山东省最有效的医院羊癫疯专病是哪家(河北看癫痫的医院在哪) (今日更新中)

For the past two years, 52-year-old Kendra Jackson of Omaha, Nebraska just thought she had a bad cold."When it first started out, I just thought it was my allergies or a runny nose -- like the beginning of a fresh cold," Jackson said.The coughing, sneezing and runny nose began 2? years after Jackson was involved in a serious car accident. She remembers hitting her face against the dashboard, and she has struggled with migraine headaches ever since.In 2015, Jackson's "runny nose" began to worsen."When it didn't go away, I kept going back and forth to the doctors, and they prescribed every kind of medicine you can think of, and my nose just kept on running," she said.The doctors she saw told her that she probably had allergies. But this year, Jackson went to physicians at the University of Nebraska Medical Center and learned the real reason behind her nasal discharge: a cerebrospinal fluid (or CSF) leak caused by a small hole in her skull."She would wake up in the morning after sleeping upright in a chair, and the whole front of her shirt was wet with fluid. It was a lot of fluid," said Dr. Christie Barnes, a rhinologist at the University of Nebraska Medical Center and a lead surgeon on the case.Jackson said she was losing about half a liter of fluid per day.A physician's assistant "astutely recognized right away that this was something different than a runny nose and was consistent with a CSF leak. So we had her collect her fluids and sent it off for evaluation," Barnes said.Cerebrospinal fluid is a clear, colorless fluid that surrounds and protects the brain and spinal cord. The fluid also helps to remove waste products from the brain and distribute nutrients and other substances throughout the central nervous system, according to the Cleveland Clinic."CSF is a fluid that actually bathes the brain. Because the skull is a fixed box and the brain is a nice soft organ, it needs to be protected from moving around inside that hard box," Barnes said. "So it actually provides a cushion for the brain and the spinal cord."Cerebrospinal fluid is produced continuously in the brain and is normally absorbed into the bloodstream through protrusions in the outer membrane of the brain, called the dura mater.But in Jackson's case, a tiny hole in her cribriform plate -- a thin bone that separates her cranial and nasal cavities -- allowed the fluid to drip into her nose and mouth, resulting in her symptoms.According to Barnes, this part of the skull is "very thin, less than a potato chip. And it's one of the most common locations for this type of a CSF leak," Barnes said.Cerebrospinal fluid leaks are relatively rare, occurring in approximately five in 100,000 individuals worldwide every year. They are most commonly caused by trauma or surgery, according to the CSF Leak Association.In Jackson's case, the physicians believe that her car accident may have caused a small hole that increased in size over time."She was rear-ended and had head trauma, so it's certainly possible," Barnes said. "It may have caused a bit of a thin area there. Her symptoms actually started a little bit after (the accident), so for her, I think there's probably a combination of both the trauma and the increased pressure."Depending on the amount of fluid loss, cerebrospinal fluid leaks can be life-threatening. They also place the patient at an increased risk of infections such as meningitis, according to Barnes.In order to treat Jackson's condition, physicians at the University of Nebraska Medical Center performed a surgery that plugged the hole in her skull using tissue from her nose and abdomen, Barnes said."I used tissue from the inside of her nose to plug the leak," Barnes said. "I also borrowed some abdominal fat; it makes a great plugging agent in this location, so with just a tiny bit of fat, I was able to plug the leak."Almost a month after the surgery, Jackson is back home and reports that the mysterious drip has disappeared."I don't have the nasal drip anymore, but I still have the headaches," she said. "I actually feel pretty good, and I'm able to get a little bit of sleep."Though her condition is rare, Jackson wants people to know that cerebrospinal fluid leaks can occur, particularly after head trauma: "For people who hear my story, if they're tasting a very salty taste and something's draining in the back of your throat, it's probably something other than allergies. So get to the doctor." 4474

Friday brought another round of dramatic price cuts in the oil patch.US oil prices plummeted 7% and sank deeper into a bear market that has alarmed investors and made drivers around the world happy.The latest wave of selling knocked crude below a barrel for the first time since October 2017.Anxiety about oversupply and diminished demand have sent crude down by a third since it soared to a four-year high above a barrel in early October. Observers have gone from fearing 0 oil to expressing concern over why its price collapsed so quickly."The unrelenting six-week selloff has been unnerving to say the least," Michael Haigh, head of commodities research at Societe Generale, wrote to clients on Wednesday.Oil bulls are hoping OPEC and Russia come to the rescue by announcing steep production cuts at a meeting next month in Vienna. However, President Donald Trump is pressuring Saudi Arabia and OPEC not to reduce output despite the crash in prices. Traders are worried Trump's recent praise for Saudi Arabia signals the Saudis won't back a significant production cut.For the week, US oil prices are down nearly 10%.Lukman Otunuga, research analyst at FXTM, described the weekly selloff as "brutally bearish."Brent crude, the global benchmark, shed 5.5% on Friday and declined to a new 2018 low of a barrel.The meltdown was triggered by a series of developments that darkened the energy outlook. Prices soared over the summer as Trump vowed to zero out Iran's oil exports. That led Saudi Arabia, Russia and especially the United States to ramp up production. However, the Trump administration later took a softer approach on Iran sanctions to keep oil from spiking. Officials granted temporary waivers to China, India and other buyers of Iran's crude. That headfake left the oil market staring at a potential glut.At the same time, global growth fears emerged in financial markets. Economists are marking down their GDP forecasts for 2019. Germany and Japan, the world's No. 3 and 4 economies, are already in contraction. China is slowing, too. None of that is bullish for oil, which powers the world economy."Rising global crude supply coupled with worrying signs of slowing demand have written a recipe for disaster for the oil markets," Otunuga wrote to clients on Friday.The rapid collapse in oil prices caught many off guard, including hedge funds that made outsized bullish bets on crude earlier this year. Large commodity funds have accumulated losses in excess of .7 billion so far this quarter, Societe Generale estimates."Sentiment on commodity markets has been despondent," Haigh wrote.The energy slump came at just the right time for consumers though. Millions of Thanksgiving travelers were greeted by cheaper prices at the pump. The average gallon of gallon fetched .58 on Friday, down sharply from .84 a month ago, according to AAA. 2880

For teachers and other educators, it has been a bumpy summer full of unknowns.Used to delivering answers to students, they are now asking questions about what they can expect during the fall semester.“It’s a lot of uncertainty,” said Jo Pustizzi, a high school teacher in Colorado Springs, Colorado.The one thing Jo and her husband, Jim, who is also a public school teacher in Colorado Springs, can rely on is the source of income they have been generating from their Airbnb.Seven years ago, the couple converted their cabin in the Rocky Mountains into a place to stay for out-of-towners looking to escape.“Jo had to really convince me to do an Airbnb, because we had put so much work into the cabin that I didn’t want someone to abuse it,” Jim said.Jo and Jim are far from the only ones as well. Airbnb says it has seen more teachers turn to the service as a way to supplement their income.In 2019, Airbnb says teachers raked in 0 million through rentals. About million of that came during the months of June, July and August, when they were not teaching.It is a big jump from 2017, when teachers brought in 0 million, million coming during the summer months.“It’s kind of like our own little business, too, so it is fun,” said Jo. "It’s fun just reading reviews or talking to people on the phone.”It gives the Pustizzis a way to live their lives a little more loosely as they near retirement age and worry about their pensions amid the pandemic.It also gives them a chance to look back on reviews knowing they did what they do best: share information and experiences."People enjoy the same things that we enjoy and it’s cool,” said Jim.“It feels good knowing other people are feeling good,” added Jo.For a couple whose profession and passion is in flux, what more could you ask for? 1806

Flu season is coming up! Many people every year, sometimes over 100,000, and despite the Vaccine, die from the Flu. Are we going to close down our Country? No, we have learned to live with it, just like we are learning to live with Covid, in most populations far less lethal!!!— Donald J. Trump (@realDonaldTrump) October 6, 2020 337

FILE - Marty Stuart performs during Marty Stuart's 16th Annual Late Night Jam at the Ryman Auditorium on June 7, 2017 in Nashville, Tenn. Stuart, along with Dean Dillon and Hank Williams Jr., will be inducted into the Country Music Hall of Fame. (Photo by Amy Harris/Invision/AP, File) 294

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