymphatic system and get transported to the peritoneum. Constant exposure to asbestos leads to a great number of fibres being built up in the peritoneum.
The symptoms of peritoneal mesothelioma are generally only felt when the cancer has developed greatly. The symptoms include nausea, vomiting, weight loss, abdominal pains and loss of appetite. As the cancer matures, the symptoms will become more pronounced and severe. To learn more about the symptoms of peritoneal mesothelioma.
There are several treatments for peritoneal mesothelioma although all of them have a poor success rate. The likelihood of a patient surviving depends on how early and aggressively the cancer is treated. Chemotherapy, radiation therapy and surgery are the most commonly used methods of treatment. Research into the treatment of peritoneal mesothelioma is being conducted in research stations in the United States and by many pharmaceutical companies.
Article Directory: http://www.articledashboard.com
The Symptoms Of Mesothelioma
Mesothelioma is a form of cancer which is being discovered more and more frequently in elderly men. The most common cause of mesothelioma is from asbestos exposure and affects the membrane of many of the most vital internal organs such as the lungs and heart. Mesothelioma is particularly hard to diagnose because it shows similar symptoms to many other more common diseases.
The most common form of mesothelioma is called pleural mesothelioma. This type of mesothelioma accounts for 75% of all mesothelioma cases. Pleural mesothelioma affects the lining of the lungs and has symptoms such as chest pain, coughing, breathing and swallowing difficulties, shortness of breath, wheezing and weight loss. These symptoms apply to many less serious diseases but anyone with signs of these symptoms are strongly advised to consult their doctor as soon as possible.
A less common form of mesothelioma is peritoneal mesothelioma and this form of the cancer affects the abdomen. The tissue lining the abdomen is called the peritoneum and this is what is affected. Peritoneal mesothelioma accounts for 20% of all mesothelioma cases. The symptoms of peritoneal mesothelioma are weight loss, abdominal pains, loss of appetite, weakness, nausea, and abdominal swelling. These symptoms become more and more severe as the cancer develops. To learn more about these symptoms go to http://www.1-mesothelioma.co.uk
Those who are exposed to asbestos or have been exposed have a risk of obtaining mesothelioma. It is important that mesothelioma is diagnosed in its early stages so that it can be treated quickly and aggressively. The earlier it is discovered, the more likely the treatment will be successful.
Article Directory: http://www.articledashboard.com
The most common form of mesothelioma is called pleural mesothelioma. This type of mesothelioma accounts for 75% of all mesothelioma cases. Pleural mesothelioma affects the lining of the lungs and has symptoms such as chest pain, coughing, breathing and swallowing difficulties, shortness of breath, wheezing and weight loss. These symptoms apply to many less serious diseases but anyone with signs of these symptoms are strongly advised to consult their doctor as soon as possible.
A less common form of mesothelioma is peritoneal mesothelioma and this form of the cancer affects the abdomen. The tissue lining the abdomen is called the peritoneum and this is what is affected. Peritoneal mesothelioma accounts for 20% of all mesothelioma cases. The symptoms of peritoneal mesothelioma are weight loss, abdominal pains, loss of appetite, weakness, nausea, and abdominal swelling. These symptoms become more and more severe as the cancer develops. To learn more about these symptoms go to http://www.1-mesothelioma.co.uk
Those who are exposed to asbestos or have been exposed have a risk of obtaining mesothelioma. It is important that mesothelioma is diagnosed in its early stages so that it can be treated quickly and aggressively. The earlier it is discovered, the more likely the treatment will be successful.
Article Directory: http://www.articledashboard.com
Mesothelioma – Your Basic Information
Mesothelioma is a form of cancer that is becoming more and more common. The most common cause of this cancer is exposure to asbestos. When constantly exposed with insufficient protection, asbestos dust and fibres affect the mesothelial cells which make up the mesothelium. The mesothelium is the outer lining that protects some of the body’s most vital organs such as the heart and lungs. The mesothelial cells become abnormal after lengthy periods of constant exposure to asbestos causing an array of problems.
Due to the latency period and symptoms of this cancer, mesothelioma is very difficult to diagnose. Mesothelioma takes decades to mature and develop fully and this is why many elderly men who were exposed to asbestos thirty years before are just discovering they have the cancer. A lot of these men are currently lodging multi-million dollar lawsuits against the companies that exposed them to the dangers of asbestos without sufficient protection.
The organs that are affected most by mesothelioma are the lungs. The most common type of mesothelioma which is called pleural mesothelioma affects the lining of the lungs and can cause symptoms such as coughing, breathing and swallowing difficulties, shortness of breath and fever. Another area that can be affected by mesothelioma is the abdomen. This is less common and this is known as peritoneal mesothelioma. Symptoms of peritoneal mesothelioma include nausea and vomiting, weight loss, fever, bowel obstruction, loss of appetite and general pain in the stomach area. The last and least common type of mesothelioma is known as pericardial mesothelioma and it affects the heart and the tissue surrounding it. Symptoms of this form of the cancer include palpitations, breathing difficulties and persistent coughing. Generally, the symptoms of mesothelioma are typical of many other diseases and this makes it very difficult to diagnose.
There are treatments for mesothelioma although these are usually unsuccessful. If the cancer is treated aggressively in its early stages then there is a good chance of a patient surviving. However, due to the difficulty to diagnose mesothelioma, the cancer is not normally found until it is too late. Treatments that are used for mesothelioma include surgery, radiation therapy, palliative therapy and chemotherapy. Research for additional treatment of mesothelioma is being done at various cancer centers all over the United States as well as by pharmaceutical companies. For more information on the treatment of mesothelioma go to http://www.1-mesothelioma.co.uk/treatment.html
Article Directory: http://www.articledashboard.com
Due to the latency period and symptoms of this cancer, mesothelioma is very difficult to diagnose. Mesothelioma takes decades to mature and develop fully and this is why many elderly men who were exposed to asbestos thirty years before are just discovering they have the cancer. A lot of these men are currently lodging multi-million dollar lawsuits against the companies that exposed them to the dangers of asbestos without sufficient protection.
The organs that are affected most by mesothelioma are the lungs. The most common type of mesothelioma which is called pleural mesothelioma affects the lining of the lungs and can cause symptoms such as coughing, breathing and swallowing difficulties, shortness of breath and fever. Another area that can be affected by mesothelioma is the abdomen. This is less common and this is known as peritoneal mesothelioma. Symptoms of peritoneal mesothelioma include nausea and vomiting, weight loss, fever, bowel obstruction, loss of appetite and general pain in the stomach area. The last and least common type of mesothelioma is known as pericardial mesothelioma and it affects the heart and the tissue surrounding it. Symptoms of this form of the cancer include palpitations, breathing difficulties and persistent coughing. Generally, the symptoms of mesothelioma are typical of many other diseases and this makes it very difficult to diagnose.
There are treatments for mesothelioma although these are usually unsuccessful. If the cancer is treated aggressively in its early stages then there is a good chance of a patient surviving. However, due to the difficulty to diagnose mesothelioma, the cancer is not normally found until it is too late. Treatments that are used for mesothelioma include surgery, radiation therapy, palliative therapy and chemotherapy. Research for additional treatment of mesothelioma is being done at various cancer centers all over the United States as well as by pharmaceutical companies. For more information on the treatment of mesothelioma go to http://www.1-mesothelioma.co.uk/treatment.html
Article Directory: http://www.articledashboard.com
Tuesday, September 30, 2008
Mesothelioma - A Blunder If Not Diagnosed
Mesothelioma is just one of the diseases that people can develop after prolonged asbestos exposure. It is a type of cancer that affects the mesothelial cells which cover the outer surface of most of the body's internal body organs. This is caused by the exposure to asbestos which was around quite a lot in certain areas before it was banned. It could have been contracted in a number of ways from simply breathing it in to picking it up second hand from other people's clothing, hair or skin.
Mesothelioma can take various different forms and can develop in the tissues covering the lungs or abdomen. The most common type diagnosed is pleural mesothelioma which affects the tissues lining the lungs, called the pleura. Fortunately, it is unusual for this disease to spread to other parts of the body. When it does, it doesn't usually cause any problematic symptoms.
Most people who develop mesothelioma will have worked in jobs where they inhaled asbestos particles. The most commonly affected trades were dockers, roofers, plumbers, electricians, shipyard workers and power station workers. However, it is possible for someone to contract the illness even if they have never had direct asbestos exposure. For example, family members may have breathed in the dust particles from the clothing of someone who worked with it.
There are various different symptoms that people can look out for if they know there is a chance they could have mesothelioma. Shortness of breath, a prolonged cough, chest pain, weight loss, abdominal swelling and fever are just some of the signs to look out for. These symptoms may not start showing until 20 to 50 years after asbestos exposure, however which is why many people don't realize what it is at the time.
Diagnosing mesothelioma can be very difficult because the symptoms are similar to many other conditions. For this reason it is extremely important that doctors are made aware of any history to asbestos exposure so they know what to look out for. In order to make a proper diagnosis, a physical examination, a chest x - ray and lung function tests will be performed in order to see if there is any pleural thickening, which is common among those who worked around asbestos. If anything suspicious is found a biopsy will be performed so that a diagnosis can be confirmed and treatment can begin.
Many people have enlisted the help of an asbestos lawyer in order to claim compensation against asbestos manufacturers. The first lawsuit was in 1929 and since then people have successfully won billions of dollars from these companies who neglected to implement safety measures to protect workers against exposure. Mesothelioma Attorneys often take some good percentage of the compensation so watch out before you go ahead and hire any one.
Mesothelioma can take various different forms and can develop in the tissues covering the lungs or abdomen. The most common type diagnosed is pleural mesothelioma which affects the tissues lining the lungs, called the pleura. Fortunately, it is unusual for this disease to spread to other parts of the body. When it does, it doesn't usually cause any problematic symptoms.
Most people who develop mesothelioma will have worked in jobs where they inhaled asbestos particles. The most commonly affected trades were dockers, roofers, plumbers, electricians, shipyard workers and power station workers. However, it is possible for someone to contract the illness even if they have never had direct asbestos exposure. For example, family members may have breathed in the dust particles from the clothing of someone who worked with it.
There are various different symptoms that people can look out for if they know there is a chance they could have mesothelioma. Shortness of breath, a prolonged cough, chest pain, weight loss, abdominal swelling and fever are just some of the signs to look out for. These symptoms may not start showing until 20 to 50 years after asbestos exposure, however which is why many people don't realize what it is at the time.
Diagnosing mesothelioma can be very difficult because the symptoms are similar to many other conditions. For this reason it is extremely important that doctors are made aware of any history to asbestos exposure so they know what to look out for. In order to make a proper diagnosis, a physical examination, a chest x - ray and lung function tests will be performed in order to see if there is any pleural thickening, which is common among those who worked around asbestos. If anything suspicious is found a biopsy will be performed so that a diagnosis can be confirmed and treatment can begin.
Many people have enlisted the help of an asbestos lawyer in order to claim compensation against asbestos manufacturers. The first lawsuit was in 1929 and since then people have successfully won billions of dollars from these companies who neglected to implement safety measures to protect workers against exposure. Mesothelioma Attorneys often take some good percentage of the compensation so watch out before you go ahead and hire any one.
Subscribe to:
Posts (Atom)