HTTP/1.0 200 OK Cache-Control: private, must-revalidate Content-Type: text/html; charset=UTF-8 Date: Fri, 27 Nov 2020 20:12:35 GMT Expires: -1 Pragma: no-cache 德赢平台主页
Research Submissions
Free Access

Headaches Associated With Personal Protective Equipment – A Cross‐Sectional Study Among Frontline Healthcare Workers During COVID‐19

Jonathan J.Y. Ong FRCP

Corresponding Author

Since then, Teach First has put 5,000 graduates into schools, working with more than 1m pupils in low-income areas, helping to raise standards in classrooms, particularly London.

今年1月3日春节假期车票开售以来,约有2.8亿张火车票是在12306网站上售出的。

Address all correspondence to J.J.Y. Ong, Headache Disorders Service, Division of Neurology, Department of Medicine, University Medicine Cluster, National University Hospital, 1E Kent Ridge Road, NUHS Tower Block, Level 10, Singapore 119228, Singapore, email: jonathan_ong@nuhs.edu.sg

儿童家具新国标实施近两年 一些家具仍未符合标准
Chandra Bharatendu MRCP

Despite the surge of private wealth in China, the country’s billionaires have not yet cracked the top ranks of global rich lists. Hurun estimates that Mr Wang, China’s richest man and head of the Wanda group, ranks 26th globally.

adj. 自发的,自然产生的

两岸LED照明战火起 本土厂巩固优势台厂陷苦战
Yihui Goh MRCP

榜单前十位还包括:第五名的亚马逊总裁杰夫·贝佐斯,第六名的Facebook的马克·扎克伯格,位居第七的甲骨文公司老板拉里·埃里森,第八名的迈克尔·彭博及并列第九的科赫兄弟(大卫·科赫和迈克尔·科赫)。

福建印发方案 今年城市养老服务设施覆盖率将超90%
Jonathan Z.Y. Tang MRCEM

根据国内领先的求职平台前程无忧近日发布的一份关于2016年应届毕业生的研究报告显示,52.11%的高校毕业生已找到工作或自主创业。

我知道你们中很多人在公司里曾经找到过自己的前任。但是,这不是放之四海皆准的规律。搞办公室恋情可能会对你产生不好的影响。

德豪润达拟增发融资45亿元 上马LED倒装芯片项目
Kenneth W.X. Sooi MRCP

Gitanjali表示,她想要进一步改善改设备,这样它最终就能进入市场了。

北京新版租房合同征求意见 租期内不得单方面提高租金
Yi Lin Tan MBBS

美国大学与雇主协会(National Association of Colleges and Employers)进行的一项新研究表明,48%的美国公司计划于2011年招募物流专业研究生。供应链管理人才稀缺的现象,恰恰印证了这一调研结果。

出口受阻刺激内销 未来我国家具行业三四级市场潜力巨大
Benjamin Y.Q. Tan MRCP

8) Let Me Think About That: Yeah, it sounds like a cop out. And it is…sometimes. Fact is, we don’t always have the authority or expertise to make decisions. This phrase buys you time and breathing space. Then, set a date and time for follow up so the other person knows you’re taking him serious.

When you think of him, your heart would jump between fast and fast.

卫浴行业现状:后浪品牌来势凶猛
Hock‐Luen Teoh MRCP

Neumann, Silbermann and Sharp are three of 66 billionaires under 40 years old, a record for the Forbes list.

7. Cannes' 'year of women' didn't go so well

信诚中证智能家居指数分级基金即将发行
David M. Allen FAMS

The Dutch case involved sophisticated financial professionals, people accustomed to analyzing financial and economic trends. Yet, they too focused on their personal experience.

The sharp decline in unemployment will start to seem real

北京市住建委:2017年全市商品住房成交17.7万套 同比减少45.6%
Vijay K. Sharma MRCP

单词productive 联想记忆:

值得注意的是,本年度传播假消息之首的网站域名当属“abcnews.com.co.” 在十一月的一次Verge的采访中,伊利诺伊州大学信息科学学院的Nicole A. Cooke教授引用了一个假新闻网站上的消息,这个假新闻网站使用的是危险和普遍的策略,即域名和真网站看上去只有微小的区别。他们让消息源从第一眼看上去具备真实性。管理abcnews.com.co的人告诉华盛顿邮报,他相信他的网站在特朗普大选期间充当了一个重要的因素。

“金九银十”开局一线楼市表现不一 北京深圳下滑
First published: 30 March 2020
Citations: 33
Conflict of Interest: VKS is the current recipient of Senior Clinician Scientist Award from National Medical Research Council, Ministry of Health, Singapore. Other authors have no financial disclosures.
Funding: None

Abstract

Background

“This is our make or break moment for the tenant movement,” said Ilana Maier, the program director for the Metropolitan Council on Housing. “If we aren’t able to drastically strengthen the rules now, none of this will matter in 10 years.”
Star Wars: Rogue One is set to release on December 16, 2016.
Obama won the second to put himself back in the race. Although he also won the third, foreign policy is not a major concern for voters and it is unlikely to result in any major poll swings.
Most of the cellphones sold in 2016 are smart phones installed with the Android system and 4G ready, according to the report.

Objectives

经销商:经销商们正在努力精简购车的文书手续以及时间。这会使他们留出更多的时间向消费者推销延长质保、喷漆、织物保护、防锈等附加服务。
Holly Hunter reportedly keeps her best actress award, which she won for her portrayal of Ada McGrath in the 1994 New Zealand film, The Piano, at the New York offices of Joel and Ethan Coen. It sits alongside the statue Frances McDormand won for her role as the heavily-pregnant local police chief with the insatiable appetite, Marge Gunderson, in the Coens’ 1996 film Fargo.
挪威两度拒绝成为欧盟成员国,整体排名为地第十。“公民权益”排名第一,“最透明”国度排名第二。
玛丽亚里奥斯

Methods

Dachis says: Kraft took a stance in support of genetically engineered foods midway through the year and the decision turned their brand into an overall loser for 2012.
Despite the solid expansion, the yearly rate weakened to -1.4 per cent last month, from a -0.8 per cent pace in September. Economists expected production to have declined 0.9 per cent over the 12 months to October.
会建立起稳定、流动性较强的比特币期货市场吗?

Results

A total of 158 healthcare workers participated in the study. Majority [126/158 (77.8%)] were aged 21‐35 years. Participants included nurses [102/158 (64.6%)], doctors [51/158 (32.3%)], and paramedical staff [5/158 (3.2%)]. Pre‐existing primary headache diagnosis was present in about a third [46/158 (29.1%)] of respondents. Those based at the emergency department had higher average daily duration of combined PPE exposure compared to those working in isolation wards [7.0 (SD 2.2) vs 5.2 (SD 2.4) hours, P < .0001] or medical ICU [7.0 (SD 2.2) vs 2.2 (SD 0.41) hours, P < .0001]. Out of 158 respondents, 128 (81.0%) respondents developed de novo PPE‐associated headaches. A pre‐existing primary headache diagnosis (OR = 4.20, 95% CI 1.48‐15.40; P = .030) and combined PPE usage for >4 hours per day (OR 3.91, 95% CI 1.35‐11.31; P = .012) were independently associated with de novo PPE‐associated headaches. Since COVID‐19 outbreak, 42/46 (91.3%) of respondents with pre‐existing headache diagnosis either “agreed” or “strongly agreed” that the increased PPE usage had affected the control of their background headaches, which affected their level of work performance.

Conclusion

继在电影《007:大破天幕杀机》中,和丹尼尔·克雷格(Daniel Craig)演对手戏,饰演神秘的塞芙琳(Severine)一角后,这名法国女星第二次挑战以英语为主要语言的角色。虽然电影《007:大破天幕杀机》在北美洲的公映时间是11月9号,但它已经在国际范围内开始向票房纪录发起进攻。
The Atlanta-based group expects sales, adjusted for acquisitions, divestitures and currency fluctuations, to rise 3 per cent, compared with its earlier forecast of between 4 per cent and 5 per cent.

Introduction

In late December 2019, reports emerged from the city of Wuhan, in Hubei Province, China, of a cluster of severe acute respiratory illness.1, 2 By January 2020, the condition now known as coronavirus disease 2019 (COVID‐19), attributed to the severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2), had rapidly spread from Wuhan to other regions.3 As of March 11, 2020, China has reported a total of 80,955 COVID‐19 confirmed cases.4 Outside of China, more than 37,300 cases have been identified across 113 countries or territories.4 The Ministry of Health (MOH), Singapore, shifted its public health response level to enhanced preparedness on January 23, 2020 when it detected the first imported case of COVID‐19.5 It was subsequently followed by new cases among other visitors and returnees as well as community transmission.5, 6 On January 7, 2020, the level of Disease Outbreak Response System Condition (DORSCON), a color‐coded framework that assesses the severity of a pandemic in Singapore, was changed from yellow to orange, with an escalation of measures instituted to contain the disease.4 As of March 11, 2020, Singapore has reported a total of 178 COVID‐19 cases, with 11 cases seen at our institution thus far.4 During the escalation of the COVID‐19 outbreak in Singapore, frontline healthcare workers in all major hospitals were mandated to wear personal protective equipment (PPE), while caring for suspected or confirmed COVID‐19 patients, which involved the donning of close‐fitting N95 face masks, protective eyewear (mainly goggles), gowns, surgical gloves, and the use of powered air‐purifying respirators (PAPR). In real world practice, donning of the PPE is often felt cumbersome and uncomfortable by the frontline healthcare workers,5 especially if a long period of exposure to such equipment is necessary during the outbreaks of emerging infectious diseases.7

Headaches arising from the sustained compression of pericranial soft tissues by donning of objects with tight bands or straps around the head (eg, hat, helmet, googles worn during swimming or diving, or frontal lux devices) have been previously reported in the literature.8-14 Apart from the mechanical effects, adverse effects such as difficulty breathing has also been reported.15 However, the scientific literature related to the PPE‐associated headaches, specifically the combined usage of the N95 face mask and protective eyewear (specifically googles) is scarce. A previous study among healthcare providers wearing the N95 face mask during the 2003 severe acute respiratory distress syndrome (SARS) epidemic in Singapore reported new onset face mask‐associated headaches with a prevalence rate of 37.3%.16 Another study among nurses working in a medical intensive care unit reported headache as one of the main factors accounting for sub‐optimal N95 face mask compliance.17 Previous reports highlighted that pain or discomfort (headache, facial pain, and/or ear lobe discomfort) arising from tight‐fitting face masks as well as elastic head straps resulted in limited tolerability when the N95 face mask was used for a prolonged period.18-20

2、天津爆炸
From the beginning, social networks have been effectively walled off from the Internet. The treasure trove of content on Facebook, for instance, doesn't generally show up on Google (GOOG). But does it have to be that way? Wouldn't it be convenient to see Twitter search results automatically displayed alongside a standard Google search, for example? And why, for instance, don't the latest tweets about a restaurant pop up when you're searching Yelp (YELP)? The competing interests of different networks sends this content behind proprietary walls, but a number of tools offer creative ways to bridge the gulf. (Full disclosure: My company has developed one such tool.)
Lighting is key when it comes to getting work done. Instead of investing in your typical, boring college dorm room desk lamp, pick something with a prettier design. Check out vintage stores for one-of-a-kind table lamps or keep it cheap with the Tiffany Table Lamp, $99.99, at Target.com.
对气候变化持怀疑态度的人长期以来认为,全球气温已在1998年左右停止变暖,那年是20世纪最热的一年,原因是异常强大的厄尔尼诺现象。华盛顿的一些政客用这种说法作为不对温室气体排放采取行动的理由。
2010年英文新年祝福邮件
单词global 联想记忆:
2010财年,这家超级零售商可抱怨的地方不多。利润增加,而且由于销售额增长,该公司再次攀升至《财富》500强的冠军。今年沃尔玛的单店销售额和去年几乎持平,但同塔吉特百货销售额下降2.5%相比,持平已算不错。最值得注意的是沃尔玛重塑形象。前任首席执行官李?斯科特扩大了对员工医疗保险的覆盖,更关注环境,经常在公共场合露面,这些都起到了积极作用。当然,总会有人批评,而且沃尔玛第一季度的表现也不是最好的。但无可否认,斯科特给新任首席执行官麦克?杜克留下的是一个斗志昂扬的公司。
有理由怀疑纳伦斯-诺埃尔是否能成长为可靠的先发中锋,这些理由包括他的伤病史、场外红灯行为和非常有限的进攻手段。
We will continue to encourage people to start businesses and make innovations.
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。
I want you stuffed in my stocking.我只要你塞在我的袜子里。
挪威曾为一只企鹅授予爵位。它现在居住在苏格兰的爱丁堡动物园,是那里的企鹅王,它叫尼尔斯·奥拉夫( Nils Olav)。它不仅是一只吉祥物,更是挪威皇家护卫队的名誉上校。2008年8月15日,国王哈拉尔五世(King Harald V)授予奥拉夫爵位,并在授予典礼上声明“奥拉夫在各方面都有资格获得骑士爵位的荣誉和尊严”。
去年八月北韩一位边界士兵试图射击一些气球,但最终引致了边界双方的一场重机枪交火。
short短+en表动词,“变成”→缩短
The drama and the original game have a large fan base and enjoy great popularity in China, and even elsewhere in Asia.

Methods

经济学人智库表示,尽管没有一个北美城市进入前20名,但是纽约的生活成本相对于其他美国城市有所上升。纽约与洛杉矶并列第27位成为美国最贵城市。
John Authers
Mark Rutte, the Dutch prime minister whose People’s Party for Freedom and Democracy (VVD) is slightly ahead of the PVV, has seen his poll numbers rise in recent days because of his hardline stance with Ankara. On Tuesday he called Mr Erdogan’s comments “a disgusting distortion of history”, adding: “We will not lower ourselves to this level. It is totally unacceptable.”
2015年中国对欧元区的直接投资增长37%,从125亿美元上升至171亿美元。
Any decision by China’s policymakers to begin selling down the country’s huge reserves would have a large impact on markets.
It was the age of wisdom, it was the age of foolishness…
No. Wall Street strategists’ predicting that the US government’s 10-year borrowing costs will climb above the 3 per cent mark in the coming year is as much a staple of the Christmas period as awkward office parties. This year the forecasts look more likely to be fulfilled, given a withdrawal of quantitative easing and the US tax cut. However, the seismic, secular forces pinning down both inflation and long-term bond yields remain in place and are still underestimated. The Federal Reserve will raise interest rates at least three times in 2018, but the 10-year yield will not breach 3 per cent.
“It’s na瘀攀 not to recognize we’re at a pretty serious moment,” said Anthony Crichton-Stuart, director of the London dealer Agnew’s. “There has been a massive taste shift. But when a good old master does come up at auction and it is priced correctly, you do get some excitement.”
No.5: What Made Phelps So Happy?
今年时装周预计在今年9月14日至18日举行,在此之前,由歌手帕洛玛费斯撰写并由善待动物组织出版的公开信中呼吁伦敦时装周和英国时装协会禁止动物皮草的使用。
圣加伦大学在总排名上仍居榜首,这是这家瑞士商学院的战略及国际管理硕士项目连续第七年夺冠。巴黎高等商学院连续第四年屈居亚军,西班牙IE商学院(IE Business School)的排名上升四位,至第三。
201001/93725.shtml
Atlas Wearables founder Peter Li says battery technology and user retention are two more obstacles facing the wearables market. Some use cases require significant improvements to battery technology for a compelling experience, he says, and there’s always a balance to be struck between wear time between charges and processing power and features.
James Bond Themes 9. "The Man with the Golden Gun" by Lulu
!ku79.)#gCKfe
In fact, create a hard and fast rule to keep work and job searching separate. That means no sneaking out for a phone interview. No browsing job boards. No applying or networking with your work email address. "You don't watch porn at work, and you don't work on your résumé at work," Kay says. "You just don't."
发脾气大奖
同时,该官员称,由于中央政府鼓励更多的大学毕业生到市县工作,今年的招录岗位中,有78%是区、县级的工作。
Ranked fourth with 15.27 million visitors, Dubai "made a quantum leap to become the global top-ranked" in visitor spending, the report says.
Russian and English fans may have dominated headlines during this month's Euro 2016 football championships for their boorish, thuggish behavior.
中国始终支持一个团结繁荣稳定的欧盟,也支持强大的欧元,支持欧洲一体化进程,因为这有利于经济全球化、世界多极化和文明多样化。我对欧盟的前景是乐观的,我们对中欧关系的发展前景也是看好的。
Yes. There are plenty of positives: earnings, economic growth, and US tax cuts. But they are already known. Stocks look ridiculously expensive by historical standards, but that tells us nothing about short-term moves. Ultimately, it comes down to liquidity, which has driven markets since they emerged from the crisis in 2009. If all goes according to plan, central banks will be decreasing their balance sheets, and removing liquidity, by the end of 2018. If they go through with this, the odds are that the S&P will stall. But even a tiny tremor could make the bankers blink. Expect the momentum to continue.
单词manifesto 联想记忆:
还有哪对系列电影的荧幕情侣可以像《暮光之城》的克里斯汀?斯图尔特和罗伯特?帕丁森这样成功开创戏路呢?两个人都成为了影坛名角。帕丁森在最新作品《好时光》中延续了他近年来这种让人几乎认不出的造型风格。在《迷失Z城》中,他把自己打扮成胡子蓬乱的眼镜男,如今他又把头发染成亚麻色,变身为一个试图在纽约完美做案,结果却让患有发育性残疾的弟弟(本?萨弗迪饰)被捕的银行抢劫犯。他试图用盗取的钱来给弟弟交保释金,结果麻烦接踵而至。很多的麻烦。除了饰演弟弟一角外,本?萨弗迪还和自己的哥哥约书亚?萨弗迪共同执导了这部电影。《好时光》入围了今年戛纳电影节的主竞赛单元,参与角逐金棕榈奖。该片于11月3日在日本上映,11月17日在英国和爱尔兰上映,11月23日在希腊上映。(资料来源:A24制片公司)
At a time when the overall stock market is idling with the parking brake on, Tesla shares are on a tear. Since the beginning of the year, they have risen 80%. Currently at $262, the stock is selling at close to its all-time high and has a market cap of $32 billion.
紧随其后的是内蒙古自治区地方地震局的一个岗位,周二有768名报考者选择了该岗位。
Both claim to represent the people against foreigners and traitors.
"Let me point to the performance of China, in coming in at number 25 in the rankings, is now joining the upper income group of countries that have traditionally dominated the top slots in the global innovation index," the WIPO director-general, Francis Gurry, told a news conference.
For now, D'Aloisio isn't touching the money. 'I'm too young to appreciate the value of it,' he insists. 'I don't have a mortgage, I'm 17. To me, a hundred pounds is a lot. Take that as a benchmark.' Though he's not allowed to comment on Summly's sale price, when pressed he allows that he might one day like to deploy his newfound riches as an angel investor. No one around him seems to think there's a danger that the money will ruin him or that he'll be tempted to spend the rest of his life dissipating on a beach. 'He's pretty well grounded. You wouldn't believe how frugal he is,' says Diane. 'He's got a great engine,' says Lou. 'He won't stop at this.'
一些深受喜爱的电视剧角色就像老朋友一样存在于我们的生活中,并对我们产生翻天覆地的影响。我们为之捧腹大笑,也为之潸然泪下,甚至不惜撒谎请假,只为能够端坐在电视机前得知他们的最新进展。自始至终,我们对他们如痴如醉。但是还有很多东西是观众无法从银幕上得知的,比如隐藏在这些电视剧中的小秘密。下面就是一些受人追捧的电视剧的幕后故事。

All participants completed a self‐administered questionnaire written in English. The questionnaire comprised of 6 main sections which acquired the following information: (1) demographics (gender, age, ethnicity, occupation, and department), (2) past medical history, (3) PPE usage patterns since the start of COVID‐19 in Singapore (N95 face mask and protective eyewear type, primary location where PPE was worn, average number of hours of each equipment used in isolation and together per day and during previous 30 days period, personal views on the change in usage frequency since COVID‐19 outbreak), (4) phenotype and characteristics of any pre‐existing primary headache disorder (changes in headache frequency, attack duration and frequency of acute medication usage), (5) personal views regarding the changes in characteristics of any pre‐existing primary headache disorder since COVID‐19, and (6) the phenotype, characteristics and personal views on de novo PPE‐associated headaches. In addition, we also assessed the perceived impact of PPE‐associated headaches on overall work performance (Supporting Appendix S1).

At our institution, 2 types of National Institute for Occupational Safety and Health (NIOSH) certified 3M® N95 face masks are widely used, with the specification to filter out 95% of particles with a size greater than 0.3 microns. By definition, the donning of full PPE necessitates the use of a pre‐fitted size‐appropriate N95 face mask rather than a surgical mask.7 All healthcare workers at our institution underwent mandatory annual fit tests to select the right size of the N95 face mask. When properly fitted, the N95 face mask forms a tight seal against the wearer's face to provide respiratory protection. Protective goggles that provide splash protection against biological materials are also widely available and are used by the vast majority of healthcare workers instead of face‐shields/visors, while working in high‐risk areas (Fig. 1).

image
Frontal and side profiles of a healthcare working wearing N95 face mask and protective googles in combination (a‐d). Alternatively, a face‐shield or visor may be worn in combination with a N95 face mask (e,f). Posterior profile (g). Note where the edges of the N95 face mask and googles contact the head (including face). The figure also illustrates the positioning of the various elastic straps from the PPE upon the head (including face) and upper cervical region. [Color figure can be viewed at wileyonlinelibrary.com]

Statistical Analyses

Descriptive analyses were used to study baseline characteristics. Variables that were measured on the ordinal scale were compared using a Mann‐Whitney U test and summarized using median (IQR). Interval level data were compared using a t test and described using mean (SD). Chi‐square analyses were used to compare nominal demographic data and PPE usage patterns across 2 groups (respondents with and without de novo PPE‐associated headaches). To maximize sensitivity, variables with a univariable association of P < .2 were included as candidates into a multivariable logistic regression model. Predictor variables that were significant at P < .05 were retained in the multivariable model. Multivariable logistic regression analyses were performed to identify the independent variables associated with the development of de novo PPE‐associated headaches. A 2‐way ANOVA test was conducted to test for differences in the mean hours per day of PPE exposure at various high‐risk areas (isolation/pandemic wards, ED, and MICU) and further post hoc comparisons were performed using the Tukey test to adjust for multiple comparisons. When parametric tests were employed, assumptions of normality were verified using Q‐Q plots and histograms. Statistical significance was set at P < .05. All analyses were 2‐tailed. All statistical analyses were performed using the SPSS statistical package program version 25.0 for Windows (SPSS Inc, 2003, Chicago, IL, USA).

Results

A total of 160 frontline workers were invited to participate in the study, with 158 agreeing, giving an overall response rate of 98.7%. The majority of study respondents were female [111/158 (70.3%)], aged 21‐35 years [126/158 (77.8%)], and of Chinese ethnicity [92/158 (58.2%)]. Nurses contributed most [102/158 (64.6%)] followed by doctors [51/158 (32.3%)] and paramedical personnel [5/158 (3.2%)]. (Table 1). Out of 158 subjects, a pre‐existing primary headache diagnosis was present in 46 respondents (29.1%). Other non‐headache related concomitant co‐morbidities were present in 27 (17.1%) participants (Table 2). There were no missing data.

Table 1. Baseline Characteristics of Healthcare Workers in High‐Risk Areas Who Donned PPE During COVID‐19 (n = 158)
Characteristics Healthcare Workers N (%)
Female Gender 111 (70.3)
Age (years)  
21‐40 138 (87.3)
>40 20 (12.7)
Ethnicity  
Chinese 92 (58.2)
Indian 18 (11.4)
Filipino 23 (14.6)
Malay 15 (9.5)
Others 10 (6.3)
Occupation  
Doctor 51 (32.3)
Nurse 102 (64.6)
Paramedical personnel 5 (3.2)
Department  
Internal medicine 33 (20.9)
Emergency department 56 (35.4)
Nursing 63 (39.9)
Medical intensive care unit 6 (3.8)
Table 2. Pre‐Existing Primary Headache Diagnosis and Other Co‐Morbidities Among Healthcare Workers (n = 158)
Condition Healthcare Workers N (%)
Pre‐existing primary headache diagnosis 46 (29.1)
Migraine 30 (19.0)
Without aura 26 (16.5)
With aura 4 (2.5)
Tension‐type headache 16 (10.1)
Cluster headache 0 (0.0)
Other background medical conditions 27 (17.1)
Asthma 8 (5.1%)
Ankylosis spondylitis 1 (0.6)
Cigarette smoking 2 (1.3)
Depression 1 (0.6)
Anxiety 1 (0.6)
Diabetes mellitus 1 (0.6)
Eczema 2 (1.3)
Fatty liver 1 (0.6)
Hypertension 2 (1.3)
Hypothyroidism 1 (0.6)
Hyperthyroidism 2 (1.3)
Hyperlipidemia 1 (0.6)
Ischemic heart disease 1 (0.6)
Stroke 1 (0.6)
Ventricular septal defect 2 (1.3)

PPE Usage Patterns

All 158 healthcare workers reported that there was an increased frequency of PPE exposure since the COVID‐19 outbreak in Singapore. On average, respondents donned the N95 face mask for 18.3 days over the 30‐day period, with a mean of 5.9 hours per day. Goggles were used as protective eyewear in the majority [153/158 (96.8%)]. Protective eyewear was worn on an average of 18.2 days over the 30‐day period, with a mean of 5.7 hours per day. The combined use of N95 face mask and protective eyewear was worn for an average of 18.0 days over 30 days, with a mean of 5.7 hours per day (Table 3). Two‐way ANOVA test with post hoc Tukey's test revealed that across departments, healthcare workers based at the ED had higher average daily duration of PPE exposure compared to those working in isolation wards [7.0 (SD 2.2) vs 5.2 (SD 2.4) hours, P < .0001)] or MICU [7.0 (SD 2.2) vs 2.2 (SD 0.41) hours, P < .0001)] (Fig. 2). However, there was no statistically significant difference when PPE exposure over a 30 days period was compared between high‐risk areas (Fig. 2).

Table 3. PPE Usage Patterns Among Healthcare Workers During COVID‐19 Outbreak (n = 158)
Characteristics Healthcare Workers N (%)
N95 face mask
Type 1 (3M® NIOSH 1860S) 144 (91.1)
Type 2 (3M® NIOSH 1870 + Aura) 14 (8.9)
Number of days worn over last 30 days (days) (mean ± SD) 18.3 ± 5.1
Number of hours worn per day (hours) (mean ± SD) 5.9 ± 2.4
Protective eyewear
Goggles 154 (97.5)
Face shield/visor 4 (2.5)
Number of days worn over last 30 days (days) (mean ± SD) 18.2 ± 5.3
Number of hours worn per day (hours) (mean ± SD) 5.7 ± 2.5
Combination N95 face mask and eyewear usage
Number of days worn in combination over last 30 days (days) (mean ± SD) 18.0 ± 5.2
Number of hours worn in combination per day (hours) (mean ± SD) 5.7 ± 2.5
Primary location where PPE was used by healthcare workers
Isolation wards (designated “pandemic wards”) 96 (60.8)
Emergency department 56 (35.4)
Medical intensive care unit 6 (3.8)
Change in the frequency of PPE usage since the COVID‐19 outbreak
Significant increase in frequency 137 (86.7)
Slight increase in frequency 21 (13.3)
No change in frequency 0 (0.0)
image
Two‐way ANOVA analysis of PPE exposure per day (mean hours per day) across the various high‐risk areas during COVID‐19. ED: emergency department, MICU: medical intensive care unit.

De Novo PPE‐Associated Headaches

Of the 158 respondents, 128 (81.0%) reported de novo PPE‐associated headaches when they wore either the N95 face mask, with or without the protective eyewear. All respondents described the headaches as bilateral in location. Figure 3 illustrates the summated anatomical localization of headaches (marked by the study participants) and the corresponding frequencies of occurrence according to PPE subtype. Interestingly, the location of the discomfort experienced by the participants corresponded to the areas of contact from the face mask or goggles and their corresponding head straps. The majority [112/128 (87.5%)] reported a sensation of pressure or heaviness at the affected sites, with some [15/128 (11.7%)] characterizing it as a throbbing or pulling pain [1/128 (0.8%)].

image
Anatomical localization and frequency distribution among 128 respondents who reported de novo PPE‐related headaches. All respondents (n = 158) completing the questionnaire were asked to shade the areas where pain, pressure or compression from the respective PPE was experienced if this was present. [Color figure can be viewed at wileyonlinelibrary.com]

The time interval between donning of N95 face mask or protective eyewear to the onset of headache was less than 60 minutes for the majority of respondents [104/128 (81.3%)] and [113/128 (88.3%)], respectively). After removal of PPE, the attributed headache resolved spontaneously within 30 minutes in the majority for both N95 face mask [113/128 (88.3%)] and protective eyewear [114/128 (89.1%)] (Table 4).

Table 4. Time Interval Between Wearing or Removal of PPE and the Onset or Resolution of De Novo PPE‐Associated Headaches (n = 128)
Variable Value
Time interval between wearing N95 face mask to onset of headache (minutes), N (%)
≤10 27 (21.1)
11‐20 28 (21.9)
21‐30 19 (14.8)
31‐40 19 (14.8)
41‐50 11 (8.6)
51‐60 0 (0.0)
61‐120 24 (18.8)
Time interval between wearing protective eyewear to onset of headache (minutes), N (%)
≤10 29 (22.7)
11‐20 30 (23.4)
21‐30 24 (18.8)
31‐40 22 (17.2)
41‐50 8 (6.3)
51‐60 0 (0.0)
61‐120 15 (11.7)
Time interval from removal of N95 face mask to resolution of headache (minutes), N (%)
≤10 77 (60.2)
11‐20 22 (17.2)
21‐30 14 (10.9)
31‐40 4 (3.1)
41‐50 5 (3.9)
51‐60 0 (0.0)
61‐120 6 (4.7)
Time interval from removal of protective eyewear to resolution of headache (minutes), N (%)
≤10 81 (63.3)
11‐20 16 (12.5)
21‐30 17 (13.3)
31‐40 5 (3.9)
41‐50 6 (4.7)
51‐60 0 (0.0
61‐120 3 (2.3)

射箭、射击、铁人三项、现代五项ykXdDI-D*%c]。
当新员工迈入QuikTrip位于塔尔萨的总部时,他们可没功夫去害羞:刚开始的几天,他们的办公桌上都摆着满满一大桶糖果。路过的同事常常停下来做自我介绍,顺手也抓块糖吃。
在法国商学院当中,图卢兹商学院(Toulouse Business School)的进步最大,上升了14位,原因是该商学院首次进入了EMBA榜单。
The report also shows that despite the rising pension insurance balance since 2012, the payable number of months fell to 17.7 months last year from 19.7 months in 2012.
项目总成本:17.66万美元
It has exceeded the average level of 2.08% in the EU, while it still lags behind the 2.4% average ratio for member countries of the Organization for Economic Co-operation and Development, the bureau said.

"Now more attention is being paid to the second generation of stars and rich people, but in fact the second generation of migrant workers needs more attention."
获奖者:加拿大总理贾斯廷·特鲁多
Auto sales: Car sales reach 17 million but manufacturers scramble to adjust capacity as trucks and SUVs soar in popularity. Pressure to hold down corporate fuel averages drives margins on small cars far below break-even.
爱德华卢斯(Edward Luce)

China will not see nor allow massive unemployment of particular groups this year, as the government is capable of ensuring a favorable environment to generate jobs.
2012年中国网游市场将占全球半壁江山
1月份出口同比下滑6.6%至1.14万亿元人民币,而此前在去年12月份则曾增长2.3%。经济学家原本预计会增长3.6%。这是自去年7月下滑8.9%以来,出口出现的最大跌幅。
FlightAware, well known among travelers for its flight tracking app, calculated arrival delays for 18 major and regional U.S. airlines over the Thanksgiving and winter holiday (Christmas through New Year’s) travel periods, as defined by the Transportation Department, from 2010 through 2012.

At 36, women are about two years younger than men but senior positions are fairly well distributed between genders, with only slightly more women in relatively junior positions — 26 per cent of them are professionals compared with 24 per cent of men.
Porto is nearly synonymous to port wine, and also its rich history. The city's historic center and the Alto Douro Wine Region have been listed as UNESCO World Heritage Sites.
Global movie earnings hit a record $38.3b in 2015, with China accounting for $6.8 billion, a nearly 50% increase over the previous year, according to data from the US National Association of Theatre Owners.
[k?n's?lt]
中国的各个创新指标显现出“持续稳健的进步”,高锐表示,“没有理由认为这前进的脚步会停下来。”
还有些电视剧不如人们最初预料的好,不过仍有吸引力,最显眼的是映时频道的《婚外恋》,它一开始看起来像汉普顿斯式黑色电影,后来变成了法国艺术电影。剧中的罪行与过于缓慢的节奏以及《罗生门》(Rashomon)式的讲述方式不太相称,不过该剧在最后几集势头大涨,悬念丛生。
Alice Schwarzer, who has battled for women’s rights for years, is stunned that “an old-school sexist” like Donald J. Trump could win the United States presidency.

Study participants with a pre‐existing primary headache diagnosis (OR = 3.44, 95%; CI 1.14‐10.32; P = .013) and those working in the emergency department (OR = 2.39, 95% CI 1.05‐5.47; P = .019) were more likely to develop de novo PPE‐associated headaches. None of the pre‐existing headache subtype was found to predispose to de novo PPE‐associated headaches. When PPE usage patterns were evaluated, N95 face mask (OR = 1.59, 95% CI 1.15‐2.18; P < .001), protective eyewear (OR 1.60, CI 1.13‐2.25; P < .001) or using them together (OR = 1.50, 95% CI 1.09‐2.07; P = .002) for >4 hours per day had a higher chance of developing such headaches. Similar patterns were observed with the headache frequency of >15 days per month with the use of N95 face mask (OR = 1.34, 95% CI 0.96‐1.86; P = .043), protective eyewear (OR = 1.50, 95% CI 1.03‐2.18; P = .013), or both together (OR = 1.47, 95% CI 1.01‐2.13; P = .016) (Table 5).

Table 5. Univariate Logistic Regression Analysis of Factors (Demographic Variables, Primary Location of PPE Usage, Pre‐Existing Primary Headache Diagnosis, and PPE Usage) in Respondents With and Without De Novo PPE‐Associated Headaches (n = 158)
Demographic Variables With De Novo PPE‐Related Headaches N = 128 (%) Without De Novo PPE‐Related Headaches N = 30 (%) OR (95% CI) P‐Value Chi‐square analyses (statistically significant if P < .05).
Gender, female 92 (71.9) 19 (63.3) 1.14 (0.85‐1.52) .380
Age (years)        
21‐40 111 (86.7) 27 (90.0) 0.96 (0.84‐1.11) .770
>40 17 (13.3) 3 (10.0)    
Ethnicity        
Chinese 72 (56.3) 20 (66.7) 0.84 (0.63‐1.13) .410
Non‐Chinese 56 (43.8) 10 (33.3)    
Occupation        
Doctors and nurses 125 (97.7) 28 (93.3) 1.05 (0.95‐1.16) .241
Paramedical staff 3 (2.3) 2 (6.7)    
Underlying co‐morbidities 23 (18.0) 3 (10.0) 1.80 (0.57‐5.60) .414
Originating department of healthcare workers        
Emergency department 51 (39.8) 5 (16.7) 2.39 (1.05‐5.47) .019** Statistically significant results.
Others: medicine, nursing, ICU 77 (60.2) 25 (83.3)    
Pre‐existing primary headache diagnosis 43 (33.6) 3 (10.0) 3.44 (1.14‐10.32) .013** Statistically significant results.
Duration of N95 face mask wear per day        
>4 hours 115 (89.8) 17 (56.7) 1.59 (1.15‐2.18) <.001** Statistically significant results.
1‐4 hours 13 (10.2) 13 (43.3)    
Frequency of N95 face mask wear per month        
>15 days 97 (75.8) 17 (56.7) 1.34 (0.96‐1.86) .043** Statistically significant results.
3‐15 days 31 (24.2) 13 (43.3)    
Duration of protective eyewear use per day        
>4 hours 109 (85.2) 16 (53.3) 1.60 (1.13‐2.25) <.001** Statistically significant results.
1‐4 hours 19 (14.8) 14 (46.7)    
Frequency of protective eyewear use per month        
>15 days 96 (75.0) 15 (50.0) 1.50 (1.03‐2.18) .013** Statistically significant results.
3‐15 days 32 (25.0) 15 (50.0)    
Duration of combined N95 face mask and eyewear use per day        
>4 hours 109 (85.2) 17 (56.7) 1.50 (1.09‐2.07) .002** Statistically significant results.
1‐4 hours 19 (14.8) 13 (43.3)    
Frequency of combined N95 face mask and eyewear use per month        
>15 days 94 (73.4) 15 (50.0) 1.47 (1.01‐2.13) .016** Statistically significant results.
3‐15 days 34 (26.6) 15 (50.0)    
  • * Statistically significant results.
  • Chi‐square analyses (statistically significant if P < .05).

Post hoc multivariable logistic regression analysis revealed that a pre‐existing primary headache diagnosis (OR = 4.20, 95% CI 1.48‐15.40; P = .030), as well as the combined use of N95 face mask and eyewear for >4 hours per day (OR 3.91, 95% CI 1.35‐11.31; P = .012) was independently associated with developing de novo PPE‐associated headaches. Due to multi‐collinearity, the effect of only N95 face mask use and its use in combination with protective eyewear was analyzed in2 separate models for evaluating their role in the development of de novo PPE‐related headaches (Table 6 and Supporting Appendix S2).

Table 6. Multivariable Logistic Regression Analysis of Independent Factors and PPE Usage Patterns Associated With the Development of De Novo PPE‐Associated Headaches (N = 158) Due to multi‐collinearity of variables (“duration of combined N95 face‐mask & eyewear use per day” and “duration of N95 face‐mask use per day), they were analyzed in 2 separate models, including only one of these variables in each model.
Demographic Variables Odds Ratio (95% Confidence Interval) P‐Value
Female gender 0.88 (0.33‐2.34) .790
Age (years)    
21‐40 0.49 (0.11‐2.12) .337
>41    
Ethnicity    
Chinese 0.69 (0.27‐1.79) .454
Others: Indian, Malay, Filipino, Caucasian, etc    
Originating department of healthcare workers    
Emergency department 2.60 (0.84‐8.03) .087
Others: medicine, nursing, ICU    
Pre‐existing primary headache diagnosis 4.20 (1.48‐15.40) .030** Statistically significant results.
Duration of combined N95 face mask and eyewear use per day    
>4 hours 3.91 (1.35‐11.31) .012** Statistically significant results.
1‐4 hours    
  • * Statistically significant results.
  • Due to multi‐collinearity of variables (“duration of combined N95 face‐mask & eyewear use per day” and “duration of N95 face‐mask use per day), they were analyzed in 2 separate models, including only one of these variables in each model.

PPE‐Associated Headaches Fulfilling ICHD‐3 (2018) Diagnosis of 4.6.1 External Compression Headache

自从6年前开始编制该榜单以来,女性学员比例稳定增长,最新一届中占42%。与管理学硕士课程中女性学员48%的比例相比,这有些低,但它高于MBA课程中35%的比例。
“The Big Short” (Adam McKay)
adj. 暴露的,无掩蔽的,暴露于风雨中的 v. 暴露,
Did you have to worry about these little things when you were my age? 在您那个年代,您曾经担心过我们现在担心的事吗?
约40%的创业者的大部分收入都来自自己的公司,平均薪资约为19.4万美元,而非创业者的平均薪酬为17.1万美元。亚洲和大洋洲的创业者看起来是最成功的。他们中近一半人(48%)的大部分收入都来自自己的公司,而且薪资最高(平均为25.1万美元),稍高于中东的创业者(24.4万美元)。
新年已至,让我们在此总结一下石油市场形势。实际情况表明,2014年对石油市场来说非常重要——油价在短短六个月内下降了一半。
n. 临时工
It was the best of times, it was the worst of times…

The ICHD‐3 criteria for ECH were satisfied in majority of respondents who developed de novo PPE‐associated headaches attributed to the N95 face mask [96/128 (75.0%)] and to protective eyewear usage [106/128 (82.8%)] (Table 7).

Table 7. International Classification of Headache Disorders, 3rd Edition (ICHD‐3) (2018) Criteria for External Compression Headache
  1. 北新建材:业绩增长稳健 股价回调显估值优势
  2. 一项由中国职业介绍机构智联招聘(Zhaopin)对1.15万名员工开展的调查发现,2016年底有50.9%的员工没有拿到年终奖。还有9.6%的员工则被告知年终奖会推迟至春节假期后发放。
  3. 新型城镇化建设重点任务敲定:人口落了户 城市要接住
  4. The report also found that nearly a quarter of people use the same password for every site they are signed up to.
  5. 城市副中心将与廊坊北三县协同发展

Pre‐Existing Headache Diagnosis and Concomitant De Novo PPE‐Related Headaches

'It surprised me, but it's a good sign for Tencent getting abroad, because in particular WeChat is a combination of WhatsApp and Instagram, so it's a unique value proposition that is probably pretty good for emerging market consumers,' he said.
The new numbers, reported by a tracking initiative called the Global Carbon Project and published in the journal Nature Geoscience, came on the eve of a United Nations summit meeting meant to harness fresh political ambition in tackling climate change. Scientists said the figures showed that vastly greater efforts would be needed to get long-term global warming within tolerable limits.
“This is a historic moment for Puerto Rico,” said 50-year-old Jose Davila as he waved a large flag from Rossello’s pro-statehood party. “He’s the hope of our island, he’s the hope for statehood, he’s the hope for a people that have suffered.”
或许,在纽约尼克斯夺取NBA总冠军的道路上,缺失的关键就是甜瓜(安东尼的昵称)。噢,不,等等,林书豪才是他们欠缺的一环。然而,无论怎样,甜瓜不会妨碍尼克斯的冠军梦。
The Bellarine Peninsula, located Southwest of Melbourne, Victoria, has been a hotspot for timeless beaches and historic towns like Queenscliff and Portarlington.
In the wake of the Fitbit and Google’s GOOG 0.26% Glass, a flurry of companies has flooded the market with iterations of sensor-laden armbands, apparel, and eyewear. It’s a buzzy category, but early adopters seem to be waiting for a moment when they are no longerthat guy. (You know. The “Glasshole.”)
Courtney Weaver
Barack Obama went on the offensive over foreign policy in the third and final presidential debate, repeatedly accusing Mitt Romney of flip-flopping on major international issues but failing to deliver a killer blow to his opponent's resurgent campaign.

Course of Pre‐Existing Headaches During COVID‐19

Majority of respondents [42/46 (91.3%)] with an underlying pre‐existing headache diagnosis either “agreed” or “strongly agreed” that the increased PPE usage aggravated their background headaches in terms of frequency and attack duration (Figs. 4 and 5). Other important factors that could have potentially worsened their pre‐existing headaches included sleep deprivation [28/46 (60.9%)], physical stress [13/46 (29.3%)], emotional stress [6/46 (13.0%)], irregular meal times [7/46 (15.2%)] and inadequate hydration [18/46 (39.1%)]. Nearly half of the respondents indicated that there was a “slight” or “significant increase” [25/46 (53.4%)] in acute medication usage and majority of them [41/46 (90.7%)] opined that their work performance was adversely affected “slightly” or “significantly.”

image
Extent of change in the average number of headache days per month in those with a pre‐existing headache diagnosis (a), and the perceived relationship of this change attributable to PPE use (b).
image
Extent of change in average attack duration in those with a pre‐existing headache disorder (a), and the perceived relationship of this change attributable to PPE use (b).

Discussion

n. 联合,结合,交往,协会,社团,联想
本田的幸运之处在于,它在美国的客户对其拥有深厚的好感和忠诚度,还因为优质低价的极高性价比受到第三方评测机构的好评。不过,因安全气囊爆开后碎片四溅伤及乘客这一产品缺陷导致的争议,在一定程度上削弱了这个客户基础。
extra出+vag走…走过头…奢侈+ant表形容词,“ …的”→奢侈的
大小:5003平方英尺(约465平方米)
该版猴票为我国发行的首套生肖邮票,因此颇受追捧。据悉,一枚邮票的价格已经从当时的发行价8分涨至1.2万元,整版价格更是达到150万元。
I expect more companies to develop leaders who know how to manage networks — not just the traditional internal network of employees, but more loosely connected webs of suppliers and contractors, managed remotely via the internet and social media.

Our findings are in agreement with the report by Lim et al, albeit for N95 face mask exposure only.16 Not surprisingly, doctors and nurses working in high‐risk hospital areas, especially at the emergency department, had a greater risk for the development of such headaches. Nearly 70% of our cohort did not require any acute analgesic treatment for their de novo PPE‐associated headaches, which is contrary to the previously reported use of up to 60%.16 This could have occurred due to the infrequent episodic headaches in our cohort, which were mild in intensity. However, a large proportion of our participants experienced at least a “slight” decreased work performance, underscoring the potential impact on occupational health and productivity. We hypothesize that the headache frequency, severity, use of analgesics, and work performance may worsen if the current COVID‐19 outbreak is sustained for a longer time. Perhaps, shorter duty shifts and the resultant shorter duration of PPE use might be a better strategy to avoid the adverse impacts of PPE usage.

The pathogenesis of de novo PPE‐associated headaches could possibly have several etiological considerations, which include mechanical factors, hypoxemia, hypercarbia, or the associated stress.17-21 The phenotypic findings from our study suggest an anatomic basis for the headache or facial pain from PPE usage (Figs. 1 and 3). Pressure or tractional forces from the mask and/or goggles together with the accompanying straps may lead to local tissue damage and exert an irritative effect on the underlying superficial sensory nerves (in particular trigeminal or occipital nerve branches) innervating the face, head, and cervical region (Fig. 6).9 The cervical neck strain from donning the equipment could have led to the development of cervicogenic headache or tension‐type headache (TTH)22-24 The peripheral sensitisation may activate the trigeminocervical complex through nociceptive information transmitted via different branches of the trigeminal nerve through the trigeminal ganglia and brainstem to the higher cortical areas thereby triggering the headache attacks coronavirus disease 201925, 26 Alternatively, a neuralgia with transient effects on the underlying superficial sensory nerves could have occurred, although other reasons were more likely as most respondents did not report characteristics suggestive of a neuropathic process.27 These etiological reasons could perhaps explain why a large proportion of those with pre‐existing primary headache disorders and concomitant de novo PPE‐associated headaches reported an increase in the average number of headache days over a 30 day period, with the perception that this change was probably attributable to the PPE.

image
Sensory innervation of the head. Auriculotemporal nerve (AT); deep branch of the supraorbital nerve (SON‐D); greater occipital nerve (GON); infratrochlear nerve (ITN); lesser occipital nerve (LON); mandibular branch of the trigeminal nerve (V3); maxillary branch of the trigeminal nerve (V2); nasal nerve (NN); ophthalmic branch of the trigeminal nerve (V1); superficial branch of the supraorbital nerve (SON‐S); supratrochlear nerve (STN); third occipital nerve (TON); zygomaticotemporal nerve (ZTN). [Color figure can be viewed at wileyonlinelibrary.com]

Depending on the subtype of PPE exposure, the majority of respondents with de novo PPE‐associated headaches fulfilled the ICHD‐3 criteria for external compression headache (ECH) (Table 7) coronavirus disease 2019 8 A lower proportion of participants in our study had a pre‐existing primary headache disorder, and thus the fulfillment of the ICHD‐3 criteria for ECH was predictable in those who developed de novo PPE‐associated headaches. We observed that in some participants the “on‐gear‐to‐start‐of‐headache” and “off‐gear‐to‐end‐of‐headache” intervals exceeded the 60‐minutes limit as stipulated in the criteria. Our study found that responders with a combined exposure to N95 face mask and protective eyewear use for >4 hours per day were predisposed to the development of such de novo headaches. The increased duration of PPE exposure among frontline healthcare workers during COVID‐19 is brought about by necessity as mandated by infectious diseases protocols, which is a clear departure from prior usage patterns before the start of the pandemic. Despite any discomfort, our subjects may have had to endure varying degrees of pain during their working hours, without the option of frequent adjustments or removal. In contrast, prior reports of ECH attributed to exposure to swimming googles or head gear were often short‐lived, limited to approximately an hour, with the duration perhaps dictated by when the gear was removed due to any discomfort experienced by the wearer.9, 11, 13 Additionally, up to a quarter of subjects had associated migrainous symptomatology such as nausea/vomiting, photophobia, phonophobia and movement sensitivity. We propose that in predisposed patients, if the stimulus is prolonged, external compression may lead to a more severe migraine headache or even a full‐blown migraine attack.28 From a purely anatomic standpoint, the report locations where pain is experienced may be consistent with migraine or TTH (Figure 3). Perhaps, larger field studies are necessary to clarify the phenotypic variance of ECH.

Since the start of COVID‐19 in Singapore, most respondents with a pre‐existing primary headache disorder experienced an increase in headache frequency, mostly attributed to PPE exposure. Other factors such as sleep deprivation, physical and emotional stress, irregular meal times and inadequate hydration contributed to this phenomenon. Our findings are in keeping with multiple studies demonstrating that the triggers in migraine or TTH were often related to a change in internal and external homeostasis, underscoring the importance of addressing these factors in optimizing headache control.26, 29-31

We recognize that conventional N95 face mask and protective eyewear fit tests consider only the overall fit factor and do not take into account the level of comfort or tolerability especially when used for prolonged periods of time.32, 33 Pain or discomfort is often experienced from tight‐fitting PPE, especially after prolonged use. The current mask and protective eyewear designs rely on elastic head straps to ensure a tight‐fit, often causing headache, facial pain, and/or ear lobe discomfort due to tractional and tensional forces to the head. In addition, the PPE leads to thermal discomfort, causing a build‐up of moist warm air inside the mask and googles.34 These factors may cause de novo PPE‐associated headache as well as affect compliance, with important ramifications for occupation health, workplace safety and productivity, and ultimately job satisfaction among healthcare workers. Through novel engineering solutions, we envisage that the next generation protective face mask and eyewear will have an improved design with an emphasis on tolerability, and consequently less propensity for headaches.35

塞舌尔
To provide assistance to these laid-off workers will continue to be our priority in cutting overcapacity and pursuing the supply-side structural reform.
In this case, the Lakers got a reasonable return for their top trade piece, prepared to give their young players like D'Angelo Russell and Brandon Ingram greater responsibilities down the stretch, and hunkered down for a tank that just might land UCLA star Lonzo Ball.
cast
It's quite an odd question, because Ireally wanted to start writing when I read lots of Stephen King stories. Hisstories were quite astonishing and interesting.
Actors Leonardo DiCaprio and Lady Gaga have led the winners at this year's Golden Globe awards.
ballroom
马云及其家族在IT行业的财富总额为1950亿元;腾讯控股创始人马化腾位居第二,其财富同比上涨了30%,至1340亿元。
With most of our favorite shows on or approaching the dreaded holiday hiatus, it's time to reflect on the women that made the fall 2011 TV season so great.
单词remembrance 联想记忆:
Of the 6,527 new rentals scheduled to hit the market in Brooklyn next year, 1,442 are in Bedford-Stuyvesant, Bushwick and Clinton Hill, all considered off the beaten path not that long ago, according to data provided by Citi Habitats.
你的阑尾终究可能不是一个无用的进化副产物。你的阑尾不像智齿那样,事实上它可能发挥着重要的生物学功能,恰好现在人类还没准备好放弃阑尾的这种功能。
The house is on a slight hill above the street. Its entry is a large glassed porch with a brick floor and walls of windows facing the lake. The renovation preserved coffered ceilings and the abundant use of wood in the original part of the house. The floor plan is open, and nearly every room has views of the lake through picture windows.
In an emailed statement, FIFA said that during group stage matches, it sold a total of 143,364 of the cheapest tickets, which amounted to roughly 3,000 such tickets available per match.
康涅狄格州斯托宁顿(STONINGTON, CONN.)
美国国家篮球协会(NBA)近日宣布,NBA全球赛将在中国举办两场金州勇士队对明尼苏达森林狼队的季前赛。
克里斯汀“伯德小姐”是一名高中生,她“家里贫困拮据”,但却向往冒险成熟的生活,憧憬机遇的来临。但在她所就读的萨克拉门托天主教学院她却什么也寻求不到。影片讲述了主角高三一年的经历,包括她第一次恋爱,她在学校参加舞台表演,以及最重要的,她申请大学的故事。
Despite the surge of private wealth in China, the country’s billionaires have not yet cracked the top ranks of global rich lists. Hurun estimates that Mr Wang, China’s richest man and head of the Wanda group, ranks 26th globally.
The nations of the world have agreed to try to limit the warming to 3.6 degrees Fahrenheit, which would require that emissions slow down and then largely stop in the next 30 years or so. If they continue on their present course through the century, scientists say, the earth could warm by as much as 10 degrees Fahrenheit above the preindustrial level, which would likely be incompatible with human civilization in its current form.
Against: Opening so early in the year outside of awards season could hinder its chances.
China’s retail sales softened as industrial production and investment held more or less steady in spite of a weaker showing from exports last month.
bacteria
报告称,迪拜排名第四,预计接待游客1527万人,“突飞猛进,成为全球旅游消费最高的城市”。
NPLs rose from 1.25 per cent of total loans to 1.67 per cent by the end of 2015, amounting to Rmb1.27tn held by commercial banks.
Plastic surgery has long been big business in the US, but now the trend is sweeping across Asia.
China's box office sales have increased from 1 billion yuan to 40 billion yuan in the past decade as the industry has adopted more market-oriented reform measures.
At New Year and always, may peace and love fill your heart, beauty fill your world, and contentment and joy fill your days.
Overseas tourists continued to shun Beijing through 2013.
Put succinctly, there was no way to describe or explain the crosscurrents of 2014. And I’m not convinced that the benefit of hindsight will make what happened this year any clearer years from now.

Conclusions

Wishing you a sparkling New Year and bright happy New Year! May the season bring much pleasure to you.
n. 土耳其
这一消息来自英国时装协会,协会在时装周前对设计师进行了调查,发现在9月份的时装周登场的80名设计师中没有一位会使用皮草。
23% of wealthy Chinese women work in real estate and 18% of them are involved in finance and investment, followed by manufacturing accounting for 14%.
有迹象显示,人们对公务员的热情可能正在消减,招聘网在三月底发布的一份报告称,仅仅两个月,已有1万多名公共单位职员通过该网站提交了简历,其中包括公务员和公共机构工作人员。报告还表示,去年同一时期,提交简历的人数比今年高34%。
一名姓苏的学生表示:“此外,大多数中国家庭只有一个孩子,所以为了和家人朋友离得近一些,大多数留学生都会选择回国。”他放弃了自己在英国的工作,回国照顾自己的母亲。
读:奔腾。奔腾的特长就是永远有一颗奔腾的芯。
It was the best of times, it was the worst of times…
At that time, the chief executive was also under pressure, given Apple’s lack of clear product direction beyond milking the iPhone. Sensing blood, activist investors began to circle the company; first David Einhorn, then Carl Icahn, have lobbied for changes to how Apple is run and manages its finances. Mr Icahn has pushed for Apple to raise huge debt to return up to $150bn to shareholders and urged it to release more products, including a television set.

Statement of Authorship

Category 1

(a) Conception and Design

智能门入驻市场 “以人为本”是核心

(b) Acquisition of Data

与官方PMI指数相比,财新赞助的系列调查的样本是数目少得多的民营企业,其结果的波动性往往更大。而官方PMI指数则主要关注规模更大的国有企业。
不过,如果把10月份看做一个整体,则只有深圳房价真正出现了环比下滑。

(c) Analysis and Interpretation of Data

失业率的大幅下降的实际效果将会有所体现

Category 2

(a) Drafting the Manuscript

7. 《出局:禁止接触》(Out 1: Noli Me Tangere),导演:雅克·里维特(Jacques Rivette)。

(b) Revising It for Intellectual Content

The most badass super-villains assigned to protecting people, that's Suicide Squad for you. A government agency called A.R.G.U.S recruits villains to perform dangerous tasks that in turn reduces their prison sentence. The task force includes Joker, Deadshot, Harley Quinn, Boomerang, Killer Croc and several other villains from the DC Comics universe.
《固定电话》

Category 3

(a) Final Approval of the Completed Manuscript

当城市规划部门明年初(2015年——译注)提出初步的建议方案时,布鲁克林的东纽约(East New York)地区将被列为试点。随后,重新区划进程就将在该处全市最穷社区之一内展开。而紧随其后的,将是针对皇后区的西法拉盛(Flushing)的提案。
赢家:湖人

    Number of times cited according to CrossRef: 33

    • This May 2020 Issue of Headache Contains Several Articles of Significance, Headache: The Journal of Head and Face Pain, 10.1111/head.13817, 60, 5, (819-819), (2020).
    • 3D Printing of Face Shields to Meet the Immediate Need for PPE in an Anesthesiology Department during the COVID-19 Pandemic, American Journal of Infection Control, 10.1016/j.ajic.2020.07.037, (2020).
    • Coronavirus disease 2019 (COVID-19) and headaches新型コロナウイルス感染症(COVID-19)と頭痛, Rinsho Shinkeigaku, 10.5692/clinicalneurol.cn-001490, (2020).
    • Headaches, Personal Protective Equipment, and Psychosocial Factors Associated With COVID‐19 Pandemic, Headache: The Journal of Head and Face Pain, 10.1111/head.13882, 60, 7, (1444-1445), (2020).
    • Spectrum of Neurological Manifestations in Covid-19: A Review, Neurology India, 10.4103/0028-3886.289000, 68, 3, (560), (2020).
    • An efficient WBAN aggregator switched-beam technique for isolated and quarantined patients, AEU - International Journal of Electronics and Communications, 10.1016/j.aeue.2020.153322, 123, (153322), (2020).
    • HOXD3 was negatively regulated by YY1 recruiting HDAC1 to suppress progression of hepatocellular carcinoma cells via ITGA2 pathway, Cell Proliferation, 10.1111/cpr.12835, 53, 8, (2020).
    • The effect of parental depression on the problem behaviour and academic performance of children with asthma, Nursing Open, 10.1002/nop2.542, 7, 5, (1597-1605), (2020).
    • Headaches Due to Personal Protective Equipment During COVID‐19 Pandemic: A Comment, Headache: The Journal of Head and Face Pain, 10.1111/head.13879, 60, 7, (1446-1447), (2020).
    • Neurological manifestations and implications of COVID-19 pandemic, Therapeutic Advances in Neurological Disorders, 10.1177/1756286420932036, 13, (175628642093203), (2020).
    • COVID‐19 is a Real Headache!, Headache: The Journal of Head and Face Pain, 10.1111/head.13856, 60, 7, (1415-1421), (2020).
    • Masked Education?The benefits and burdens of wearing face masks in schools during the current Corona pandemic, Trends in Neuroscience and Education, 10.1016/j.tine.2020.100138, (100138), (2020).
    • Low-cost measurement of face mask efficacy for filtering expelled droplets during speech, Science Advances, 10.1126/sciadv.abd3083, 6, 36, (eabd3083), (2020).
    • Gesichtsmasken im Unterricht, Nervenheilkunde, 10.1055/a-1162-5343, 39, 09, (522-532), (2020).
    • Pflege während der COVID-19 PandemieNursing care during the COVID-19 pandemic — a particular challenge, ProCare, 10.1007/s00735-020-1247-8, 25, 8, (48-53), (2020).
    • COVID-19: What do we know?, American Journal of Orthodontics and Dentofacial Orthopedics, 10.1016/j.ajodo.2020.08.010, 158, 5, (e53-e62), (2020).
    • A Multinational, Multicentre Study on the Psychological Outcomes and Associated Physical Symptoms Amongst Healthcare Workers During COVID-19 Outbreak, Brain, Behavior, and Immunity, 10.1016/j.bbi.2020.04.049, (2020).
    • The Face Mask How a Real Protection becomes a Psychological Symbol during Covid-19?, Brain, Behavior, and Immunity, 10.1016/j.bbi.2020.05.060, (2020).
    • COVID‐19 and Headache Medicine: A Narrative Review of Non‐Steroidal Anti‐Inflammatory Drug (NSAID) and Corticosteroid Use, Headache: The Journal of Head and Face Pain, 10.1111/head.13903, 60, 8, (1558-1568), (2020).
    • Spectrum of Headaches Associated With SARS‐CoV‐2 Infection: Study of Healthcare Professionals, Headache: The Journal of Head and Face Pain, 10.1111/head.13902, 60, 8, (1697-1704), (2020).
    • Global prevalence and pathogenesis of headache in COVID-19: A systematic review and meta-analysis, F1000Research, 10.12688/f1000research.27334.1, 9, (1316), (2020).
    • A Scoping Review of Respirator Literature and a Survey among Dental Professionals, International Journal of Environmental Research and Public Health, 10.3390/ijerph17165968, 17, 16, (5968), (2020).
    • Commentary: Physiological and Psychological Impact of Face Mask Usage during the COVID-19 Pandemic, International Journal of Environmental Research and Public Health, 10.3390/ijerph17186655, 17, 18, (6655), (2020).
    • Testing cardiovascular autonomic function in the COVID-19 era: lessons from Bologna’s Autonomic Unit, Clinical Autonomic Research, 10.1007/s10286-020-00710-4, (2020).
    • Behavioral Survey of Effects of Pulsed Radiofrequency on Neuropathic and Nociceptive Pain in Rats: Treatment Profile and Device Implantation, Neuromodulation: Technology at the Neural Interface, 10.1111/ner.13169, 0, 0, (2020).
    • Similarities of Coordination Polymer and Dimeric Complex of Europium(III) with Joint and Separate Terpyridine and Benzoate, Zeitschrift für anorganische und allgemeine Chemie, 10.1002/zaac.201900319, 0, 0, (2020).
    • Psychometric properties of the Turkish version of Illness Management and Recovery Scale‐Patient form, Perspectives in Psychiatric Care, 10.1111/ppc.12559, 0, 0, (2020).
    • Prolonged facemask use in the heat worsens dyspnea without compromising motor-cognitive performance, Temperature, 10.1080/23328940.2020.1826840, (1-6), (2020).
    • A novel reusable anti-COVID-19 transparent face respirator with optimized airflow, Bio-Design and Manufacturing, 10.1007/s42242-020-00097-1, (2020).
    • Prevalence of Voice Disorders in Healthcare Workers in the Universal Masking COVID‐19 Era, The Laryngoscope, 10.1002/lary.29172, 0, 0, (2020).
    • “Coronavirus could kill me #StayHomeSaveLives”: A content and sentiment analysis of tweets by people with arthritis during COVID-19 (Preprint), Journal of Medical Internet Research, 10.2196/24550, (2020).
    • Aligning difficult airway guidelines with the anesthetic COVID-19 guidelines to develop a COVID-19 difficult airway strategy: a narrative review, Journal of Anesthesia, 10.1007/s00540-020-02819-2, (2020).
    • Migraine Improvement During COVID‐19 Pandemic – A Case Report on the Wonders of a Mask, Headache: The Journal of Head and Face Pain, 10.1111/head.13964, 0, 0, (undefined).