HTTP/1.1 200 OK Cache-Control: no-cache, private Content-Type: text/html; charset=UTF-8 Date: Sat, 05 Dec 2020 04:57:13 GMT 私库aⅴ
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

尽管俄罗斯假装把再平衡的重点转向亚洲,但是从其对乌克兰的做法可以看出,它仍然在权衡自己的力量以对抗西方,尤其是美国。
But shipments to other destinations fared far worse, particularly those to re-exporter Hong Kong, which saw the dollar value of exports from China contract 26.3 per cent year on year to $33.84bn. Shipments to EU countries also fell 4.7 per cent to $33.5bn, while those to Japan dropped 5.5 per cent to $11.27bn.
1. 2012年搞笑诺贝尔奖之心理学奖
普斯·格洛(Pussy Galore)在本书中回归,这也是首次有邦女郎在邦德身边昙花一现后,拥有了自己的故事线。
No. The Bank of Japan’s life will get tougher in 2018 as the US Federal Reserve tightens policy and widens the interest rate gap with Japan. But governor Haruhiko Kuroda is determined to hike rates in response to one thing only: inflation. The BoJ may let the yield curve climb a little if prices start to accelerate, but real interest rates in Japan will end 2018 no higher than at the start of the year.
Hillary stays on: Clinton’s CV is chock full of firsts: The only first lady to become a U.S. senator turned viable presidential candidate turned secretary of state. Now a private citizen, she continues to be one of the most watched and listened-to women on the planet. All bets on that she will be the 2016 Democratic presidential candidate and the free world’s presumptive next leader. She’s done little to quiet the chatter, including hitting the speaking circuit last month at an estimated $200,000 fee per event and inking a reported $14 million book deal.
I am afraid to go out in the sun now because of the holes in the ozone. I am afraid to breathe the air because I don't know what chemicals are in it. 我现在害怕晒太阳,因为臭氧层出现了空洞。我现在害怕呼吸空气,因为我不知道那里有多少化学物质。
在中国,微信还吸引了越来越多的高端用户。腾讯过去在这个群体当中并没有多高的份额。
2014年、2015年的研发经费增速分别为9.9%和8.9%。研发经费在去年国内生产总值(GDP)中的占比为2.11%,比上年提高0.05个百分点。
莱昂纳多凭借他在《荒野猎人》中的演出斩获最佳男演员奖项,打败了埃迪雷德梅尼等劲敌。埃迪凭借在《丹麦女孩》中的演出获得金球奖提名。坊间盛传小李子有望在今年夺得他人生中第一座奥斯卡奖杯。

《至暗时刻》
据中国电影监察机构日前表示,2016年中国票房总额有望超过2015年的440亿元人民币(折合68亿美元)。
At the same time, entries for gout jumped by just over a third – a disease associated with "ease and comfort" in Victorian London, now more likely to be linked with deprivation and lack of work.
The malaise was not confined to those picking individual stock winners. Through December 1, aggregate hedge fund returns trailed the market to the point of farce. According to data compiled by Bloomberg, hedge funds were up an average of 2% on the year, just barely offering the coupon rate of a risk-free 10-year Treasury note. Over 1,000 funds are on track to close down in 2014, the worst year for liquidations since 2009.
贸易往来令中国该月贸易顺差达到408.2亿美元,比预期低大约72亿美元,也比11月份修正后442.3亿美元的水平(修正前该数字为446.1亿美元)低了36亿美元左右。以人民币计的这一顺差则为2754亿元人民币。
但是,在秀台上和零售店里,那种情感上的认同消失了。那么,我们还剩下什么?

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.

58集团发国民安居报告:超7成城市群体希望买三居室户型

Follow me on Twitter or LinkedInCheck out my website

DeMarcus Cousins, Serge Ibaka and Lou Williams were all dealt in advance of Thursday's 3 p.m. ET deadline, leaving role players like Taj Gibson and P.J. Tucker as the biggest names to move right before the buzzer.
With the right tools in place, you’ll find yourself more productive and efficient.

单词allure 联想记忆:
syndrome
commerce商业+ial表形容词,“有…的”→商业的
Bubloons are a hybrid between bubbles and balloons.
英国国家电网(National Grid)的教育和技能主管托尼?莫洛尼(Tony Moloney)表示,参与该项目是国家电网旨在鼓励学校学生学习STEM科目(科学,技术、工程和数学)以及熟悉本领域工作的总体计划的一部分。
Chinese people are intelligent and hardworking and they have an inexhaustible drive for pursuing a better life for themselves. The government needs to create the enabling environment for our people to fully use their talent and initiative.
The result doesn't look much like a nose—it's a bottle filled with liquid nutrient that cultivates bacteria. But give the “nose” a blood sample and let it sniff for a few days, and the bottle's dots will change color to indicate what bacteria, if any, it identifies.
Izabella Kaminska
大宗农产品投机交易一直是今年市场波动的一个特点,荷兰合作银行预测,这种趋势将继续。
潘通在解释这一选择时提到以下这些因素:“主张性别平等和流动性的社会运动;消费者越来越喜欢把色彩当作一种表达方式;这一代人不太在意被认定为某一种类型或遭到评判;公开的数字信息交流让我们看到颜色使用的不同方式。”
Each film Wes Anderson makes seems to exist in its very own universe. And “The Grand Budapest Hotel,” set mainly in the 1930s, uses distinct elements and props to help define its world.
《蓝色茉莉》(Blue Jasmine):按年代顺序排列,本片属于导演伍迪?艾伦(Woody Allen)自我更新晚期的作品。不过,从艺术角度看,该片算得上是伍迪?艾伦作品中最优秀的喜剧之一。该片的卖点是凯特?布兰切特(Cate Blanchett)的出彩演绎,曾在《欲望号街车》中出演布兰奇?杜布瓦(Blanche DuBois)的凯特?布兰切特这一次出演女主角茉莉,离婚后精神状态有些癫狂。亚历克?鲍德温(Alec Baldwin)在剧中扮演茉莉的丈夫,是一个类似于马多夫(Bernie Madoff)的行骗者。其他人物方面,在经历了欺骗和失望后,莎莉?霍金斯(Sally Hawkins)、安德鲁?戴斯?克莱(Andrew Dice Clay)鲍比?坎纳瓦尔(Bobby Cannavale)以及路易?C.K(Louis C.K.)等人扮演的角色最终都找到了自己的方向。
愿新年为你带来快乐,友爱和宁静。
交易员们纷纷退出:“不可持续趋势苟延残喘的时间可以远超多数人的预期,但时候一到,在周期的顶点,它们还是会结束。”他们分析了20多种周期,“差不多无一意外地预示未来数月、数年将发生地壳运动”。