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Surgical castration by orchidectomy Surgical castration is the simplest and cheapest way to treat metastatic prostate cancer. The obvious disadvantage is the psychological effect of the loss of the testicles. LHRH-analogues LHRH-analogues and oestrogen achieve a "medical castration" by stopping the testicular production of testosterone. LHRH-analogues are injections that have to be given monthly or three monthly for the rest of the patient's life. They are effective but very expensive. Oestrogen Oestrogen can be taken orally on a daily basis. It has a high incidence of thrombotic complications such as stroke and myocardial infarction. Anti-androgens Anti-androgens oppose the action of testosterone by blocking the androgen receptors. The incidence of erectile dysfunction is less than with surgical or medical orchidectomy because testosterone levels are maintained in the bloodstream. Anti-androgens alone are probably not adequate treatment for metastatic disease. Total androgen blockade by a combination of steroidal anti-androgens and LHRH-analogues or orchidectomy has not been shown to be better than LHRH-analogues or orchidectomy alone. However, non-steroidal anti-androgens yields slightly better results than castration alone. Locally advanced disease without metastases. The overall results of treatment of patients with disease beyond the prostate are not good. Some patients with early disease beyond the prostatic capsule, and no evidence of metastases, benefit from radical treatment. The most widely used treatment regimens consist of a combination of radiotherapy and hormonal treatment. Treatment options for locally advanced and metastatic disease. · Early hormonal treatment · Watchful waiting with hormonal treatment once symptoms develop Disease that has spread to the seminal vesicles and beyond is not real curable. Prostate cancer is dependent on the male hormone testosterone. 80% of patients will respond to hormonal treatment that deprives the tumor of testosterone. This response usually involves the shrinkage of metastases and symptomatic improvement for the patient. The response to hormonal treatment is not a cure but can last for many years in some patients. The average duration of response is 2 years. Most cancers eventually escape hormonal manipulation. This is referred to as hormone independent disease and is usually followed by death within a few months. Controversy exists regarding the timing of hormonal treatment. Most studies indicate a survival benefit for early rather than late hormonal maneuver. Testosterone deprivation has side effects like erectile dysfunction, breast enlargement and osteoporosis. The earlier hormonal treatment is instituted the greater the chance of complications. Once again treatment has to be individualized to the needs of the specific patient. With our next information - we will inform you about the “Staging and grading of prostate cancer” - so you should have a look on this site in the next 2 weeks! If you have any question sends us your e-mail. buy penis enlargement pill herbal penile enlargement home penis enhancement pennis enlargement review pennis enlargement excercises penis enlargement testimonials real penis enlargment truth about penis enhancement pills
Because you and all other unenlightened people have split personalities to various degrees of amount and intensity, we are all Dependent Vampires, stealers of energy. The only way out is through the advanced techniques of Meditation Energy Enhancement. To connect to a higher level of energy, which can never fail and to integrate these split off parts of your personalities back into the Central Soul Stem. Then we do not need the energy and attention of people around us. We start to give energy. Everyone becomes happy in our presence! Then we can comfortably destroy these negative split off thoughtforms which exist with our and everyone’s minds, in our lives. Only when we become enlightened do we become Independent. Until that time we can depend on people not to be able to fulfil their promises, without a lot of penalties. This is the Law of Moses. We can depend on people to follow their childish split personalities. The problem with monogamy has always been boredom because as I explained, the traumatised childish split personality will use any childish excuse to cut off the flow of sexual energy. They are not logical. Because of this, the initial passion drops off pretty rapidly in a typical relationship, but not the lust of sexual desire. Eventually, the right (or wrong) set of circumstances come together and you have infidelity. It’s not that people are bad, just they are split personalities. To be a split personality is to be childish, to be emotional, and to have expertise with sexual energy. Its just that you, the main personality is not in charge of it. For men and women, being sexual means they sometimes think with what is between their legs instead of what is inside their head. But a split personality is single minded , ruthless and often as not, amoral. A split knows only desire, and when the hot sexual energy is active, you might as well be dealing with an addict. At such a moment all a split can think of is how to get the next fix. At such times there are few split personalities alive who can resist the inviting smile on a pretty woman’s face, or the parting of her legs. As you know, there are plenty of reasons to choose not to forgive and forget. But what if you have created a long beautiful life together and your partner is a wonderful parent to your children? What if you feel just as much to blame for the infidelity because you had pushed them away for too long, some independent, childish, emotionally dependant split off parts of your personality having stopped the flow of your unconscious sexual energy from base chakra to base chakra. From Penis to Ovary using the psychic sex connection. What if they had made an honest effort to work things out with you but you just kept pushing them away because of the lack of energy flow caused by one of your split personalities? Having stopped the flow of sexual energy from base chakra to base chakra. From Penis to Ovary using the Psychic Sex Connection. What then? Just because you want to forgive them doesn't mean that you can forgive them. How do you forgive and forget? The bible may tell us to turn the other cheek, but how? How do you do it? There's a big difference between saying, "I forgive you" on a generic spiritual level and saying, "I forgive you" on a personal heart to heart level. The key to real forgiveness must involve trust but how can it when people are just following their emotions? And how can you trust a split personality? And this is the case with 99.99% of humanity. At some level you have to really believe in your heart of hearts that you can trust this person to never ever repeat such a painful choice again. Well, I believe that you must forgive the person anyway. With childish split personalities you can say, "Forgive them Lord, They know not what they do" Jealousy and the ego necessity for a monogomous relationship will cause all the problems within us because we want the other person to love us and to be there only for us. We force people to be monogamous, to be chattel, or we throw them out If you don't really believe that they will be subservient to you, then your selfish ego isn't really going to forgive them and the underlying resentment will eat away at whatever is left of the foundation of your relationship. The most important barometer of how easy or hard it is to forgive is how they behave after the event. Do they browbeat you with comments like, "Look I said I'm sorry. Get over it already." Or are they beating themselves up for having caused you this pain? Are they offering to jump through hoops to prove to you that they have learned a horrible lesson and will make damn sure it never happens again? The intensity of their apology and their willingness to allow you to feel the pain of it will have a direct impact on your ability to heal from the infidelity and on their ability to rebuild trust in your eyes. If they demand that you simply trust them on their word and they have done nothing to show you that they are taking full responsibility for the broken trust, then leave them. It's not your fault that they broke the trust even if you were not emotionally available to them, the breach of trust was done on their part. You can't force yourself to trust someone again. Just like when our teenagers lie to us and have to earn back our trust, it's no different between adults whether the trust was broken in a marriage or a business relationship. It's their job to recreate that. They need to find their own way back. The fact is, Only when we become enlightened, when we have healed all the split off parts of our personalities do we become able to fulfil our promises. Until then we must forgive, and expect infidelity. The brains are emotionally in the balls when the Splits are in charge. As Tolkien says, "Evil Is" And it is true that some people are more evil that others. And it is this you must really judge. Only when you have absorbed and healed all your split personalities into the central soul personality. When there is only One! Can we trust a person. Until then we can trust the unenlightened split personalities of all evolutionary levels to break all their promises. We can trust no-one without a lot of penalties. We can trust no-one who is not enlightened! This is the Law of the Christ. History for thousands of years proves this. Forgive and Forget. Turn the other Cheek. It is only your Selfish Competitive Ego which gets Hurt because you Selfishly Want. Because you unskillfully trusted a person who always changes their mind. And as the many split personalities take charge, one by one, this is exactly what happens. People change their minds. Thus you can not trust. Love them anyway. You just don’t have to be with them. It needs an Ancient Advanced Synthesis of Effective Techniques for Gaining More Energy - Meditation, Shaktipat, Energy Circulation, The Kundalini Kriyas, The Five Elemental Paths Of The Chi Of Chinese Alchemical Taoism, The Grounding Of Negative Energies, V.I.T.R.I.O.L, The Art Card Of The Thoth Tarot, Access To Kundalini Energy, Strong Psychic Protection, Learn The Merkaba, Pyramid Protection, Power Tower Protection, Create The Antahkarana, Soul Fusion, Monadic Infusion, Logos Infusion. The Painless Removal Of Stress, Trauma And Negative Emotion However, to remove these sub-personalities completely, the more Advanced techniques of a Synthesis of Ancient Meditational Techniques are absolutely necessary:- Leading onto the more advanced Techniques of The Karma Clearing Process. 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Textured technologies have their presence in everyday products, from steel body panels and bearings to book covers and quilted toilet paper. The desired surface texture can be achieved by a number of processes but each has disadvantages, limiting extensive introduction. Enduring crimps, coils, loops or other fine distortions along the lengths of the filaments are presented by a textured yarn, a constant filament yarn that has been treated. Heat setting in a twisted condition can texture the yarns manufactured from thermoplastic materials, while nonthermoplastic yarns can be textured by "air jet texturing" or "air texturing", wherein a forceful air flow is used to shape knotted loops in the filaments. The outcome will be a yarn with greater bulk, higher stretch and more beautiful properties. With the use of compressed air, air textured yarns are manufactured from thermoplastic, cellulosic or non-organic filament yarns. Air textured yarns are supplied a huge quality with loops created on the surface of the filament yarn. The loop arrangement, which relies on the material used, ends in a yarn with features like those of typical staple-fibre yarn. The manufactured yarns are used for sewing thread applications, apparel fabrics, fancy yarn articles, automotive interior fittings, and home furnishing fabrics, carpets, fire blankets and a variety of other applications. Let us now discuss major techniques used in texturing. . False-twist texturing . Texturing by a cold air-jet . Texturing by a hot air-jet and a stuffer box . Other marginal techniques. Most textured yarns are false twist textured. Following write-up will tell about false twisting and the reason why it has been such an incredible success. First it will deal with the real twist texturing and then concludes with a note of speeds that can be reached using false twist texturing. S and Z twist are different altogether S and Z twist means real twist in the yarn and they are poles apart from each other; at the same time there is little difference between them. One yarn has been twisted into the opposite direction of the other yarn. Essentially, one yarn reflects what other possesses. Since S-twisted yarn will look in a fabric unlike a Z-twisted yarn, this difference is very important. The "Real Twist" texturing principle Thermo structure of real twisted yarn is allowed by the thermoplastic properties of synthetic yarn. Back-twisting of this yarn creates twistless yarn, in which the helix formation of the previously resulted in a twistless yarn was still visible. It is a remarkable development that the clear crimps of genuine wool or cotton in each individual filament give this yarn a look of natural fibres. Stufferbox crimps the filaments and then cuts them into staple length and spins them on a traditional machine into a spun yarn, a procedure enabling a filament yarn to look like a spun yarn. This process saves the time spent after spinning filaments endlessly. The production steps are as follows: Twisting on (two for one) twisters Autoclave steam stetting Back twisting Cone winding The False-Twist texturing Just imagine that an elastic band is held between two clamps and then twist this band by turning it in the centre. You can notice real twist on left and right side. But each side is twisted into the opposite direction. One side is S, the other side is Z-twisted. Both sides have equal number of twists. All the twist will vanish on releasing the twisting point. This was 'false twist created by you. False twist principle is being applied by all contemporary texturing machines. Dynamics of false twisting Imagine a drawing with the yarn twisted into two twisted directions and try to visualize the yarn to be endless. Replace the fixed clamps with feed rolls. When the yarn is moved from left to right with the peg in the twisted yarn bundle, the twist on the right side would be moved and then would fade away but the left side would continue to be twisted. All false twist-texturing machines are based on this effect. A peg generates a definite twist stop, and therefore friction disks are better options, which execute the same and have the benefit of rotating the yarn. When the procedure is begun, the twisted yarn on the right side is removed to rubbish but the twist on the left hand side continues. If the yarn breaks, the twisted yarn on the left hand side also goes to trash. If the twist were counted in both wasted ends, it would be accurately the same but in the opposite twist direction. Miles of superior quality textured yarn is manufactured between the two waste ends. Reason behind the success of false twisting Real twist texturing was very time-consuming and laborious. With the launch of false twisting, the process speeds of twist texturing accelerated from a few meters per minute to production speeds of more than 1000 m/min. Bulked Continuous Filament Unbroken threads of nylon are created into yarn. These threads are texturised to enhance their bulk and to modify from straight into twisted or bent fibre. Twist You can make the carpet pile more flexible by winding each carpet fibre around itself. The carpet resistance against crushing, matting and changing of texture is in proportion to the tightness of twist. Heat Setting To process the fibre with heat, it is locked in the twist after it is twisted. The procedure will create carpet fibres, which cannot be disentangled or squeezed under heavy foot fabric. Tufting After getting fed through needles, the heat-set fibre is stitched or tufted into the primary carpet backing. Amount of yarn used and closeness of the tufts to one another determine the density of carpet. Dyeing The tufted carpet is soaked in liquid dye then processed with a fixation solution and dried. Here the needs on air interlacing depend on the technique of process. The 1-stage process, which is also called On-Line-Process and interlaces mono, duo, or tri-colour yarns, demands 30 to 40 hard knots per meter. These yarns are used directly in tufting. The 2-stage procedure, which is also called as Off-Line-Process, necessitates 15 to 25 soft knots for further processing in Heat Setting, Co-Mingling or Tufting. Air-Texturing This machine contains supply yarn creel, an appropriate winding head fixed with yarn transport together with an additional pair of feed rolls and an air jet interjected. Air texturing machines have two conventional categories: Machines with individual drives and Machines with headstock having motors, drives and shafts at each place. Since the machines are capable of treating large number of yarns and the each machine position can be fixed to manufacture a different yarn, machines with individual drives have become the standard in modern air jet technology. Aside from the few advances in winding technology used in air-texturing machinery and the technique of water application, the progress of air-texturing over the years has been relied on the growth of air-jet nozzle technology. Newer nozzles have led to the processing of a wider range of yarns at greater processing speeds, lower energy consumptions and lower noise levels. Fibreguide Ltd., England, has increased and developed its scope of single and multi-position interlacing air jets. The range now consists of 11 different air-jet types, including Detorque, Detorque with interlace and oil dispersion jets. In addition, the company offers a wide range of Interlace jets for the production of all types of continuous filament yarns, ranging from micro-denier yarns up to BCF and industrial applications. Low-noise jet enclosures have also been introduced to enhance the interlacing performances of the multi-position FG2M and FG10M air-jet units, as well as the individual FG4 Jet. Air texturing up to 1,000 m/min: the technology rise Unlike false twist texturing with the speeds of up to 1200 m/mn, the speeds of air texturing until now at about 400 m/mn, in some cases up to 500 m/mn, lagged clearly behind. This made gainful air texturing of fine yarn counts unable to go beyond 100 dtex till now. With the new jet core Series-S. Due to the well-researched geometry of the yarn channel, the speed of airflow through the jet could again be accelerated considerably. Texturing speeds could still be accelerated further because tests with developments in the circumstances close to the process and application of jet cores Series - S proved this. The primary manufacturing speed with Jet Cores S315 for core / effect operation with feeder yarns of dtex 22 - 250, is about 750 m/min, if a post heater is used to relax the unnecessary filament loops. Supplementary hot plates or heated godets before the jet, and a rise in the air pressure up to a maximum of 12 bar, facilitate further rise of the texturing speed up to 1,000 m/min. Yarns from S-cores display equally distributed loop formations and almost no propensity to flames. These yarns create a very smooth fabric look. From the very beginning, the S-Cores have been a hit and are in growing demand. In 1999 their share of Heberlein's total deliveries already reached 35%. S-Jets make possible both higher production speeds and enlargement of range of applications for air-textured yarns. Because of cost reasons, success already emerge in the fine yarn count segment wherein air textured yarns had no opportunity until now. Fashionable yarn mixtures are well recognized for ladies wear, sports wear and specialities for technical applications. Air-textured yarns with ease elasticity made from slightly stretchy feeder yarns are hot topics. Conclusion In the field of air interlacing, jets with better presentation can be anticipated. On one hand, they will fulfil the needs of accelerating process speeds, and on the other hand will take care of escalating process permanence. Opportunities are open for them to minimise a number of extra processing phases. Besides using compressed air, other means like steam will be applied because these will allow the beginning of necessary new consequences. In terms of air jet texturing, it is advisable that faster air texturing machinery will be offered to make use of the high-speed air texturing jets. Other than new machines themselves, supplementary parts like heating and higher compressed air source will have to be used to enable texturing speeds of more than 1,000 m/min. The high suppleness of the air texturing procedure helps individual drive units. Great attempts are exerted to minimise the cost per position, which is more likely with shaft machines, at this time. In the near future the recently reached speed level must be, first of all, converted into practice and process stability must be increased on these machines. Thanks to the high flexibility of the air texturing process with an application range from approx. 22 to 18,000 dtex, and the possibility to process practically all kinds of filament yarns, not to mention the great number of yarn combinations that are possible, further market expansion can be expected. The level of the market increase for air-textured yarns will depend considerably on the development of additional areas of end-uses. Very big, and almost not yet utilized opportunities are in applications with new feeder yarns. Examples of new, strongly progressing yarns are slightly elastic multi-filament yarns, as well as fine filament counts up to dtex 22, that only now have become interesting from a cost point of view, thanks to faster texturing jets. Pre-dominant applications of these yarns are in the areas of hosiery, ladies wear, sports and leisurewear, but also in textile automotive linings. safe penile enlargement vimax buy penis enlargement pills vig rx scam penile enlargment testimonials safe penile enlargment penis enlagement pills penis enlarement before and after penis enlagement information penis enargement tool
Premature ejaculation is the most common sexual dysfunction in the under 40’s. It is almost impossible to say under what time scale ejaculation can be classed as premature as it is largely dependent on how long it takes your partner to climax. Thus if the man can last for 10 minutes but his partner needs 15 then it stands to reason that he needs to learn to last for longer. The fact that female arousal and orgasm require more time than male arousal is being increasingly recognized, and this may result in increased recognition and definition of premature ejaculation as a problem. It is thought that premature ejaculation is purely psychological with no known physical reason for early ejaculation. It is a controllable and the need to control it is largely dependent on how miserable early ejaculation makes an individual feel and how important prolonged love making is too their partner and their relationship. Most men tend to find that premature ejaculation is just an irritation which makes them ‘come’ with the first couple of minutes of lovemaking with little sexual satisfaction for either partner. Learning to control premature ejaculation is all about understanding your different levels of arousal and recognizing when you are close to your point of no return. Once you recognize how you feel when you are close to ejaculation and you understand what sexual activities get you that point quicker than others you will be at a stage where a few small changes to the way you make love will enable you to stay highly aroused, without ejaculating, for longer. You want to learn to control premature ejaculation the natural way, taking drugs will just impair your self awareness and distract you while you working towards ejaculatory control. Making love isn’t something you want to be masked with drugs, it’s something special, something sensual and something that should be enjoyed to the full. The best sex is when men learn to think about lovemaking with their whole body and not just their penis. It’s all about the complete arousal, the appreciation by every inch of the body. The early stages of lovemaking are equally as important as the last with the continual build of sexual tension just adding to the heightened and ultimate pleasure that controlling premature ejaculation can bring. You just need to learn that little step, to take your mind off the penis and concentrate on the complete unadulterated, sensual experience. One little pointer in your quest for control is to use masturbation as a way of learning when you are about to ejaculate and how to control it. By varying how you caress your penis you can learn to understand all your stages of sexual arousal, understand when you have reached a point of no return and learn how to control premature ejaculation. best penis enargement pills vig rx enhancement enlarement manhattan penis surgeon vimax penis enlargement before and after photo penis enlargment pill pro solution pennis enlargement patch vig rx penis pill vimax penis enlargement pills penis enargement tool
What is Sore Throat? Almost everyone gets a sore throat at one time or another. Children tend to have them more often than adolescents or adults. Sore throats are most common during the winter months when upper respiratory infections (colds) are more frequent. Sore throat (pharyngitis) is a painful inflammation of the pharynx, which is the part of the throat that lies between the mouth and the larynx (voice box). Sore throat is often a symptom of various illnesses such as colds and flu, glandular fever, respiratory tract infections, tonsillitis, and chickenpox. While most sore throats heal without complications, in some cases, they develop into a serious illness. Causes of Sore Throat The major cause of sore throat is infection. Sore throat may be caused by either viral or bacterial infections. But it can also be caused by allergies and environmental conditions. Viral Sore Throat Approximately 90% of sore throats are caused by viral infections. There is no simple way to distinguish a viral sore throat from a bacterial sore throat. Viral sore throats are quite contagious. They can be spread by personal contact and by coughing or sneezing. Cold and flu viruses are the main culprits. When a stuffy-runny nose, sneezing, and generalized aches and pains accompany the sore throat, it is probably caused by virus. For a viral infection, no antibiotic is usually needed and the infection can be expected to run a four to six day course. Another group of viruses that cause sore throat are the adenoviruses. The adenoviruses usually cause infections of the lungs and ears. Adenoviruses may cause white bumps on the tonsils and throat, diarrhea, vomiting, and a rash. Sore throat caused by adenoviruse lasts about a week. One particular virus responsible for causing sore throat is the coxsackie virus. This virus causes a disease known as herpangina, which occurs most commonly among children under the age of ten and is most common during the summer. It is sometimes called summer sore throat. Summer sore throat can be quite severe. Symptoms include a high fever and the presence of tiny grayish-white blisters on the throat and mouth. The blisters erupt in a few days and are followed by a scab which may be very painful. Mononucleosis (mono) is a viral infection caused by the Epstein-Barr virus, a member of the herpesvirus group. This virus lodges in the lymph system, causing massive enlargement of the tonsils and swollen glands in the neck, armpits and groin. Mono can affect the liver, leading to jaundice (yellow skin and eyes). One of the main signs of mono is a sore throat that may last for 1 to 4 weeks. Mono is a severe illness in a teenager or young adult, but it is less severe in a child. Symptoms caused by mononucleosis can last for 4 weeks or more. Bacterial Sore Throat About 10% of all sore throats are caused by bacteria. The most common bacterial sore throat is caused by a bacterium called group A Streptococcus. This type of sore throat is called strep throat. The pain of strep throat often feels much like sore throats caused by other bacteria or by viruses. The tonsils often swell and become coated and the throat is sore. The patient may have a high temperature, sour breath and may feel quite ill. If strep throat isn't treated it can sometimes result in rheumatic fever, which can damage the valves of the heart. The most dangerous throat infection is epiglottitis, caused by bacteria that infect a portion of the larynx (voice box) and cause swelling that closes the airway. This infection is an emergency condition that requires prompt medical attention. Suspect it when swallowing is extremely painful (causing drooling), when speech is muffled and when breathing becomes difficult. Noninfectious Sore Throat Not all sore throats result from viral or bacterial infections. Sore throats can also be caused by allergies and environmental irritation. These forms of sore throat are not contagious. Allergy: The same pet dander, molds and pollens that trigger allergic reactions such as red, swollen eyes and a runny nose can also cause a sore throat. Cat and dog danders and house dust are common causes of sore throats for people with allergies to them. Irritation: Many materials in the environment can also irritate the pharynx. Such irritants include cigarette smoke, polluted air, chemical fumes, and dry air. During the cold winter months, dry heat may create a recurring, mild sore throat with a parched feeling, especially in the mornings. Symptoms of Sore Throat The symptoms for a sore throat caused by both bacterial and viral causes are the same: pain in the throat pain and difficulty in swallowing red throat swollen tonsils coated tonsils swollen neck glands pus covering the throat or white spots coughing fever If the sore throat is due to a viral infection the symptoms are usually milder. Sore Throat Treatment The treatment of sore throat will vary according to the cause. Sore throats are usually mild and can be treated at home with over-the-counter remedies available from your local pharmacy. They usually get better on their own, in 3-7 days. It is extra rare for antibiotics to be needed. This is only the case when the sore throat is the result of a serious bacterial infection. Sore throat treatment and comfort measures: Strep throat requires antibiotics. Sometimes it is difficult to determine whether the cause is viral or bacterial, so antibiotics may be prescribed as a precaution. Pain relievers - nonsteroidal anti-inflammatory drugs, (such as aspirin, ibuprofen, and naproxen) are often more effective pain relievers than acetaminophen (Tylenol). These medications reduce pain and fever that accompany a sore throat. Children should not be given aspirin because of the risk of Reye's syndrome. Salt water gargle can be a good way to relieve a sore throat. It help soothe the irritated throat and reduces swelling in the tissues. This is the safest, least expensive and probably the most effective treatment of a sore throat. Use over-the-counter throat lozenges every couple of hours or hard candy. It can help relieve sore throat and cough. It does stimulate saliva production, which bathes and cleanses your throat. Drinking enough fluids is very important, warm drinks may be especially soothing. Avoid caffeine because it can cause water loss. Get plenty of rest. Getting extra sleep can promote more rapid recovery, especially if a virus is the cause. Avoid smoking or being around smoke and other throat irritants. Humidify the air. Adding moisture to the air prevents your mucous membranes from drying out. This can reduce irritation and make it easier to sleep. Hot, dry air will aggravate sore throat. Take a high-potency multivitamin and the herb echinacea to build up your immune system.