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Coronavirus|

Covid-19 Nasal Swab Test Led To Cerebrospinal Fluid Leak

Nina Shapiro

4. Smart trashcan
I only want you for New year!我只要你作为我的新年礼物!
With best wishes for a happy New Year!
国家统计局高级统计师绳国庆将这一下滑主要归因于食品价格下降了1.4%,这是15年来的首次下降。
In the month since her death, police have not said whether she accidentally pulled the trigger or was shot by someone else in the room.
公司:The Grommet公司
Managers are able to reward their subordinates in unique, personalized ways thanks to the budget they receive from corporate. Two examples of past bonuses: free trail rides at an equestrian stadium and a barbeque with lassoing and horseshow throwing lessons.
People promoting driverless cars, the most hyped industry segment of the moment, became world leaders in verbiage. Elon Musk claimed to be “laser-focused on achieving full self-driving capability on one integrated platform with an order of magnitude greater safety than the average manually driven car” (ie Tesla cars must stop crashing).
考虑到猛龙现有的轮转人员,伊巴卡和塔克的到来使猛龙的防守大幅度提升了。鉴于洛瑞和德马尔-德罗赞一到季后赛得分效率就下降的黑历史,这两笔交易也给了主教练德韦恩-凯西足够的武器用来拿下那些季后赛胜利。
n. 莴苣,生菜,纸币

为了解决上述问题,报告建议应尽快制定电子商务法。同时,该报告还呼吁应建立一个在线信用体系,以此加强对电子商务行业的纪律监督。
The leadership changes across the industry will be of particular interest to female consulting professionals, given none of these firms have ever been run by a woman. Consulting firms are vocal proponents of the business case for improved gender diversity at the top of large companies. It will be interesting to see if any of them decide to practice what they preach.
vt. 控制
The Female Warlord Who Had C.I.A. Connections and Opium Routes
就毕业3年后的学员薪资而言,德国的管理硕士课程排名居前,有3所商学院进入前4名。奥托贝森管理研究院(WHU Beisheim)的毕业生享有薪酬最高的名声,平均薪资为9.8123万美元。
如果有什么电影能够至少在两个小时里,为美国生活中深刻的种族、代际与阶层鸿沟架起桥梁,那可能就是这部古老的《洛基》(Rocky)系列的复活影片。西尔维斯特·史泰龙(Sylvester Stallone)拖着脚步,饰演这个聪明的老教练角色,给出了他演艺生涯中或许是最松弛、最温暖的表演。迈克尔·B·乔丹饰演洛基的被保护人阿多尼斯·约翰逊(Adonis Johnson),他也是洛基一度的竞争对手和早已丧失的朋友阿波罗·奎迪(Apollo Creed)的私生子,他成了我们这个时代重要的影星。至于库格勒,这是他执导的第二部唱片,证明他是一个真正的斗士。

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.

京沪深步入存量房时代 热点城市或面临量价回调

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The Wizards need to surge ASAP if they want to stay in this. We saw what happened last year when they waited too long to get it together.
在过去三年里,夏威夷航空公司的航班延误率只有6.92%,几乎是排名第二的阿拉斯加航空公司的一半——这家公司的航班延误率达到11.27%。

据周一发布的一份报告显示,伴随对教育和研发的投资正在不断转变为新的专利和许可,中国首次跻身世界最具创新力经济体前25强。
自2017年初,金价上涨了15%,交易价为每盎司1334.78美元。
“The First Amendment’s Free Speech protections apply only to violations by public entities, and since Harvard is a private university the First Amendment does not apply,” she said.
The Queen would have been down the stairs like a shot as soon as the aircraft came to a final halt.
同时,根据这一最新调查显示,2015年我国男女比例的差距也有所缩小。从性别构成看,男女人口性别比例已由2010年的105.2降至去年的105.02。
Intel welcomes its new employees to the company by rolling out the red carpet -- literally -- once a quarter. During the first day of orientation, hires walk along a pathway lined with Intel Studios' photographers and videographers before introducing themselves onstage and receiving their welcome packages (and a round of applause from an audience of new colleagues).
然而,主要榜单上的排名大幅上升不会自动转化为欧洲商学院排名的上升。例如,牛津大学(University of Oxford)萨伊德商学院(SaBusiness School)在MBA榜单上的排名上升1位,在开放招生EMBA课程的排名上升5位,在EMBA榜单上的排名上升12名,首次进入该榜单前十名,但其在欧洲商学院榜单上的排名没有变化,依然是第10名。
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这两个非比寻常的性玩具将在美国旧金山亚洲艺术博物馆即将举办的展览中展出。
Much of the boost in exports came from shipments to the US, which grew for the first time since March at an annualised rate of 6.9 per cent to $36.8bn. Among other destinations that swung back to growth last month was the the EU, shipments to which rose 5.1 per cent to $29.9bn, as did those to Japan, by 3.2 per cent to $12.2bn.
“我们的目标是修建尽可能多的单元,同时确保这样做能够维持和提高居民社区的健康运转。”城市规划部(Department of City Planning)部长卡尔·魏斯布罗德(Carl Weisbrod)说。
乔纳森·格雷泽导演的《皮囊之下》讲述的是一位美丽又可怕的外星人的故事,她本身美丽,恐怖而且是个外星人:这是一部完全与众不同的,残暴的色情电影。乔纳森·格雷泽以前导演的优秀作品仅仅只是为这部电影做的局部模糊的铺垫。他的《性感野兽》(2000)是一部令人视觉上满足的,兴奋的,充满智慧的犯罪惊悚片,它超越了那个年代操着方言的悲剧老头的模式。《重生》(2004)有着库布里克式的精致与阴冷,电影中的一些画面,十分出色;它是一部值得奉为经典的电影,但尚未实现。接着十年过去了,对那些电影事业一直无法实现的人,格雷泽似乎成为他们的设计师。(天知道,这种事情总发生在那些有天赋的人身上)。
"If reform implemented 30 years ago solved the problem of ideology, then, at present, reform is to solve the problem of interests. Reform at present is actually like cutting our own with a knife, and we all need to be determined and must strengthen our confidence." WANG YANG, NPC deputy and member of the Political Bureau of the Communist Party of China Central Committee