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Covid-19 Nasal Swab Test Led To Cerebrospinal Fluid Leak

Nina Shapiro

在去年的调查中,绝大多数经济学家预期欧洲央行将发起全面量化宽松政策,而今年33个受访者中有几乎快一半的人认为欧洲央行将按兵不动。其他人表示,欧洲央行将扩大量化宽松或下调利率,尽管在那些预期会有更多宽松措施的人中,一部分人强调这家央行不太可能从根本上重塑其现有的政策回应。
An odd assortment of S&P sectors led the market higher this year, with some strange bedfellows atop the leaderboard. Even if a manager had foreseen that the healthcare sector would gain 27% this year, would they have guessed that utilities would be in the No. 2 slot, with gains of 23%? Unlikely.
《海底总动员2》将于2016年6月17日上映。
该片根据同名童话故事拍摄而成,主要讲述了主人公毛各利的丛林奇遇,他试图在探险中发现自己。他在丛林中遇到很多生物(由众多演员扮演),正是这些生物使他的旅程变得异常艰辛。
While there is a still a way to go to ensure the LGBT community has the same rights as sexual couples, the world has moved on significantly in recent years. In fact, gay marriage is now legal for 60% of Americans. What about the other 40%, you ask? The List Love really believes the rest of the United States, and many other countries across the world – we’re talking to you, Russia! -will catch up soon.
Whatever one's view, two further points for and against Russia's global standing are undeniable:
This elegant, informative and borderline beautiful sentence is a reminder that despite the horrific nature of the entries below, clarity remains attainable.
在过去的二十年里,几起校园中毒事件引发了群众对学生心理发展及帮助的争论和关注。
Beijing is pushing hard to conclude the Regional Comprehensive Economic Partnership by the end of the year. The deal has long been called China’s answer to the Trans-Pacific Partnership and its bid for regional trade hegemony.
vigor(n 精力;活力)

Her subjects felt like they were waiting in a long line to reach the top of a hill where the American dream was waiting for them. But the line’s uphill progress had slowed, even stopped. And immigrants, black people and other “outsiders” seemed to be cutting the line.
好市多首席执行官克雷格杰利内克
He argues, however, that “US monetary policy is often just as important as domestic factors in explaining the incidence of EM crises, if not more important.”
One suggested change: require rent-stabilized tenants to verify their income.
n. 慈爱,喜爱,感情,影响
An independent gauge of China’s manufacturing sector edged lower in November, suggesting an uptick in activity at state-run companies did not extend to smaller and privately-owned factories.

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.

广东短租民宿市场火爆 专家:缺乏政策约束

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Are there any differencesbetween writing a light novel and writing an anime?
2. 美国页岩油。截至2014年底,美国页岩油日产量已经超过900万桶,比2007年增加了80%。这些页岩油是造成石油供给过剩的主要力量,而供过于求是2014年油价暴跌的诱因之一。总的来说,美国页岩油开采公司都搬起石头砸了自己的脚,但关键在于,西德州轻质低硫原油(WTI)价格跌破60美元对它们有何影响?页岩油钻机数量不断减少,相关开支也遭到削减,然而到目前为止,美国页岩油产量依然稳定。按照当前油价,这个行业能否维持产出水平,或者说美国页岩油产量会不会减少将对国际市场供应乃至油价产生重大影响。

本次也是QS世界大学学科排名的第六版,以破纪录的42个学科使其成为有史以来规模最大的一次排名。QS机构表示,本次排名结果来自于全球最顶尖的76798名权威学术专家、44426家雇主的综合评价,以及对全球最大文摘数据库Scopus中2850万学术文献及1亿1300万引用数据的分析。
In terms of individual commodities, coffee prices, which are trading at about $1.62 a pound, are expected to decline significantly, with an especially bearish outlook on arabica coffee.
Iron Man 3 is the highest-grossing movie of 2013 so far with $1.2 billion. But that’s not enough to put its star, Robert Downey Jr., on top of our list of the top-grossing actors. Dwayne “The Rock” Johnson beat him this year by working more.
据《重庆晨报》报道,经调查后,荣昌警方于4月29日以危害公共安全的罪名逮捕了周某。
So ladies, we have been warned. What would your response be?
她说道:“我认为,由于这家公司没有打击盗版或其他恶意修改游戏行为的能力,所以他们把一个14岁的孩子当替罪羊来以儆效尤。”
腾讯通过聊天软件QQ的渠道将用户吸引到它的网络游戏和网站上去。分析师说,类似的模式对于微信也有可能非常管用。他们也说,微信的“朋友圈”功能给它加进了社交网络的元素,有可能最终吸引到广告商。
The US remains home to the biggest brands and the value of its top 10 increased by 10 per cent to $1.3tn in 2016. The top 10 UK brands, headed by Vodafone, lost 8 per cent of their value. Those in continental Europe — led by Germany’s SAP software group — rose 5 per cent. Finally, the $360bn value of Asia’s top 10 brands, headed by Tencent, China Mobile and Alibaba, was only 10 per cent lower than the value of the top 10 in continental Europe and the UK combined.
Joss Whedon came up with the idea of Firefly while he was on a non-working vacation. He was reading a book called The Killer Angels which told the story of soldiers in the Battle of Gettysburg. Whedon was attracted to the idea of the difficulty of the soldiers' everyday lives. He liked that the author focused on the mundane details of how people survived when they didn't have all of their needs conveniently met by modern technology and commercialism.
The fact is, Hon Lik is not the first person to invent the e-cigarette. Way back in 1963, Herbert Gilbert made the world's first device that could be used to inhale tobacco-flavored air. In Gilbert's original version, there was no form of combustion and it was free of nicotine. He later designed a prototype that used a battery to create heat. He also used different flavors of water to create steam. He presented his prototypes to different chemical, pharmaceutical, and tobacco companies, but they simply turned down his prototypes.
3.You Spend More Time Surfing the Web Than Doing Your Job
特斯拉是一款富人车。在均价85,000美元的水平线上,可以说买特斯拉的人没人会在意汽油钱。特斯拉在续航里程上的短板,也说明了它绝对不会是车主家里的唯一一辆车。如果这些人的新鲜劲儿过去了,特斯拉的订单储备就会缩水,也会像其它厂商一样需要为销量打拼。
1950年巴西首次承办世界杯,由于要在家照顾卧病在床的母亲,巴西球迷朱蒂尔·桑乔·贝尔蒙特错过了巴西与乌拉圭的决赛。六十四年过后,贝尔蒙特用原版未曾使用的决赛门票换取了三张本届世界杯决赛的入场券。
AdWords puts advertising higher up Google's search results and on other websites. The advertiser only pays when someone clicks on one of these links.