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Covid-19 Nasal Swab Test Led To Cerebrospinal Fluid Leak

Nina Shapiro

"While most Chinese brands remain unknown to the outside world, within China they are establishing themselves with ever more sophisticated campaigns," said Rupert Hoogewerf, Hurun Report chairman and chief researcher.
As PC use declines, infecting them with viruses just won't be as much fun any more. I'd expect to see malware, worms and viruses jump onto tablets and phones. As a consequence, we will all have to start protecting our devices more assiduously.
Two of Summly’s employees will move to Yahoo’s California headquarters, but – for now – Mr D’Aloisio is resisting the lure of Silicon Valley.
8. A lovely flower doesn’t belong to the one who appreciates it, but to the dunghill it grows on. (“To stick a lovely flower in the dunghill” is a popular Chinese saying, normally used to describe the common social phenomenon of a pretty girl marrying an ugly but rich guy).
歌词有点蠢,但是谁在乎呢?汤姆·琼斯自顾自的演唱,将《雷霆杀机》的主题曲以一种柔中带刚的方式演绎出来,充满力量而又蛊惑人心。你会觉得邦德在诱惑你的时候会在点唱机上点这样的歌。还有其他更好听的007电影主题曲,但是只有这首是由男歌手演唱。也许汤姆·琼斯经常会和詹姆斯·邦德一同出去喝干马丁尼。他们是最佳拍档。
Foreign investment in emerging markets has dropped to the lowest level since the financial crisis as investors are braced for the fallout of the first US interest rate rise in nearly a decade.
我们完全有能力扩大就业,不会也不允许出现大规模群体性失业。
俄罗斯总统普京说,无论谁在明年的美国总统大选中胜出,他都希望改善与美国的关系。
This year, online storefronts will generate an estimated $294 billion, or approximately 9% of all U.S. retail sales, according to forecasts by Forrester Research. By 2018, e-commerce will account for more than 11% of the total, or approximately $414 billion, with transactions made with tablets and smartphones accounting for about 20% of the online total, Forrester projects.
联系方式:Staci Donegan and Peter Westley, Celia Dunn Sotheby’s International Realty, (912) 247-2052 / (912) 660-5169; celiadunnsir.com

n. 基金;资金,现金(fund的复数) v. 提供资金
['depjuti]
当汤姆?雷文斯克罗夫特(Tom Ravenscroft)在2007年拿到经济与管理学位离开牛津大学(Oxford)的时候,他希望当一名管理顾问。而且他也在实习后收到了奥纬咨询(Oliver Wyman)的录用通知。他说:“除了进入商界,我对从事什么职业没有任何想法,职业在那时候还是一个非常模糊的概念。”
中国工业和信息化部副部长毛伟明在一次新闻发布会上说:“在我国经济发展进入新常态的形势下,工业面临着下行压力加大、结构不尽合理、创新能力较弱。”
伦敦商学院重回榜首,一定程度上归因于毕业生薪资水平最高,达到16.7万美元,同时性价比排名第二。该学院在国际课程体验方面排名第一,在校友流动性方面排名第二。
As we ring in the New Year, let’s take stock of where we are at with the oil markets. 2014 proved to be a momentous one for the oil markets, having seen prices cut in half in just six months.

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.

多地推出创新举措 促进住房租赁市场健康发展

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n. 城堡
直播平台的观众可以给主播送需要花钱买的虚拟礼物。礼物的价格从0.1元到1000元不等。直播平台从中抽取一定比例的提成。

In the 2013 survey, Tokyo reclaimed the title as the world's most expensive city. Currency swings pushed Zurich into the No.1 position last year but government exchange rate controls have driven the Swiss city back to No.7 in the list. Osaka in Japan was ranked the second most expensive.
关于7月9日的枪击案,调查人员已逮捕两名年轻人,其中一名18岁。
Frederickson说:“人们远离职场越久,他们想要再次踏入就越难。”
移动端取代网页端。
第六步 找到你的“花生”
4.不推崇微化管理
“我明天还要上学,不能晚睡。” 张天羽如是说。
2013美国就业前景最好的州:亚利桑那州,德州
ac+com全部+pli满,填满+ish→全部弄满→成就+ed→有成就的,有造诣的
First there was SARS, then the global spread of H5N1 flu and now the H1N1 flu. Globalization is not helping, either. The earth now is truly a village, making it easy for a virus to travel from Beijing to Boston in a matter of hours. Will another epidemic arrive in 2010?
Pyongyang, which refers to Park as "human scum' has long condemned the balloon launches and in recen onths has stepped up its demands for Seoul to ban them.
我们要通过“互联网+政务服务”,让群众少跑腿、少烦心、多顺心。
8 April
Inflation (and deflation) won't rear its ugly head Surging oil production — along with slower global growth — has caused the price of petroleum to collapse from more than $100 a barrel last summer to barely $50 a barrel at the end of 2014. The effect has been to reverse an uptick in U.S. inflation earlier in the year.