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Covid-19 Nasal Swab Test Led To Cerebrospinal Fluid Leak

Nina Shapiro

Of the 27 provincial-level regions that outpaced the country's 6.7% GDP growth in 2016, only three regions - Chongqing, Guizhou and Tibet - achieved double-digit growth.
You'd love to know the balance of forces that shape and move your ponytail, right? That's why Joseph Keller, Raymond Goldstein, Patrick Warren and Robin Ball received this igNOMINIOUS prize!
['uld?]
But industry watchers say that view misses an area where China goes toe-to-toe with Western rivals in innovation: extra features that make the Chinese version more interactive and more interesting to use.
上周四公布的一项数据显示,两所中国顶尖大学跻身今年《泰晤士报高等教育专刊世界大学声誉排行榜》的前20名。
10.Firefly was Inspired by Gettysburg
n. 社交聚会
12岁女孩发现古埃及护符
201007/109869.shtml
但由于受到英国脱欧的影响,英镑大幅贬值,英国首相的收入换算成美元后也在大幅缩水。

我知道你们中很多人在公司里曾经找到过自己的前任。但是,这不是放之四海皆准的规律。搞办公室恋情可能会对你产生不好的影响。
您只需轻轻一挥将它们放飞,泡沫气球就会自己飘向空中。
n. 免疫,免疫性,免除
It also said 98 percent of government-sponsored students returned to China. Government-sponsored students who study abroad have chosen to pursue disciplines most needed in China, including engineering, the pure sciences, agriculture and medical science.
Part of the appeal of online programmes lies in their flexibility, reach and slower pace of delivery than cam-pus-based MBAs. Apart from IE, which imposes an 18-month time limit, participants have on average about five years to complete their degrees.
我是否徘徊过去?回顾过去,沉迷于我们遗憾或者错过的事情是非常诱人和几乎令人不由自主的。学会放手,只专注于当前发生的事和你今日将要面临的选择吧。

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.

厂商疯狂促销“难燃”市场热火 LED照明产业如何度过危机?

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节目21 歌曲《幸福》,毛阿敏
1. “暂时没有名字的泡沫”引发30年来的最大规模崩盘

马丁沃尔夫(Martin Wolf)
The prince said authorities could recover as much as $100 billion in settlements.
"过去,大熊猫很难进行圈养,但是经过成都熊猫基地和世界各地许多动物园的通力合作,人类已经攻克了这个难题。目前世界上已经有了将近400只人工大熊猫。" 马文如是说。
vt. 管理,调整,控制
煽动家是民主的软肋。
伦敦博蒙特·内森顾问公司(Beaumont Nathan)的联合创始人雨果·内森(Hugo Nathan)说:“新投资者对早期绘画大师的作品有兴趣,不过他们想要的是杜维恩(Duveen)卖给强盗大亨们的作品。他们想要名作。”他指的是英国艺术交易商约瑟夫·杜维恩(Joseph Duveen),他把很多伟大的艺术品带去了美国。
请做好准备随时当他的救世主。
MasterCard says its index reflects the interconnectedness of major global cities and tracks the ways in which business and leisure jet-setters spend their money.
The EU’s Americas gambits
11. Another 26 Favorites — because why not? Many of these could have made my top 10 on another day. “’71,” “Amy,” “Anomalisa,” “Blackhat,” “Chi-Raq,” “Ex Machina,” “Experimenter,” “Gett: The Trial of Viviane Amsalem,” “The Good Dinosaur,” “The Great Man,” “Inside Out,” “Joy,” “Lost Landscapes of Los Angeles,” “Magic Mike XXL,” “Office,” “Results,” “The Revenant,” “Seymour: An Introduction,” “Shaun the Sheep Movie,” “Spy,” “Straight Outta Compton,” “Tangerine,” “Timbuktu,” “Trainwreck,” “White God” and “The Wolfpack.”
我判断摆烂不是看言论而是看球队动作的。所以,即使球队说他们没有摆烂,但是签了一大批落选的自由球员,同时报告明星球员伤病缠身,这时候你就知道,他们是在摆烂了。
尽管随着2014年末几项官司尘埃落定,手机专利战争似乎已经降温,但新年伊始,苹果与爱立信就又在无线通讯的专利费率上爆发冲突。黑莓过去就是一家热爱诉讼的公司:他们甚至因为名人瑞安o西克雷斯特设计的手机键盘而起诉他。但近些日子以来,公司更多地把工作重心放在了让智能手机消费者相信他们的技术依旧很棒,或至少很有意义上。
与去年相比,亚马逊(Amazon)、星巴克(Starbucks)和Facebook今年的品牌价值飙升。亚马逊的品牌价值增长59%,至990亿美元,排名第七,Elspeth Cheung表示,这在一定程度上源于其创造需求、而不仅仅是满足需求的能力。她表示,亚马逊的一小时送货服务对其他零售商加快送货速度构成压力,同时这家在线零售商进入物流领域对联合包裹(UPS)、联邦快递(FedEx)以及DHL等快递公司构成威胁。
毕业3年后的平均薪资和薪资涨幅是主要的标准,各自占到排行榜权重的20%。在排名前25名的商学院当中,大多在这些标准中至少有一项得分较高。如果去掉平均薪资和薪资涨幅这两项标准,排名前十的商学院大多仍排名前十。只有南洋商学院(Nanyang Business School)和中欧国际工商学院(China Europe International Business School)例外,它们在博士和研究这一项上表现不佳。