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Covid-19 Nasal Swab Test Led To Cerebrospinal Fluid Leak

Nina Shapiro

Over at Huffington Post Mark Gongloff warns: That 'dramatic downgrade of U.S. economic growth in the first quarter revealed the economy's lingering weakness, exposed the folly of Washington's austerity obsession and slapped the Federal Reserve's newfound optimism right in the face.' And with politics deteriorating, it'll get worse.
But what about the tens of thousands of Irish fans? They're out of control.
上榜理由:被低估的欧洲瑰宝
一些智能的床会让你有更好的睡眠质量和睡眠姿势,但也会让你变成一个检查配偶是否出轨的私家侦探。除了检测这个床垫是否舒适,它会在有其他人占用你的床的时候提醒你。
单词outrage 联想记忆:
v. 从事运
数据显示,在欧洲外的最受游客欢迎20大目的地中,游客的消费主要用于购物,而非就餐。尽管其中很多是世界著名的美食之都。
一只五人帅哥音乐剧组合Callabro赢得了大众的青睐,赢得了最高选票,成功卫冕。与此同时,他们还获得了250,000英镑的现金奖励,还获得一次在皇家面前表演的机会。
Money Matters
游戏平台:Xbox One, Xbox 360

“These are turbulent economic times, and yet we see Chinese companies acting with confidence and continue to make major moves in Europe and North America,” he said.
The results are based on a survey of 15,870 people across the country in August and September.
extravagant
愿新春美景与欢乐常伴随你!
[grɑ:nt]
By 2020, annual box office sales are expected to reach 100 billion yuan, according to industry estimates.

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.

佛山“煤改气”大限将至 部分陶企难达国标

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他在一则电话采访中向汤森路透基金会透露:“外出打工应该只是一个选择。但是对于2亿人来说,却是没得选择的选择。”
17 November

What growth dollar exports did see among major trading partners came from shipments to the US, which rose 5.5 per cent year on year to $37.06bn. Exports to South Korea also showed growth of 8.3 per cent to $10.2bn.
耶路撒冷小女孩参加“圣殿山筛选项目”考古活动时,发现一古埃及护符。
Regulators clamped down on outbound deals following an unprecedented flood of offshore acquisitions in 2016 that drained China’s foreign exchange reserves. In August this year, China’s cabinet formalised a new framework that encourages deals that fit Beijing’s strategic priorities and discourages deals in entertainment, sports and luxury real estate
据中国在线招聘服务平台智联招聘发布的一项调查显示,2017年应届大学毕业生平均签约月薪为4014元(582美元),签约在一线城市的应届毕业生约占三成。
The programme has enabled me to take a quantum leap in my career and prepared me to take on a strategic C-level [chief-level] role right after graduation, said another alumnus.
'What I was trying to do was wrap myself in his mantle and write a book that would be worthy of him.'
n. 经营方法,行为态度
[flait]
我以前曾有过一款安卓手机(尽管2009年以来我一直用的是MacBook笔记本电脑,这种搭配挺诡异的,我知道)。自从今年夏天换了iPhone以后,我马上意识到了iPhone“提醒”的力量。每次有提醒事项时,iPhone就会振动起来,然后显示一个弹出窗口,你可以暂停它,或者把它标记为已完成。另外你还可以设置重复提醒,用来提醒你邮寄每个季度的税单、更新订阅、领薪水等容易忘记的事再好不过了。
如果此时打断老师讲课不太合适,你可以快速记下自己的问题,以免忘记,之后再问老师。
●"Trump Offering Free One-Way Tickets to Africa & Mexico for Those Who Wanna Leave America"
北京市旅游发展委员会指出,污染问题是中国在吸引外国游客入境旅游的过程中面临的又一障碍。
They should be. We agree on that.
While organizers of the show attempt to get it back on track following a string of problems obtaining visas for models and performers such as Gigi Hadid and Katy Perry, now they're also claiming that their e-mails are being intercepted by Chinese authorities.