HTTP/1.1 200 OK Cache-Control: no-cache, private Content-Type: text/html; charset=UTF-8 Date: Fri, 04 Dec 2020 01:39:57 GMT 嘿嘿连载app污
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

国家卫生健康委员会在上周五的一场新闻发布会上表示,2017年中国各高校共出现3077例新增艾滋病毒感染病例。
The city offers excitement beyond your expectations, with grand churches, a richly varied number of museums, a growing modern-art scene and streets that come alive with summer festivals.
这部亚当·桑德勒和德鲁·巴里摩尔主演的轻松浪漫喜剧,似乎最不能反映现实生活,但实际上它确实部分基于真实故事。桑德勒扮演的兽医爱上了巴里摩尔,而她的记忆每天都会重置。他了解到,车祸造成创伤性脑损伤后,她就一直在重播同一天。因为她一直生活在谎言中,桑德勒的角色很苦恼,并制作了一系列录像,解释她的车祸和生活,给她每天早上看。
吉祥猴的水墨设计草图由中国当代艺术家、北京奥运会吉祥物“福娃”的创作者之一韩美林设计的。这幅中国传统水墨画的设计被网友认为“萌萌哒”,代表了中国传统艺术风格。节目制作人将吉祥猴命名为“康康”,在中国表健康之意。
Company: (Wonderbag) Natural Balance
《国土安全》(Homeland):第三季末布洛迪(Brody,戴米恩·路易斯[Damian Lewis]饰)最终被杀后,映时频道(Showtime)的这部间谍惊悚剧似乎走到了尽头。目前看来,第四季没了他却变得充满活力,令人喜爱。卡莉(Carrie,克莱尔·丹尼斯[Claire Danes]饰)这次的对手是美貌、狡猾的巴基斯坦情报官塔斯尼姆(Tasneem,尼姆拉特·考尔[Nimrat Kaur]饰)。
13. 还有更好的。10月,《洛杉矶时报》报道,平等工作机会委员会正在调查这个行业内的性别歧视现象,美国民权同盟要求各州与联邦机构继自己之后各自进行调查。
根据美国海洋和大气管理局的数据,美国本土今年1月至11月的气温是有史以来每年前11个月的最高记录。2012年还将超过1998年,成为美国有记录以来最热的一年。
新职员有望获得一个体面的成绩单——2.1甚至更高。尽管学历证书很重要,但Teach First也希望培养谦逊、尊敬他人和同理心等个人品质。该项目的申请数量是可提供职位的7倍。
2016年即将上映的电影都是鸿篇巨制,众多佳片能让你一饱眼福。这些影片包括:《蝙蝠侠大战超人:正义黎明》、《美国船长3:内战》、《神奇动物在哪里》、《海底总动员2》、《星球大战:侠盗一号》、《X战警:天启》、《独立日2:复活》、《魔兽世界》以及《自杀小队》等。

The auction house said today that the auction, featuring two diamonds over 100 carats, drew buyers from more than 30 countries.
['flimzi]
Historians now hope to dispel some of the myths about Richard, publicising evidence to refute claims that he killed the two young princes and focusing on what he achieved in his brief two-year reign, including the establishment of a system of bail and legal aid.
Chinese billionaire Wang Jianlin, whose company owns AMC Theaters climbed into the top 20.
flimsy
2. Don’t fantasize about big brother: I am only legend.

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.

“增收不增利” 卫浴企业如何获新生

Follow me on Twitter or LinkedInCheck out my website

年度最佳单曲:米兰达·兰伯特《Over You》
单词stable 联想记忆:

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.
坚持依法全面履职。
receptive
“An employee packed up her belongings and walked out without a word.”
乌拉圭代表了一个更令人感到好奇的例子,国家队的球员是伪装成小人物的足球贵族。像比利时一样,这也是一个相对年轻的国家,但在赛场上它则是一名老手。他们曾两次赢得世界杯,第一次是1930年首届世界杯,第二次是在1950年,当时巴西是东道主。后来的那次被称为“马拉卡纳之殇”,一场人们在今天依然还记得的国家悲剧,当时巴西在创世界记录的20万(或许更多)球迷面前被压垮了。
推出迷你iPhone后,加上中国今年或明年颁发LTE执照,就能最终说服拥有7亿用户的中国移动(China Mobile)和苹果签约。
有些人仍坚持一种可称为“资源稀缺”的理论。该理论的核心是,资源开发遵循线性模式,低成本的资源最先被开发,也就是说,未来大部分乃至全部开发活动的成本一定会更高。遗憾的是,行业发展历史并不支持这一观点。过去几十年的经验表明,情况正相反。
The Warriors played pre-season games in China in 2013 against the Los Angeles Lakers, but it will be the first time the Timberwolves visit China.
时间:2009-11-11 编辑:vicki
明年,市长的保障性住房计划将初具规模,该计划要求在未来十年里,修建或保留20万套保障性住房。这一目标的实现取决于一项政策,它要求开发商通过修建保障性住房,来换取在市政府重新规划的社区修建更高、更密集楼盘的资格。至于政府将会如何在这项提案的雏形上添砖加瓦,开发商和保障房倡导者们都在拭目以待。
After the success of The Conjuring, Ed Warren and Lorraine Warren are back to kick some ghost butts. Conjuring 2 is based on the Enfield Poltergeist, which is apparently a true event that took place in London in 1977.
n. 沼地,极多,回转 n. 大量,许多 v. 使转,扭
目前已经得到证实的是,胡歌将会加盟该电影,继续出演主角“李逍遥”,而女主角的扮演者暂时还未透露。
6. Charlize Theron - $16.5 million