HTTP/1.1 200 OK Cache-Control: no-cache, private Content-Type: text/html; charset=UTF-8 Date: Mon, 30 Nov 2020 11:55:52 GMT 陈静三级
BETA
This is a BETA experience. You may opt-out by clicking here
Edit Story
Coronavirus|

Covid-19 Nasal Swab Test Led To Cerebrospinal Fluid Leak

Nina Shapiro

Hanging on the coat tails of Ronaldo and Messi are NBA star LeBron James (pound 53 million) and tennis player Roger Federer (pound 46 million).
随着俄罗斯货币卢布一再对其他货币贬值,近年来去往俄罗斯旅游的旅客也在逐渐增多。
[iks'tend]
生活的起起落落
单词institute 联想记忆:
adj. 优雅的,精美的,俊美的
adj. 有毒的
节目26 相声剧《搭把手不孤独》,冯巩 郭冬临 闫学晶
加快培育壮大新兴产业。
在20世纪90年代,罗斯把它应用到如何把美国医学生分配到医院。他开发了一种新的算法被全国驻地医师匹配程序所采用,这有助于把驻院医师分配到合适的医院。

Why? Just add in the intensifying anger after the Supreme Court's decisions over same-sex marriage issues and gays, add in the growing anger over abortions, Obamacare, gun control, food stamps, the new voter suppression pushed by GOP governors, plus more threats by conservatives and the tea party to dig in their heels and fight to overturn everything and increase austerity too.
“有些诡异的是,这跟马克o贝尼奥夫创立Salesforce.com时的情形非常相似,这点地方根本不够从事客户关系管理(CRM)使用,”米奇o哈珀表示。他与联席CEO艾迪o马查拉尼在2009年创立了这家公司。
Gitanjali's invention was inspired by the scandal in Flint, Michigan, where officials are facing charges, she told Business Insider.
Under these conditions, he argues, the Fed cannot only trigger crises itself; it can also increase the vulnerability of EMs to crises provoked by other factors.
In January, Wal-Mart (WMT, Fortune 500) U.S. president And CEO Bill Simon pledged that the world's largest retailer would hire 100,000 veterans over the next five years. In addition, the biggest private employer in the U.S. said it would offer employment to any honorably discharged veteran within his or her first 12 months off active duty.
Be Original

In 2010, a 14-month-old child accidentally fell on a chopstick he had playfully placed into his nose. It did, indeed, puncture the roof of his nose and lodge into his brain. Neurosurgeons did successfully remove the chopstick, with little internal damage long term.

The nasal, or nasopharyngeal, swab for Covid-19 is a PCR (polymerase chain reaction) test looking for active infection, and remains the most accurate to date to assess for acutely infected individuals. This in contrast to the antigen, or rapid test, also performed as a nasopharyngeal swab, which is much less accurate, especially if the test result is negative (it has a very high false-negative rate). The antibody test, which is a blood test, is performed to detect evidence of prior infection, not active illness.

A 40-year-old woman in Iowa underwent a nasopharyngeal Covid-19 swab test as part of her preoperative clearance for an elective hernia repair. Soon after, she developed headache, nausea, vomiting, and clear watery drainage from the side of her nose where the swab had been placed. This was not the type of drainage one would get from allergies, a cold, or even a sinus infection. Picture your kitchen sink trickling out water if it’s not fully turned off. That’s what a spinal fluid leak can look like, which is what she had. In addition, the fact that a runny nose is just on one side is often a tip-off of something unusual. As published in the October issue of JAMA Otolaryngology, it turned out that she had had prior nasal polyp surgery two decades ago, as well as a history of disorder called intracranial hypertension, or increased pressure of the fluid surrounding the brain. The combination of these two entities led to a small defect in the bone between the roof of the nose and the brain, and she had developed a pocket of the brain’s lining prolapsing into the nose, known as an encephalocele. The sack of the encephalocele got nicked by the Covid-19 swab.

Radiologic imaging of her brain and sinuses demonstrated a one-inch area where there was no bony roof of her nose. Instead, there was an out-pouching of the brain’s lining, known as an encephalocele, filled with spinal fluid. The pouch got pierced by the swab, and just like piercing a water balloon that’s attached to a faucet, it immediately started leaking clear cerebrospinal fluid. Once this was identified, she underwent surgical repair of the defect in the bone, and the spinal fluid leak was controlled and repaired.

According to Dr. Jarrett Walsh, Assistant Professor of Otolaryngology-Head and Neck Surgery at the University of Iowa, and senior author of this report, “If the swab is introduced at an angle toward the skull base, then any defect in the skull base is potentially put at risk. Correct technique, following the floor of the nose, is exceptionally safe and will not cause skull base trauma.” When asked if he would recommend avoiding nasopharyngeal testing swabs in general, he thinks not: “Nasopharynx swabs, performed correctly, are safe...I think the group of patients that needs to exercise caution in testing are those who have had anterior (nasal) skull base surgery – specifically those who have had reconstruction of the anterior skull base. With missing bone between the nose and the brain, an errant swab could have significant consequences. This is the group that I would encourage considering an alternative testing technique, if it is available.”

When it comes to Covid-19 diagnostic testing, nasopharyngeal swab approach has been shown to be more accurate than oropharyngeal (oral) swab. However, in some cases, especially where a patient has had prior surgeries in the area between the nose and the brain, or prior injuries in that region, physicians will accept oropharyngeal testing for pre-procedure screening.

质量问题成社会热点 全民监督曝家居市场乱象

Follow me on Twitter or LinkedInCheck out my website

['s?:kjuleit]
“这可是短期内的大幅跃升:当我还是内政部长时仅有30个案例,今天则是1400。”

The report said there were now 594 dollar billionaires in China, putting China ahead of the United States' 535. However, none of China's super-rich make it into the global top 20.
加工食品、汽水和快餐商家将发展中国家市场视为他们最重要的发展机遇。与此同时,发展中国家的肥胖率以及与体重相关的疾病也在上升。一系列文章以巴西、加纳和哥伦比亚为例,研究了这两种趋势之间的相互作用。总的来说,这些故事揭示了“新的全球食品秩序和健康危机”。
卷铺走人的时候
从eBay的Magento电子商务系统、IBM和NetSuite等知名企业到规模较小的Shopify和Volusion等,很多科技公司都希望从中分一杯羹。但相对冷门的Bigcommerce正在悄悄引发关注并窃取市场份额。它吸引了超过7,500万美元的风投资本,其中4,000万美元来自企业家史蒂夫o凯斯的Revolution Growth公司。
In global health, 2016 will be remembered as the year a little known virus made a major impact. It felt strangely familiar, but this time it wasn't Ebola making headlines around the world, it was Zika - a mosquito-borne virus being linked to a huge spike in the number of babies in Brazil born with brain defects.
单词adamant 联想记忆:
米兰达·兰伯特,《浴室水槽》(Bathroom Sink),RCA Nashville
除了作为微信核心的私聊和群卿功能之外,用户还可以通过“漂流瓶”功能寻找新的好友,具体方法是录制一段信息装在虚拟的“瓶子”里扔出去,等陌生人捡起来回复。“查看附近的人”功能与一些手机交友应用相似,用户通过它可以浏览附近其他用户的资料。另外还有一个名叫“朋友圈”的功能,用户通过它可以将相册公开分享给好友群,跟照片分享应用Instagram很像。
深化农村改革。
Promote all-round economic, political, cultural, social, and ecological progress
Every year since 2003, Shanghai Ranking Consultancy has been releasing its rankings of the world top 500 universities based on third-party data.
《老友记》大部分剧集拍摄之时,手机和Google都还未普及,剧中的服装和道具现在看来也有些过时,但是,剧中的主题却依旧深得现在年轻观众的心。
施密特在接受采访时问道,“为什么我们接连看到如此多的创纪录温暖年度?这是因为地球正在变暖。根本的问题是,这是一种长期趋势,这种趋势不会消失。”
While the president emerged as the narrow winner on the night, the encounter, which was cordial and largely uneventful compared with the previous two debates, is unlikely to have much impact on the outcome of the election.