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Coronavirus|

Covid-19 Nasal Swab Test Led To Cerebrospinal Fluid Leak

Nina Shapiro

devastating
2.Yeah, I’ll start working on that ASAP! – Because telling you I have 10 things to do first would just irritate you。
这是乔布斯从2000年6月到2008年9月的照片合集,显示了他健康状况的巨大变化。
Soon after he finished his duties, Sun heard loud voices coming from outside.
"I don't know what happened," Lowry said. "I just know I got a call for offensive foul. It happens. It's the NBA. That's all I can say about it."
n. 基金;资金,现金(fund的复数) v. 提供资金
South Africa's leader Jacob Zuma got a 4% raise in March, but his salary in dollar terms has actually dropped compared to last year, because of the fall in the south African rand.
5. Bank of America Corp.
The pear-shaped diamond named The Blue is 13.22 carats is estimated to be worth between $21-$25 million.
该项目曾在2006年荣获亚军,并在2008年斩获冠军头衔。

单词property 联想记忆:
根据一项针对技术发展的国家规划,到2020年时,研发经费的目标是要达到GDP的2.5%。
debut
2012中国创新人物奖中国互联网行业常常被描述成冒牌王国,尤其是对在中国被禁的那些公司的仿冒。中国搜索巨头百度(Baidu Inc.)的网站外观很像谷歌。腾讯的旗舰产品、即时信息服务QQ于1999年以OICQ的名字发布,与当时流行的即时信息服务ICQ功能相似。新浪(Sina Corp.)广受欢迎的微博总是被西方媒体说成“与推特(Twitter)类似”。
This summer, Noel will enter restricted free agency expecting to be compensated handsomely given his demonstrated defensive impact, untapped potential and lottery pick pedigree, even though he's logged fewer than 5,000 minutes during his career.
2. 大卫·维勒莱斯(David Virelles),《姆波克》(Mbókò),ECM。才华横溢的年轻钢琴手大卫·维勒莱斯继续着对非洲-古巴文化与仪式的深入研究,带着有条不紊的酷意与精神上的开放性。罗曼·迪亚兹(Román Díaz)担任打击乐手,这张迷人的组曲有着既古典又现代的深刻内涵。

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.

红星美凯龙 “去地产化”迎合市场 已经是非上市不可

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Stanford's Zhenan Baohas has developed a super-flexible, super-durable, and super-sensitive material that can be the basis for future synthetic skin. People have tried developing synthetic skin before, but Baohas's material handles touch sensitivity better than any predecessor. It contains organic transistors and a layer of elastic, letting it stretch without taking damage. And it's self-powered—this skin contains a series of elastic solar cells.
[reind?]

中国保监会表示“面临复杂多变的市场环境”,上半年实现资金运用收益仅2944.82亿元人民币,下降42.32%。
10. Economics is killing the economy, but like coke addicts we won't stop
Search giant Google has replaced iPhone makers Apple to be the world's most valuable company in the Brand Finance's Global 500 2017 report.
多达10000份影片(一个虚构CIA刺杀北韩领袖金正恩的喜剧片)和500000份宣传单将会在3月26号左右通过气球投放。
8. Am I playing too hard? A lack of motivation to accomplish certain things can throw you off balance or make you feel stressed out and pressured later on. Taking breaks is very necessary, but if you take so many breaks that your productivity level drops, or you get into the habit of procrastinating too much, it might be time to balance out your schedule so that you will get a generous amount of things done and still have time for breaks and leisure.
并非所有评委都认同该书提出的解决方案,但无人质疑其论点的力量。
1. “暂时没有名字的泡沫”引发30年来的最大规模崩盘
小贝现身纽约时装周 为凯特选嫁衣?
1. 仅根据薪水选工作
? Aid workers are worried about a food crisis in Haiti, where Hurricane Sandy killed 52 people last week. The UN is also concerned that flooding could lead to a sharp rise in cholera cases. At least 69 people were killed by Sandy in the Caribbean.
事实是,韩力不是第一个发明电子烟的人。早在1963年,赫尔伯特·吉尔伯特就制造出了世界上第一个可以用来吸入香烟味儿空气的装置。他最初的发明装置,不用燃烧,也不含尼古丁。他后来设计出了一个用电池去加热的模型,他也用了不同味道的水去制造蒸气。他把他的电子烟模型展示给不同的化工、制药以及烟草公司,但是他们都没有理会他的模型。
4. Fruit Mold
We will continue to encourage people to start businesses and make innovations.
单词campaign 联想记忆: