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Covid-19 Nasal Swab Test Led To Cerebrospinal Fluid Leak

Nina Shapiro

“Right now the fitness tracker isn’t on that list,” he says, “but the next generation of wearables has the potential to pass that critical milestone.”
Dachis says: Zynga struggled to maintain its momentum and diversify its business in 2012. The difficult year was evident in reduced brand discussion and an increase in negativity from product shutdowns that leave the game company with a lot of work to do in 2013.
愿你所有的新年想都成真!
5. "Dexter" (3.1 million)
土豆网上有关于这个的记录电影,还有11集中英对照的片子,有兴趣的亲可以找来看看。
Apple's brand value rose 5 percent from a year ago to $178 billion and Google's brand value was up 11 percent from a year ago to $133 billion, according to the report.
James Bond Themes 3. "Skyfall" by Adele
玛莎·切利取出嘴里的香烟,喃喃低语:"我也曾经这么想过。"说完便又抽起了烟。马克震惊了(我们想象一下,当知道你的亲生母亲可能会在你沐浴时杀了你,这反应很正常)。马克第一次意识到家庭主妇会变得多么绝望和孤独。接着,他就想到这会是电视剧的一个好素材。这次谈话便开启了《绝望主妇》的制作。
As it happened, the lenders to Seppenwolde never lost a guilder. Within weeks, they had liquidated all the East India shares and had recovered the money they had loaned.
As per their findings, the recovery mechanism based on reset SMS codes recorded a success rate of 81%, while the method relying on backup emails proved to be efficient in 75% of the cases.

今年,全球2000强企业来自62个国家,比起2003的首届排行榜的46个国家数量上升了。这些企业总共创造了38万亿美元的营收及3万亿美元的利润,总资产达161万亿美元,总市值则达到44万亿美元。
我发现自己经常担心一些事情
不像那些狂热追星的小女孩,玛蒂认为她一直都能保持着冷静的头脑,即使在格莱美颁奖典礼这种场合。因为她将自己视为一个明星,所以她需要表现得体。
The developer behind Kinect Disneyland Adventures and Elite: Dangerous is taking the theme park business to the extreme in ScreamRide. The game lets players build outrageous roller coasters, thrill rides and attractions from the ground up and then take them for a test run. The game offers three ways to play: Engineers can construct elaborate rides that test the boundaries of physics and g-forces; Scream Riders get on these rides and experience the thrills and spills first-hand – sometimes resulting in untimely deaths; and Demolition Experts can use any means necessary to tear down an entire amusement park. With classic PC games like Roller Coaster Tycoon now playable on smartphones, this next generation of thrill-ride creator is a welcome interactive experience. It’s always fun to build, ride and destroy roller coasters – and ScreamRide offers plenty of ways to share the thrills with your friends.
manifesto
Average age: 33 in Philadelphia, 36 in San Francisco

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.

智能家居掀起行业革命 跨界家电抢风头

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SIZE: 5,003 square feet total
单词jar 联想记忆:

Granted, it is easier to remake something than to make something new. Anyone who has faced a blank page knows that. But if fashion’s ubiquitous default to the 1960s over the last seven years has exposed anything, it is its own lack of imagination, not only about clothes and consumers, but about the relationship of culture and dress.
在纽约市许多公寓楼的大门背后,充斥着居民们不协调的抱怨声。从我的“房地产答疑”(Ask Real Estate)专栏所收到的抱怨信中,我们可以一窥居民们是如何应对生活在拥挤、昂贵的住房中的种种不顺心的。比方说,有个合作公寓的股东被邻居家的老鼠窝吓坏了;有一对父母被禁止将婴儿车推进楼内的电梯;有个租户厨房里的橱柜从墙壁上掉了下来。
这封情书是寄给一个叫做Clark C Moore,但是现在已经改名为Muhammad Siddeeq先生的,由于这次改名,让这封信找到真正的收件人变得尤为困难。
最差运动员精神奖
译文属可可英语原创,未经允许,不得转载。
as朝向,soci(同伴,社会)-成为同伴-联合
请接受我诚挚的新年祝福,顺祝身体健康。
不过,从乐观角度看,阻碍复苏的几个拦路虎──身负重债的消费者、半死不活的楼市和心有余悸的银行──已经不再对招聘造成负面影响。除非经济受到意外的打击,否则这可能意味着2013年将又是一个缓慢但稳定的增长之年。[qh]
vt.
Since its launch in 2010, the 12306 ticketing system has been upgraded many times to fix bugs and provide better service during the Spring Festival travel rush, or Chunyun.
"Our data show that the user gave her age as 28, not 13, as reported in the media," the employee said.
再见,卡西尼号
5. Gross warns: 'Ponzi Scheme! Tipping Point! Credit Supernova!'
['t?ksik]