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proportioned to give a filled pot the correct salinity in the finished solution. I own two of them, and they are far easier to use than the current article's description makes the use of this method sound like. You tilt your head to the right and down, pour the saline solution into your left nostril, breathe through your mouth, and let the water run through and out the other nostril. Refill the pot, and repeat with the other side. Doesn't sound scientific, but would make it sound a wee tad easier to use than the current article.
547:"280–300 milliosmoles per kilogram (mOSm/kg) of water". By calculation, a 0.9% by weight solution has 9 g NaCl per 1000 grams of solution = 9.08 g NaCl per 1000 g of water = 0.155 moles of NaCl per kg of water. Assuming NaCl is fully disassociated in water, this results in 0.310 osmoles/kg of water. The CRC Handbook of Chemistry and Physics, 60th Edition (1979), CRC Press, page D-261 gives the osmolality of a 0.9% NaCl solution as 0.287 osmoles/kg.
1416:. Recorded cases have occured in the United States since at least 1937. See the wikipedia article (cited above) to verify references. I think the warning can be retained in the article for those who wish reduce the rare chance of infection, but it hardly needs to be put at the top of the article. With that sort of reasoning, such a warning should be the first entry in any article on hot springs, ponds, fresh water swimming, etc.
1262:. More over, the water flow pulsates at frequencies similar to that of the natural mucociliary movement, it can more effectively remove thick mucus and pus bacterial toxins. During use, your head should bend down, which from the anatomical point of view, it is easy for the water to flow into the nasal cavity from one side, around the nasopharynx and exit from the other side. It also suggests a much lower chance to flow into
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1404:(PAM) occured through the use of tap water in the State of Louisiana USA and Pakistan. Tap water in Pakistan is not suitable for drinking and thus certainly not for nasal irrigation. Tap water in Louisiana and elsewhere in the USA is normally potable, but in certain locations it has occasional impurities that on rare occasions cause disease. Infection with the
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1505:, and since ordinary tap water in every reasonably modern nation is normally treated sufficiently to kill that parasite, it seems unreasonably alarmist to claim that tap water is ordinarily "not safe". Knowledge may as well maintain a list of people who have died from rare intestinal infections from drinking ordinary tap water.
888:, and in the following edit I also removed an unsourced paragraph that speculated on an "adverse affect" (sic) of flushing while infected. I stand by my opinion that a single conference abstract is not enough to warrant an entire paragraph on adverse effects, let alone a section. (Just imagine what our articles on
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Brown and Graham cite the following paper: Olson DE, Rasgon BM, Hilsinger RL Jr: Radiographic comparison of three methods for nasal saline irrigation. Laryngoscope 2002, 112:1394–1398. They say that the solution reaches ethmoidal and maxillary sinuses, but only a limited amount reaches the other two.
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Somewhat humorously, the article says clinical guidelines indicate saline nasal irrigation for acute and chronic sinusitis, but then turns around and cites a study that says there is weak evidence for that indication. As an aside, the results/conclusions section of that study is worded in a way that
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Note that some techniques involve irrigating and flooding the whole sinus cavity. The mucus is usually discharged away, and fluid also reaches into those cavities. The patient, laying on a bed with their head tilted backwards over the edge, or crouched on three points (left foot, right food and
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The second sentence says, "The practice is reported to be beneficial with only minor side effects." Is reported by whom? Is it prescribed by doctors? Have scientific studies shown it to be effective and safe? The whole business sounds suspicious, especially in light of the recent fatality.
1945:"CPAP usage Nasal congestion and nasal stuffiness are common reasons for CPAP failure, especially during the first several weeks of the initiation of treatment. A sinus rinse and nasal irrigation with a saline solution may be beneficial in improving outcomes as it relates to CPAP compliance."
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I don't know who removed the section, but the information is still included in the article. Let's keep an eye open for studies. I think that, in the interest of safety, we can list the adverse effects from any primary sources, lacking a secondary source. Does anyone feel like a new section for
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I recently came here to find the recommended solution after having a very good experience with a commercial product. 1 tsp each of salt and baking soda per pint of water was significantly stronger than the commercial solution. So while the info about how to create an isotonic solution may be
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Someone added a "dubious" tag (May 2013) to a comment under Method that irrigating with excessive pressure can damage or infect the ear canal. This isn't rocket science. Blowing one's nose in such a way that exerts too much pressure can do the same thing. I have removed the "dubious" tag.
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I agree with the proposal by Enric Naval. It's not clear to me that pulsatile irrigation is independently notable, and from an organisational point of view it's better if it's covered by this article, anyway. (This decision could of course be revisited if and when the material on pulsatile
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is more common than other methods featured in the article in at least
Scandinavia, and the image origin lists the image to be from de.wikipedia originally. It relies on gravity and the tapering shape of the spout to produce positive pressure. The pot is sold with a measuring spoon that is
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accurate, it may be useful to #1 confirm as 130.225.2.143 stated above that the addition of baking soda does not require a reduction in salt to remain isotonic, and #2 to offer a range of typical solution strengths so that people can start on the weak end and adjust upward as needed.
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The
Sanskrit word and explanation given in this article, should be netī with a long vowel, not to be confused with neti with a short vowel. Here's an online Sanskrit dictionary as a reference Note it shows the word in IAST as netī, not neti. This is a different word from the one in
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you guys are so misinformed there are hundreds of clinicals on the efficacy of pulsatile irrigation which is used for surgery, debridement, burn centers and many other applicaions Thank god for Google
Knowledge is irrelevant moderated by folks that have little or no expertise
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Does anybody have any objections to converting the recipe of home-made solution to metric? Aside from being the international standard, I don't have a good feel for how much something is in US units. You could tell me to add 100 teaspoons to a gallon and I wouldn't have a clue.
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would normally warrant a "There is no good clinical evidence to use nasal irrigation for chronic sinusitis" from the anti-fringe editors. However, I've found a more recent review study that does seem to think there is sufficient study to indicate its use for chronic sinusitis:
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Hey yo, like any treatment, nasal irrigationisn't perfect. I found an abstract (mined it from the netti pot article, read through it and elaborated for this article), regarding long-term use and the harm this causes. Additionally, I made light of the fact that
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Again "Newer biopolymers such as chitosan have been studied extensively for use in the sinuses due to its anti-inflammatory, anti-bacterial and hemostatic properties. The addition of chitosan as an additive as a nasal and sinus rinse is a promising new
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The PLOS paper says "Chitosan, prepared from chitin, has been long known to be an effective hemostatic agent . A novel gel has been formed by cross-linking chitosan and dextran derivatives (CD gel) for use as a hemostatic agent after nasal surgery ."
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to this: Xylitol is commonly used to prevent acute otitis media in Europe and dental caries in the United States. Research into xylitol use in human sinus cavities is lacking, although a study shows xylitol efficacy against sinusitis in rabbits
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The information might be better placed under the section discussing the negative consequences of nasal irrigation, with just a note under Method that only gentle pressure is required. KC 15:58, 19 April 2016 (UTC) KC 15:58, 19 April 2016 (UTC)
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This is dubious. Other sources online suggest that the proper amount of salt in an isotonic saline solution is 0.9%, not 0.9 grams per litre which is equal to 0.09%. It is also given as if it is quoted from somewhere but no source is provided.
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B.D.Mills is correct. To be precise, a 0.9% by weight solution of NaCl in water is isotonic (has the same osmotic pressure of water)as human blood plasma and the contents of red blood cells. See
Medline Plus Medical Encyclopedia,
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Ok, I just didn't feel comfortable with this in the article. It doesn't seem to deserve its own section, and it needs some serious cleanup. Please begin a list of sources, and indicate whether they are secondary or primary as per
1604:"Chitosan is an emerging biomaterial used in the field of ENT (Otolaryngology) which shows promise in reducing inflammation after sinus surgery. Chitosan is used as a additive in nasal irrigation because of these properties."
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The current instructions for an isotonic solution say that 1 tsp salt per pint is isotonic and 1 tsp salt plus 1 tsp baking soda per pint is also isotonic. Can this be right? Is the molarity of baking soda so much less?
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In the first section tap water is recommended. Unboiled tap water is reportedly what caused the deaths. If people only read the first section and do what it says they could get infected. Consider moving the warning up.
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specifies two to three heaped teaspoons of salt and one teaspoon of baking soda. 2-3:1 ratio appears a lot close to the commercial products from my experience, and agrees with the professional advise that I had as well.
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I didn't mean to sound adversarial – sorry if I did. Currently I don't have much time for this article, but my impression so far is that you are taking it in the right direction. Thanks for your efforts.
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I agree. Nasal irrigation isn't such a huge and well documented topic that it would benefit from spreading all over the encyclopedia. If this article ever gets too big we can still split it again.
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on chitosan in nasal rinses. Massey doesn't discuss nasal irrigation as far as I have seen. There are no MEDRS sources for this nasal rinse/irrigation + chitosan stuff, that i have seen.
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I'm actually having second thoughts; this is probably treading a bit over the line of how-to. I think an example recipe is probably ok; but certainly not "these are recipes you can use!"
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this: Xylitol is commonly used to prevent acute otitis media in Europe and dental caries in the United States, but research into xylitol use in the sinus cavities is lacking.
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This article repeats the 2 deaths so many times for no reason, It barely goes 2 paragraphs before mentioning it again, honestly 2 deaths in 80? years of usage is very low.
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I too have noticed that the measurement of salt/soda seems to be misleading. The article specifies 1 teaspoon of salt and 1 teaspoon of baking soda, yet the reference (19)
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Note: I would edit the main page, but I know moderators would just undo my changes, so.... this either gets in there some other way or it doesn't. You decide.
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studies haven'T really been conducted on the technique. I titled this section 'contraindications and harm', I hope this is neutral enough for everyone :).
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1501:" either be removed or be backed up with documentation. Since the section "Nasal irrigation warning" documents that "even light chlorination will kill"
717:(just choose the topic that looks more appropriate to reach one of the desks). Talk pages of articles are mostly for discussing changes to articles. --
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I know at least some amoeba are remarkably resistant to chemical agents due to their ability to form cysts. I'll try to find a source this weekend.
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in question is far more likely by swimming in warm bodies of fresh water, such as ponds, lakes, rivers, and hot springs. However, infection is both
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In the section "Solutions used for nasal irrigation", I suggest that the assertion that "...can be carried out using ordinary tap water, this is
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knee, and right hand) with their head pressed back against the shoulders ... uses an ear wash bulb to deposit warm saline solution into the nose.
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Zozula, R.; Rosen, R. (2001-11-01). "Compliance with continuous positive airway pressure therapy: assessing and improving treatment outcomes".
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method, which is based on anatomy and physiology of nasal mucociliary function and motor function (mucociliary movement). It can irrigate warm
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I agree. But note that I had previously merged the article elsewhere and it was reverted. Let's give it some time in case someone disagrees.
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An isotonic saline solution can be made by adding 0.9 gram of salt to one litre of lukewarm (i.e. around body temperature) water.
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Valentine, Rowan; Wormald, Peter-John; Sindwani, Raj (2009-10-01). "Advances in absorbable biomaterials and nasal packing".
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Alternate hypertonic mixture since HCO3 is such a good buffer: 27 grams of NaCl and 4 grams of NaHCO3. (11.69g of Na+)
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Someone want to tackle the yoga origins section, and remove all the unnecessary digression from the
Methods section?
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https://web.archive.org/web/20091216155526/http://uspharmacist.com/continuing_education/ceviewtest/lessonid/105757
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The "Sarvikuono" (word play on the
Finnish name for Rhinoceros, literally "horn nose") style nasal irrigation pot
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Isotonic 1.3% Rinse Pure Baking Soda (Sodium bicarbonate) requires 13 grams NaHCO3 in 1 L of water. (3.56g of Na+)
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to delete these "External links modified" talk page sections if they want to de-clutter talk pages, but see the
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is already here. It looks like the term Neti Pot is trademarked, so a redirect here would be more appropriate.
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Merge it. Undo the split mentioned by Adler. Also, "Neti Pot" is not trademarked, at least not in the US.
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Massey, Conner J.; Singh, Ameet (2017-03-09). "Advances in
Absorbable Biomaterials and Nasal Packing".
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Hypertonic 4.2% Rinse Pure Baking Soda requires 42 grams of NaHCO3 in 1 L of water. (11.5g of Na+)
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Yan, Maoxiao; Zheng, Dandan; Li, Ying; Zheng, Qiaoli; Chen, Jia; Yang, Beibei (2014-12-19).
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Hypertonic 3% Rinse Pure Salt requires 30 grams of NaCl per 1 L of water. (11.8g of Na+)
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Hypertonic mixture 23 grams NaCl and 10 grams NaHCO3in 1 L of water. (11.79g of Na+)
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Isotonic 0.9% Rinse Pure Salt requires 9 grams NaCl per 1 L of water. (3.54g of Na+)
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This is a very good question; I will try to incorporate the answer in the article.
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Isotonic mixture 7 grams NaCl and 3 grams NaHCO3 in 1 L of water. (3.57g of Na+)
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The
Pulsatile Nasal/Sinus Irrigation can be said to be the most advanced
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I wasn't complaining. We may want to consider adding a warning about
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191:-related topics. If you would like to participate, please visit the
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Valentine, Rowan; Wormald, Peter-John; Sindwani, Raj (2009-10-01).
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How does either of this support the text added to this article?
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Sprays do not reach frontal and sphenoidal sinuses at all. --
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for
Knowledge's health content are defined in the guideline
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for additional information. I made the following changes:
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http://www.nlm.nih.gov/medlineplus/ency/article/003463.htm
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Use for chronic sinusitis, article says evidence is weak
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1746:"Advances in absorbable biomaterials and nasal packing"
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Agreed. The subject does not require its own article.
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or other basic hygiene practices could look like...)
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I don't agree. The reported cases of infection with
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This article is not assigned to a workgroup. Please
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http://www.articlealley.com/article_2129204_17.html
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clinical publications about evidence-based medicine
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408:Knowledge:Identifying reliable sources (medicine)
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1590:http://sanskritdictionary.com/net%C4%AB/18968/4
1554:Incorrect Sanskrit and etymological explanation
334:and that biomedical information in any article
2078:This message was posted before February 2018.
1607:Valentine does not mention "nasal irrigation"
1432:The most obvious question is not answered here
1367:The warning to boil water should be at the top
332:Manual of Style for medicine-related articles
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1900:Otolaryngologic Clinics of North America
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980:irrigiation grows significantly.)
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97:Guild of Copy Editors
87:Guild of Copy Editors
59:Guild of Copy Editors
2090:regular verification
1678:no reviews in pubmed
439:free review articles
415:. Here are links to
327:WikiProject Medicine
2080:After February 2018
1400:which caused fatal
1288:by Hung Cheng M.D.,
1274:reflist for section
1035:I suggest we merge
2134:InternetArchiveBot
2085:InternetArchiveBot
1906:(5): 813–828, ix.
1756:(5): 813–828, ix.
1192:Origins in Methods
971:Proposal to merge
411:and are typically
260:
242:
84:, a member of the
34:content assessment
2110:
1550:
1536:comment added by
1503:Naegleria fowleri
1457:comment added by
1397:Naegleria fowleri
1378:comment added by
1351:comment added by
1252:paranasal sinuses
1188:
1171:comment added by
1082:I also agree. --
1027:
1015:comment added by
788:comment added by
766:maxillary sinuses
759:paranasal sinuses
757:So, which of the
753:Paranasal sinuses
681:Mixture as above
670:Pure Baking Soda
590:comment added by
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2104:source check
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1838:cite journal
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1703:
1652:
1646:
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1609:
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1603:
1585:
1577:
1557:
1532:— Preceding
1527:
1523:
1507:Sue D. Nymme
1502:
1498:
1496:
1477:
1459:76.181.43.60
1453:— Preceding
1435:
1413:
1409:
1395:
1374:— Preceding
1370:
1347:— Preceding
1341:
1334:
1331:
1328:
1320:
1301:
1285:
1281:
1248:nasal cavity
1244:saline water
1237:
1214:
1195:
1167:— Preceding
1163:
1104:
1084:Rocksanddirt
1037:Nasal douche
1034:
1011:— Preceding
1007:
978:
890:hand washing
845:
790:81.203.36.49
756:
697:
637:
619:
604:
582:
560:
537:
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481:
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450:
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371:
339:
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264:
224:
194:project page
192:
182:
176:India portal
85:
40:WikiProjects
1647:extensively
1438:CountMacula
1256:nasopharynx
784:—Preceding
719:Enric Naval
586:—Preceding
78:copy edited
2183:Categories
2167:MarshallKe
2141:Report bug
1974:References
1732:References
1578:References
920:. Perhaps
853:Talonxpool
811:Hans Adler
659:Pure Salt
521:B.D.Mills
436:(limit to
265:April 2012
2124:this tool
2117:this tool
1999:1070-5287
1951:Doc James
1919:1557-8259
1878:1557-8259
1814:1932-6203
1769:1557-8259
1704:Doc James
1653:Doc James
1618:Doc James
1344:Anonymous
1173:Andyberks
916:although
626:SteveLang
494:Archive 1
449:provides
430:provides
2130:Cheers.—
2006:11706314
1961:contribs
1926:19909861
1885:28284452
1830:25526585
1795:PLOS ONE
1776:19909861
1714:contribs
1663:contribs
1628:contribs
1600:Chitosan
1546:contribs
1538:Boydstra
1534:unsigned
1499:not safe
1474:2 Deaths
1455:unsigned
1418:Jm3106jr
1376:unsigned
1349:unsigned
1218:WP:MEDRS
1181:contribs
1169:unsigned
1107:Neti_Pot
1099:Neti_Pot
1068:Agreed.
1013:unsigned
993:Agreed.
849:efficacy
786:unsigned
588:unsigned
482:Archives
347:Medicine
288:Medicine
2054:my edit
1822:4272281
1700:THanks
1414:not new
1406:protist
1221:Rknight
1198:Rknight
1111:Rknight
1070:Rknight
995:Rknight
926:Rknight
869:Rknight
737:Rknight
700:Rknight
641:Rknight
374:on the
227:on the
30:B-class
1682:Jytdog
1493:Safety
1268:throat
1260:mucosa
1152:VikĂžor
428:PubMed
36:scale.
1965:email
1718:email
1667:email
1632:email
1129:Adler
1059:Adler
985:Adler
956:Adler
897:Adler
200:India
189:India
131:India
90:, on
2171:talk
2029:talk
2003:PMID
1996:ISSN
1957:talk
1923:PMID
1916:ISSN
1882:PMID
1875:ISSN
1848:link
1844:link
1827:PMID
1811:ISSN
1773:PMID
1766:ISSN
1710:talk
1686:talk
1659:talk
1624:talk
1569:talk
1542:talk
1511:talk
1484:talk
1463:talk
1442:talk
1422:talk
1412:and
1410:rare
1384:talk
1357:talk
1313:talk
1225:talk
1202:talk
1177:talk
1156:Talk
1142:talk
1126:Hans
1115:talk
1088:talk
1074:talk
1056:Hans
1045:talk
1021:talk
999:talk
982:Hans
975:here
953:Hans
930:talk
894:Hans
873:talk
857:talk
830:talk
826:Yris
815:talk
794:talk
741:talk
723:talk
704:talk
645:talk
630:talk
612:talk
596:talk
575:talk
553:talk
464:and
445:The
366:High
247:help
219:High
2098:RfC
2068:to
1938:Ref
1908:doi
1867:doi
1818:PMC
1803:doi
1758:doi
1266:or
1154:|
467:CDC
80:by
2185::
2173:)
2111:.
2106:}}
2102:{{
2031:)
2001:.
1990:.
1967:)
1963:·
1959:·
1921:.
1914:.
1904:42
1902:.
1880:.
1873:.
1865:.
1840:}}
1836:{{
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1816:.
1809:.
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1793:.
1771:.
1764:.
1754:42
1752:.
1748:.
1720:)
1716:·
1712:·
1688:)
1669:)
1665:·
1661:·
1649:?
1634:)
1630:·
1626:·
1571:)
1548:)
1544:•
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1465:)
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1254:,
1250:,
1227:)
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743:)
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632:)
624:--
614:)
598:)
577:)
555:)
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528:,
518:--
2169:(
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2139:(
2126:.
2119:.
2027:(
2008:.
1992:7
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1887:.
1869::
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378:.
344:.
267:.
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197:.
94:.
42::
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