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Covid-19 Nasal Swab Test Led To Cerebrospinal Fluid Leak

Nina Shapiro

These are the official James Bond theme songs, ranked from worst to best, with two honorable mentions because they may or may not count, but were just that good, dang it.
Last year, quality supervision authorities across China handled 36,000 cases relating to violations of laws on quality standards, involving 2.3 billion yuan's ($333 million) worth of goods, Han said.
‘Law & Order: SVU’ This NBC ripped-from-the-soap-opera perils of Olivia (Mariska Hargitay) — psychopath rapist-stalker, tortured love affair, new baby — that took up so much air last season finally died down, and this season, the show’s 16th, the detectives got back to sex crimes à clef, including a Ray Rice-inspired episode about a star sportscaster who was seen on a surveillance camera punching the lights out of his wife.
单词facilitate 联想记忆:
“一个12岁的小男孩可不想在自己事业刚刚开始的时候就背负10万欧元的账单。”
The Colombian singer, songwriter, dancer, record producer, choreographer, and model – Shakira stands 10th on the world's most beautiful women of 2015 list. She is listed as most powerful woman in the world by Forbes, and most popular dancer by wonders list. As of July 2014, She has become the first person to reach 100 million followers on Facebook.
她说:“人们不只是搜索有关球员和球队的信息,而是将其作为一次文化学习体验。这是首届在非洲举行的世界杯,人们想了解一下后种族隔离时代的南非。人们还想了解世界杯的声音制造者——呜呜祖拉。”
“我不知道发生了什么”洛瑞说。“我只知道我被吹罚了一次进攻犯规,就这么发生了。这就是NBA,这就是我想说的。”
The husband-and-wife team behind Little Miss Sunshine tackle the 1977 gender war between Bobby Riggs, washed-up 55-year-old tennis pro, and Billie Jean King, the young ace (then No 2 in the world) he challenged to a match.
根据《中国社会保险发展年度报告2015》显示,全国城镇职工与城乡居民养老保险累计结余近4万亿元。

动物会根据美感做出选择。
adj. 透视的
中央纪委国际合作局局长腊翊凡表示:“在中共中央的领导下,我们将扩大与有关国家的司法合作,使腐败的外逃人员不存在“避罪天堂”。
Be Professional
迁移工程也是京津冀一体化计划的一部分,其目的在于缓解首都交通拥挤,为地区提供更加均衡的发展。
梅瑟威对战麦克格雷戈的战斗

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.

建筑垃圾变废为宝有赖顶层设计

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Colliding Neutron Stars
但我预计其他银行将效仿此举。在不涨薪的前提下,任何让优秀员工保持活力和积极性的办法都值得考虑。

The fruit is placed into the mold when it's young and undeveloped.
女士们,我们都接到这样的警告,你将会如何回复呢?
在经历了艰辛的法律诉讼之后,凯莎发表的一切都会给人一种胜利的假象。但这张回归专辑用艺术反映了一位勇士的呐喊,并带来了比所有人期望中更为强大的影响力。
Meanwhile, there are other factors holding back the Asian ETF market that some sceptics fear will hold back development of the retail side.
库克决定通过增加派息和回购股票扩大其现金返还计划,帮助缓和了与维权投资者的关系。目前它总共向股东返还现金940亿美元。最终,库克以足够的坚忍抵挡住挑战,迎来了iPhone又一波增长捷报,以及从乔纳森?艾夫爵士(Sir Jonathan Ive)的设计室诞生的新产品。
adj. 最高的,至上的,极度的
In the three years after the death of Steve Jobs, Mr Cook, 54, has held his nerve through attacks from activist investors and a loss of faith among some that Apple could succeed without its late founder. This year has seen Apple’s chief step out of the shadows of his predecessor and imprint the company with his own set of values and priorities: bringing in fresh blood, changing how it manages its cash pile, opening Apple up to greater collaboration and focusing more on social issues.
Western states dominate the best states for projected job growth. Only two, Florida and Georgia, of the top 10 are located east of the Mississippi River. Rounding out the top five are Colorado (2.6% annual projected growth), North Dakota (2.5%) and Florida (2.5%).
spont自发+aneous表形容词,表示“…有;…特征的”→自发的
A number of nude photographs have been leaked online after several female students offered the photos in exchange for high-interest loans via an online lending platform.
过去10年,全球最具价值品牌100强的品牌价值增长一倍多,增幅达到133%。品牌价值是根据收入和盈利能力等财务指标,结合消费者品牌认知调查计算的。
沃尔玛百货
In New York it is illegal for anyone to rent out a room in an apartment in a multifamily building for less than 30 days if a tenant is not present. Yet almost weekly, someone writes to Ask Real Estate seeking advice on how to skirt the rules. What if I swap apartments? What if nothing is in writing?
祝你在新的一年里身体健康,多福多寿。