HTTP/1.1 200 OK Cache-Control: no-cache, private Content-Type: text/html; charset=UTF-8 Date: Tue, 24 Nov 2020 15:07:10 GMT gayv
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

This year, several professions geared toward serving the financial and health needs of an aging population made the top ten, says Lee, including audiologist, financial planner, and physical therapist.
Former Disney star-turned-wild child singer Miley Cyrus followed as the number two 'celeb gone good', according to the website. Father-to-be Channing Tatum came in third.
Supply-side structural reform: Cutting overcapacity, destocking, deleveraging, reducing costs and identifying growth areas
Mr Cahan said that the vision and technology behind Summly’s machine-learning and natural language processing abilities were “equally impressive”.
Three of former US president Barack Obama's tweets were among Twitter's list of 10 most retweeted this year, while none of current US President Donald Trump's tweets made the list.
飞速变化的效应
You don't know how to fix the holes in our ozone layer. You don't know how to bring salmon back up a dead stream. You don't know how to bring back an animal now extinct.And you can't bring back forests that once grew where there is now desert. If you don't know how to fix it, please stop breaking it! 您不知道怎么去修补大气的臭氧空洞,您也不知道怎么去从死亡的河流中拯救鱼类,您更不知道如何把灭绝的动物复苏,您也不能把沙漠中从前完整的森林带回来。如果您不知道如何拯救,那么请您停止破坏吧!
立场:为禁止员工在家上班进行辩解
位居榜单第三的是史蒂夫·卡瑞尔(Steve Carell)。《卑鄙的我2》(Despicable Me 2)在今年大获成功,斩获票房9.19亿美元。该电影系列累计已取得14亿美元的全球票房,该系列第三部《小黄人》(Minions)也即将上映。卡瑞尔今年还出演了小制作独立影片《迷途知返》(The Way Way Back)和《超级魔术师》(The Incredible Burt Wonderstone)。后一部影片的票房虽未能赚回制作成本,但是我们这里只关注票房收入——该部影片为卡瑞尔2013年的电影票房收入又添2,250万美元。
脸型。不要吃!要瘦!瘦出能切开黄油的颧骨。

失宠行业
['letis]
It has now entered the top 20 for the first time.
多年以前,布莱恩·克兰斯顿还未在《绝命毒师》中饰演沃尔特·怀特,他曾和哥哥一起在一家餐馆打工。那儿的主厨是个非常刻薄的人。2011年,在马克·马龙的电台节目里当播客时,克兰斯顿如此描述道:"无论你对他多好,他还是讨厌你。"因此,所有的服务生平时都在谈论着如何谋杀他。克兰斯顿说这就是"他们平时讨论的所有内容"。
['breik.θru:]
你花在上网上的时间多于你工作的时间

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.

智能马桶统一标准有望年内出台

Follow me on Twitter or LinkedInCheck out my website

John Williams's classic score still raises goosebumps over 40 years after this summer blockbuster hit theaters. Jaws preys on our primal fear of the unknown in deep waters, showing a small beach town ravaged by a series of attacks from a single killer shark. In recent years, environmentalists have stressed the generally nonthreatening nature of sharks, which kill an average of just eight swimmers each year.
金维刚补充说道:“去年前三季度职工平均工资增长幅度大致在6.3%,而我国2016年GDP增速则为6.7%。这两项都要比之前一年有所下降。”

5. bedazzled / a . 眼花缭乱的。
[in'spai?ri?]
It replaces strollers and big backpack carriers that might even make it heavier or cumbersome for you to take your children out.
We should stipulate at this point that neither of us have any idea how good this draft is going to be because the college season is barely underway. It sure looks nice, what with all those freshmen stacked up together in the lottery.
提到MeToo行动,麦高恩说:“他们都是混蛋,不是冠军,一群失败者,我不喜欢他们。”
中国最近正在进行大规模的经济改革。 2013年11月15日,中国推出了一系列以市场经济为导向的社会和经济上的改革政策,在一些国有经济中引入了私有经济参与和国际竞争。同时一胎化政策放松,为中国和中国人民带来了更多的机会,激发了希望和梦想。
许多经济学家认为,欧洲央行(ECB)不会在2016年加大其1.46万亿欧元资产购买计划的规模,尽管该行行长马里奥德拉吉(Mario Draghi)保证额外的货币政策刺激仍是选项。
Two arrests have been made in connection to the shooting death of 14-year-old Lecent Ross, police said Thursday.
Coca-Cola said that the consumer slowdown in China had hit sales, and weaker demand was forcing it to drive down inventory.
读:炸-震动
That cold was drawn into the interior of the country by a loop in a current called the jet stream that allowed Arctic air to spill southward. But an offsetting kink allowed unusually warm tropical air to settle over the West, large parts of Alaska and much of the Arctic.
9.Carol and Susan's Wedding in Friends
[ri'frid.reit?]
《每日经济新闻》引用一位专家的话称,银行业已经经历了一个低利润增长期,并且将持续很长一段时间。该专家表示,在过去的十几年里,银行业每年净利润增长达到35%至40%。但现在每年都不到1%,甚至有的银行都进入亏损状态。