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Four days after a massive earthquake?killed at least 347 people on the Indonesian island of Lombok, a 5.9 magnitude tremor hit the island, sending frightened residents onto the streets.Thursday's seismic event follows a 6.9 magnitude quake Sunday that flattened homes and stranded thousands of people on Lombok's northern coast and the nearby Gili Islands.The northern part of Lombok is more residential and less developed than the resort-filled south. Thursday's quake could be felt on Bali, another popular resort island in Indonesia.Endri Susanto, who runs a nongovernmental organization assisting with relief efforts, said the earthquake felt very strong in Mataram, a city on Lombok's west coast. 714

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

Former New Jersey Gov. Chris Christie issued a statement Friday saying he has asked not to be considered for the White House chief of staff job after meeting with President Donald Trump to discuss the role.Christie met with Trump on Thursday, but two sources familiar with the discussion said no offer had been made."It's an honor to have the President consider me as he looks to choose a new White House chief of staff. However, I've told the President that now is not the right time for me or my family to undertake this serious assignment," Christie said in a statement obtained by CNN but first reported by The New York Times."As a result, I have asked him to no longer to keep me in any of his considerations for this post," Christie added.The former governor was just the latest in a long string of people to discuss the chief of staff position with Trump.Earlier this week, one source close to the White House said that Christie was under consideration for the role. Christie's experience as a prosecutor is seen as a plus given the Mueller investigation and Democrats itching to investigate on the Hill.CNN has previously reported Christie has said he only wanted the role of attorney general and told friends he was offered the Department of Homeland Security secretary position, but did not want it. While chief of staff is not a Cabinet-level position, but it is the top staff role at the White House.There continues to be tension between Christie and the President's son-in-law and key adviser, Jared Kushner. As US Attorney in 2004, Christie prosecuted Kushner's father, Charles Kushner, for tax evasion, witness tampering and illegal campaign contributions. Charles Kushner pleaded guilty and served two years in prison.If Christie is selected, Kushner and his wife, Ivanka Trump, would both report directly to Christie under the existing staff structure.Though on the surface Christie and Kushner have a cordial working relationship, Trump understood that the notion of his son-in-law being OK with reporting to the man who put his father in jail is unlikely. Multiple sources say the Trump children will have the most influence on this decision.Earlier this year, Christie suggested that Trump's family working in the White House was an impediment to his presidency."The situation is made much worse by the fact that we have family members in the White House," Christie said on ABC's "This Week" in March. "In a normal situation, you might terminate a staff member for that reason. (It) becomes a lot more difficult if you're going to be sitting at Thanksgiving dinner with that person. And so, for Jared and for Ivanka and for all the other members of the family we were involved in one way or the other, I think everybody's got to focus on what's best for the President." 2822

For months, President Donald Trump has relentlessly attacked the Russia probe, and his missive Wednesday saying Attorney General Jeff Sessions should stop the investigation reignited the question of whether Trump's actions would constitute obstruction of justice.Soon after becoming President, Trump asked then-FBI Director James Comey to stop investigating former national security adviser Michael Flynn, according to Comey. Trump later fired Comey, and said Russia had been on his mind when he made the decision. After special counsel Robert Mueller was appointed to investigate Russian interference in the 2016 US election, Trump apparently considered firing Mueller.Now as Mueller's first trial is underway, of the President's former campaign chairman Paul Manafort, Trump has ramped up calls to end the whole probe. "This is a terrible situation and Attorney General Jeff Sessions should stop this Rigged Witch Hunt right now, before it continues to stain our country any further," Trump tweeted.As Mueller has been investigating Russian interference and any links between the Russian government and the Trump campaign, his team is also exploring whether Trump has attempted to obstruct the investigation.Yet prosecutors say obstruction is not a clear-cut matter and corrupt "intent" would have to be proved. And ultimately, Trump's actions might not be tested in a court of law but rather in the chambers of Congress. The traditional venue for action against presidential wrongdoing is the impeachment process, where it would fall to the House and Senate to determine whether Trump's actions warrant punishment.Trump's tweets prompted an immediate response from Rep. Adam Schiff of California, the top Democrat on the House Intelligence Committee, who said on Twitter that the demand from the President "is an attempt to obstruct justice hiding in plain sight" and added, "America must never accept it."Sessions last year recused himself from the investigation related to Trump's 2016 presidential campaign. (Sessions had earlier failed to disclose during his Senate confirmation hearing contacts with Russia's ambassador to Washington.) Deputy Attorney General Rod Rosenstein appointed Mueller as special counsel to look into the Russian interference and any Trump campaign officials' involvement.Trump has repeatedly denied any connections and has also said there has not been any obstruction. As Manafort's trial began this week, the President repeated his "there was no collusion" mantra. Earlier this week Trump's lawyer Rudy Giuliani said on CNN that Trump would not be found "colluding" with the Russians.Yet as much as the word "collusion" has been invoked to describe possible complicity between Trump associates and Russian operatives, there is no federal crime of "collusion" in this kind of investigation.The crimes that might be charged would be conspiracy, making false statements, destruction of evidence or obstruction of justice.That last offense covers any attempt by someone to "influence, obstruct, or impede" the "due administration of justice." The key question in a criminal case is whether the individual acted with a corrupt intent.Former federal prosecutor and CNN legal analyst Renato Mariotti suggested that special counsel investigators may view Trump's directive to Sessions as evidence of such corrupt intent."They think this is more evidence of corrupt intent. I think that the Mueller team is adding more tabs to their exhibit binder," Mariotti told CNN's Kate Bolduan on "At This Hour" in response to a question about what Mueller's team might think about the latest tweets. He added that "what these tweets are are presidential statements."Mariotti cautioned that he did not think the tweet would be used by Mueller as the specific basis for an "obstructive act," but said that "today's tweet is a very, very strong indicator that the President is willing to do whatever it takes to make sure that he and his friends are protected from the investigation."Giuliani attempted to downplay the President's tweet on Wednesday by saying it was not a presidential order."The President was expressing his opinion on his favored medium for asserting his First Amendment right of free speech," Giuliani told CNN's Dana Bash. "He said 'should', not 'must', and no presidential order was issued or will be."White House press secretary Sarah Sanders echoed that interpretation, telling reporters that Trump "wants to see it come to an end, as he has stated many times, and we look forward to that happening." She added, "The President is not obstructing. He's fighting back." 4666

Former Republican National Committee Chairman Michael Steele announced in an ad by the Lincoln Project that he is voting for Democratic presidential nominee Joe Biden on Election Day. 191