sudden loss
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2021 ◽  
Vol 152 (A4) ◽  
Author(s):  
K J Spyrou

The article intends to bring back to light old perceptions about the “broaching-to” behaviour of ships. The signature of broaching-to is the sudden loss of controllability. The phenomenon sometimes ends with vessel capsize. The findings of an investigation into old bibliographical sources are reported, spanning more than 300 years of use of the term. Several citations have been identified in texts of nautical or related content, including voyagers’ records, nautical journals, training manuals, old encyclopaedias and even literary sources and leisure magazines. At a time when broaching-to is considered in the currently formulated new ship stability criteria at IMO, this paper provides a historical perspective on a problem that has maintained relevance despite the changes in ship technology and design.


2021 ◽  
pp. 105413732110616
Author(s):  
Susan Sweeney

First responders and care professionals are often required to convey the deeply distressing news to relatives of the sudden death of a loved one. Witnessing the extreme anguish and grief of those receiving such news can have a detrimental effect on the bearers, leading to peritraumatic distress and feelings of inadequacy and burnout. For the recipients of such news, how it is delivered will impact on their understanding, acceptance, and processing of the sudden loss and may be a precursor for complicated grief or mental health issues such as anxiety or depression. Through writing about her own experience, the author aims to illustrate how interaction with professionals supported or impacted adversely on her grief and is intended to maintain professionals’ awareness of the impact of their delivery on recipients. Ancillary professionals also have an important role in how they interact with the bereaved and in ameliorating their deep distress.


2021 ◽  
Vol 41 ◽  
pp. 328-340
Author(s):  
Sara Ziaee Shirvan ◽  
Keyword(s):  
The Self ◽  

"This paper examines the concept of identity and its reconfiguration after experiencing a traumatic event. Anny Duperey’s account of her shock caused by the sudden loss of her parents at the age of eight is the self- narrative analyzed this study. After thirty years of silence, Duprey finally decides to rediscover this “lost” past and “upset” childhood, which allows her, in particular, to reconstruct her injured identity. Therefore, the question that arises is how the author / narrator manages to approach the representation of self during her narrative project, while she is suffering from identity rupture in the aftermath of such a heavy loss."


2021 ◽  
Vol 73 (1) ◽  
Author(s):  
Abdullah Ameen ◽  
Kiran Hilal ◽  
Asra Shaikh ◽  
Faheemullah Khan ◽  
Saulat Fatimi

Abstract Background Hydatid disease caused by Echinococcus granulosus commonly involves the liver followed by lungs. Cardiac involvement is a rare occurrence and presents a challenging scenario. Case presentation Our case describes a middle-aged gentleman who presented to the emergency room with an episode of sudden loss of consciousness resulting from ventricular tachycardia. After successful cardiac resuscitation, the patient underwent imaging that showed a lesion compatible with hydatid cyst. Surgical treatment with pharmacologic coverage was provided which resulted in good clinical outcome. Conclusions The case highlights rare occurrence of isolated cardiac hydatid disease presenting as cardiac arrhythmia in contrast to its common routine outpatient presentation involving the liver and lungs. Good knowledge of the unusual presentations and its epidemiology is essential to the proper management of such patients.


2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Yue Zhao ◽  
Hanping Hou ◽  
Ting He ◽  
Dandan Li ◽  
Jiaqi Fang

The Beijing Winter Olympic Games is an extremely important event, and the supply of electricity is the basis for it. In order to prevent the sudden loss of power to the event, it is necessary to carry out power repair and restore normal power supply in the shortest possible time. Contemporary research is less focused on the emergency repair of power systems. This thesis studies the dispatching of power emergency materials in two stages and in the first stage, the minimum gap rate and the shortest time for material dispatching and transportation are mainly considered, and the required types of power emergency materials are dispatched from the storage near the Olympic venues to various power failure points. In the second stage, aiming at the shortage of power emergency materials at each fault point, the power emergency materials will be dispatched from the rear national power grid regional material reserve to the power emergency materials reserve near the Olympic venues and then dispatched to each power fault point through the power emergency materials reserve. Finally, this paper verifies the effectiveness of the combination of the primary and secondary dispatching models in an example, providing a reference for further improving the emergency response capability of the Olympic venues and improving the safety system of the power system.


BMJ ◽  
2021 ◽  
pp. e067964
Author(s):  
Jonathan K Y Ng ◽  
Kalyan Guduru ◽  
James Huxtable
Keyword(s):  

2021 ◽  
pp. 205336912110384
Author(s):  
Akanksha Garg ◽  
Lynne Robinson

Surgical menopause (bilateral oophorectomy) is commonly undertaken during a hysterectomy to treat various medical conditions. Menopausal symptoms can be particularly severe due to the sudden loss of ovarian function. This clinical toolkit is intended to guide healthcare professionals caring for women undergoing surgical menopause. Women commonly experience vasomotor symptoms, sexual dysfunction and an increased risk of cardiovascular and osteoporotic disease. Compared with a natural menopause, loss of libido can be more pronounced following a surgical menopause. Hormone Replacement Therapy (HRT) plays a significant role in managing surgical menopause, especially in women aged under 45 years old. All women undergoing surgical menopause should have adequate counselling regarding the hormonal consequences of surgery and the role of HRT with a view to provide individualised, patient-centred care.


2021 ◽  
Vol 59 ◽  
pp. 9-32
Author(s):  
Anita Rani ◽  
Mohinder Singh ◽  
Om Prakash Jasuja

Sometimes, a writer may try to disguise their normal handwriting to hide their identity. One of the most effective and less frequent modes of disguise is to write with the un-accustomed hand. In this type of disguise, due to a sudden loss of pen control, pictorial appearance of handwriting changes to such an extent that the writer assumes success and gets convinced that the disguised handwriting they have produced cannot be attributed to them by comparison with their normal writing style. In the present study, handwriting samples of several persons, both with the normal hand and the unaccustomed hand, were obtained and an attempt has been made to find out and identify those features that survive the hazards of disguise and could be helpful to accurately determine the authorship of such disguised handwriting in comparison with one’s normal handwriting samples. A detailed study of letter-forms, the connecting strokes between letters, and t-crossing written by several persons has been carried out. It has been found that, despite pictorial dissimilarities, there are certain unconscious features that are rarely disguised which could either form the basis for their association with a particular writer or indicate its probability for further investigation. The analysis, comparison, and evaluation of features unconsciously left by the writer, including the parameters selected for the present study, can be carried out by a trained forensic document examiner; and they can give whatever opinion is possible and justifiable in facts and circumstances of a case.


2021 ◽  
Vol 27 (2) ◽  
pp. 152-158
Author(s):  
Md Harun Ar Rashid Talukder ◽  
Shariff Asifa Rahman ◽  
Ahmmad Taous ◽  
Md Abul Hasnat Joarder

Background: The novel human corona virus disease (COVID-19) is the fifth documented pandemic in history since the 1918 flu pandemic. Along with other clinical features, loss of smell has been reported as a prime symptom in COVID-19 positive patients. The aim is to determine the frequency of COVID-19 infection in patients who came with a history of the sudden development of loss of smell. Materials & Methods: This study was done in Uttara Crescent Hospital, a private hospital in Dhaka, Bangladesh. Data were collected retrospectively from hospital records in between 01 April 2020 and 30 November 2020, total 48 patients were included in this series. All the patients came with history of fever, sore throat, cough, loss of smell and altered taste, proper history were taken and examined. The patient with suspected COVID-19 infection was sent for RT-PCR testing. About 24 patients were included in the study with the history of loss of smell with or without other symptoms from the recorded data. Results: Among the 48 patients male were 34 and female 14. The age of the patients was in between 13 and 64 years. COVID-19 infection was confirmed in 34 patients (70.83%) in RTPCR testing. Conclusion: Loss of smell is a significant symptom of COVID-19 infection, along with other symptoms. In the current study, the prevalence of COVID-19 infection is 70.83% in patients with history of sudden loss of smell. It does not reflect the country’s actual picture because of a minimal number of study populations. Further study is needed find out prevalence in Bangladesh. Bangladesh J Otorhinolaryngol 2021; 27(2): 152-158


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