Saline irrigation spells relief for sinusitis sufferers

Recommend nasal irrigation to patients with chronic rhinosinusitis. Large-volume, low- pressure saline irrigation decreases the severity and frequency of symptoms. Stength of recommendation: B: Single well-done randomized controlled trial (RCT)

Socioeconomic impacts of the second stage of the Southern Nevada Water Project and its alternatives

This study evaluates the socioeconomic impacts of the Second Stage of the Southern Nevada Water Project of the United States Bureau of Reclamation, comparing that project with the alternatives of importing water from Nevada areas somewhat removed from the Las Vegas Valley and of leaving the water supply of the Valley basically as it is, the no project alternative. The study follows, with adaptations and extensions, the general methodology for socioeconomic impact studies as developed and still being evolved in successive socioeconomic analyses of Bureau of Reclamation water projects. The methodology recognizes that the complexity of modern society and water impacts requires that water project analyses extend beyond the dollar cost benefit approach, which usually is the most reliable guide to decision, to considerations of qualitative effects, which often are of dominant importance despite their difficulty of measurement. Such analysis requires the tools of economics, sociology, engineering, law, political science and other related fields. It also dictates a step-by-step process which insures comprehensive consideration of the direct and indirect impacts of water projects on all of the social sectors which command public interest and concern. Such a step-by-step process constitutes the six chapters of this report

Conservation Agriculture as Practised in Ghana

This case study presents the status of conservation agriculture in Ghana. It is one in a series of eight case studies about conservation agriculture in Africa, which were developed within the framework of a collaboration between CIRAD (French Agricultural Research Centre for International Development), FAO (Food and Agriculture Organization of the United Nations), RELMA-in-ICRAF (Regional Land Management Unit of the World Agroforestry Centre) and ACT (African Conservation Tillage Network)

Using Technology to Determine Factorability or Non-factorability of Quadratic Algebraic Trinomials

This paper is aimed for mathematics educators who teach algebra, more specifically, the factoring of quadratic algebraic expressions, and who want to enhance student learning of this topic using technology in conjunction with the Middle Term Splitting Method (Donnell, 2010; MTSM 2016a; MTSM 2016b). We will use technology-based algebra and geometry connections to help determine factorability or nonfactorability of quadratic algebraic trinomials over the integers, over the real numbers, and over the complex numbers, both with clarity, certainty and with understanding by using two equations, one derived from the coefficients of the outer terms and the other from the middle term of the quadratic algebraic trinomial. Overall, the efficiency of determining factorability or non-factorability of quadratic algebraic trinomials, using Cabri Geometry II Plus (or a graphing calculator) together with the MTSM, makes this topic comprehensible in a technology-rich environment

To My Sweet Little Southern Gal

https://digitalcommons.library.umaine.edu/mmb-vp/6672/thumbnail.jp

A new mechanism for exchange processes observed in the compounds [M(η-C_5H_5)_2(exo-η-RCH = CH_2)H], M = Nb and Ta

Dynamic n.m.r. studies of the exchange processes in the complexes [M(η-C_5H_5)(exo-η-RCH=CH_2)H], M = Nb, Ta, lead to the proposal of a new mechanism involving intermediates with agostic bonding

Variations in Arterial Blood Pressure after Kidney Transplantation

The course of hypertension within the first 2 months after kidney transplantation was correlated with renal function, plasma renin activity (PRA), and the daily maintenance dose of prednisone in 18 homograft recipients. During acute rejection blood pressure (BP) closely correlated with PRA. Patients with normal homograft function showed an increase in BP early after transplantation which in most returned to normal 3-8 weeks later. In the latter group no correlation could be found between the level of BP and PRA, however the BP correlated closely with the dose of prednisone. These observations suggest that during acute rejection the increase in BP may at least partly be mediated by a renal pressor mechanism, whereas with normal renal function the high dose of glucocorticoids may play an important role in the development of hypertension.</jats:p

Collaboration in electronic resource provision in university libraries: SHEDL, a Scottish case study

This case study examines the growth of collaboration among Scottish higher education institutions. Following a summary of the work of the Scottish Confederation of University and Research Libraries (SCURL), more detailed information is provided on collaboration in the fields of acquisition, licensing, selection, and purchasing. Some of the UK background is outlined, relating to NESLi2 in particular, in order to illuminate the options within Scotland. The origins of negotiations on electronic resource provision within Scotland are described, drawing on developments in other countries including Ireland and Scandinavia. After initial setbacks, the implementation of the Scottish Higher Education Digital Library (SHEDL) from 2007 to 2009 is detailed. Current benefits arising from SHEDL are explained, and some possible future developments are discussed