Cardiac arrest

Cardiac arrest is a sudden loss of blood flow resulting from the failure of the heart to pump effectively. Signs include abnormal or absent breathing; some individuals may experience shortness of breath, or nausea before cardiac arrest. If not treated within minutes, it leads to death; the most common cause of cardiac arrest is coronary artery disease. Less common causes include major blood loss, lack of oxygen low potassium, heart failure, intense physical exercise. A number of inherited disorders may increase the risk including long QT syndrome; the initial heart rhythm is most ventricular fibrillation. The diagnosis is confirmed by finding no pulse. While a cardiac arrest may be caused by heart attack or heart failure, these are not the same. Prevention includes not smoking, physical activity, maintaining a healthy weight. Treatment for cardiac arrest includes immediate cardiopulmonary resuscitation and, if a shockable rhythm is present, defibrillation. Among those who survive, targeted temperature management may improve outcomes.

An implantable cardiac defibrillator may be placed to reduce the chance of death from recurrence. In the United States 535,000 cases occur a year. About 13 per 10,000 people experience cardiac arrest outside of a hospital setting, while 209,000 occur within a hospital. Cardiac arrest becomes more common with age, it affects males more than females. The percentage of people who survive with treatment is about 8%. Many who survive have significant disability. However, many American television programs have portrayed unrealistically high survival rates of 67%. Cardiac arrest is preceded by no warning symptoms in 50 percent of people. For those who do experience symptoms, they will be non-specific, such as new or worsening chest pain, blackouts, shortness of breath and vomiting; when cardiac arrest occurs, the most obvious sign of its occurrence will be the lack of a palpable pulse in the victim. As a result of loss of cerebral perfusion, the victim will lose consciousness and will stop breathing; the main criterion for diagnosing a cardiac arrest, as opposed to respiratory arrest, which shares many of the same features, is lack of circulation.

Near-death experiences are reported by 10 to 20 percent of people. Certain types of prompt intervention can reverse a cardiac arrest, but without such intervention, death is all but certain. In certain cases, cardiac arrest is an anticipated outcome of a serious illness where death is expected. Sudden cardiac arrest and sudden cardiac death occur when the heart abruptly begins to beat in an abnormal or irregular rhythm. Without organized electrical activity in the heart muscle, there is no consistent contraction of the ventricles, which results in the heart's inability to generate an adequate cardiac output. There are many different types of arrhythmias, but the ones most recorded in SCA and SCD are ventricular tachycardia or ventricular fibrillation. Less common causes of dysrhythmias in cardiac arrest include pulseless electrical activity or asystole; such rhythms are seen when there is prolonged cardiac arrest, progression of ventricular fibrillation, or due to efforts such as defibrillation to resuscitate the person.

Sudden cardiac arrest can result from cardiac and non-cardiac causes including the following: Coronary artery disease known as ischemic heart disease, is responsible for 62 to 70 percent of all SCDs. CAD is a much less frequent cause of SCD in people under the age of 40. Cases have shown that the most common finding at postmortem examination of sudden cardiac death is chronic high-grade stenosis of at least one segment of a major coronary artery, the arteries that supply the heart muscle with its blood supply. Structural heart disease not related to CAD account for 10% of all SCDs. Examples of these include: cardiomyopathy, cardiac rhythm disturbances, hypertensive heart disease, congestive heart failure. Left ventricular hypertrophy is thought to be a leading cause of SCD in the adult population; this is most the result of longstanding high blood pressure which has caused secondary damage to the wall of the main pumping chamber of the heart, the left ventricle. A 1999 review of SCDs in the United States found that this accounted for over 30% of SCDs for those under 30 years.

A study of military recruits age. Congestive heart failure increases the risk of SCD fivefold. Arrhythmias that are not due to structural heart disease account for 5 to 10% of sudden cardiac arrests; these are caused by genetic disorders that lead to abnormal heart rhythms. The genetic mutations affect specialised proteins known as ion channels that conduct electrically charged particles across the cell membrane, this group of conditions are therefore referred to as channelopathies. Examples of these inherited arrhythmia syndromes include Long QT syndrome, Brugada Syndrome, Catecholaminergic polymorphic ventricular tachycardia, Short QT syndrome. Other conditions that promote arrhythmias but are not caused by genetic mutations include Wolff-Parkinson-White syndrome. Long QT syndrome, a condition mentioned in young people's deaths, occurs in one of every 5000 to 7000 newborns and is estimated to be responsible for 3000 deaths each year compared to the 300,000 cardiac arrests seen by emergency services.

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MOL Triumph

MOL Triumph is the seventh-largest container ship in the world, built in March 2017 by Samsung Heavy Industries in Geoje, South Korea. The vessel is the world's first 20,000 TEU-class container ship and was built for the Japanese shipping operator Mitsui O. S. K. Lines; the ship was christened in a ceremony in South Korea on March 15, 2017. The Triumph will have five sisterships delivered during the further months. Triumph was world's largest vessel and has overall length of 400 m, width of 58.8 m, maximum summer draft of 16.0 m. The deadweight of the boxship is 192,672 DWT, while the maximum cargo capacity is 20,170 TEU; the ship has various advanced energy-saving technologies including low friction underwater paint, high efficiency rudder and propeller, which reduce the water resistance. Triumph's main engine is the MAN B&W G95ME, with a maximum output power of 82,440 kW; this is enough for the vessel to operate with service speed of 22.0 knots, while the maximum speed is 24.0 knots. Triumph is deployed at the Alliance’s Asia to Europe trade via the FE2 service.

The container ship set off on her maiden voyage from Xingang in April 2017 and sailed to Dalian, Shanghai, Hong Kong and Singapore. She transited through the Suez Canal and continued on to Tangier, Hamburg, Rotterdam and Le Havre, she calls at Jebel Ali on the way back to Asia. MOL Triumph

Austin Lone Stars

The Austin Lone Stars were a soccer club that competed in the SISL, USISL and United Soccer Leagues from 1987 to 2000. The club started in 1987/88 as the Austin Sockadillos in the original indoor SISL league, they became the Austin Lone Stars in 1994. In 1987, Fernando Marcos established the Austin Sockadillos. Coached by Tony Simoes and assisted by Wolfgang Suhnholz, the team played in the Southwest Indoor Soccer League. During the 1988-1989 season, they played their home games at Tatu's All Star Indoor Soccer Place; the league ran two outdoor seasons, but in 1989, introduced a summer outdoor season as well. During the 1989 outdoor season, the league was known as the Southwest Outdoor Soccer League and the team was known as the Capital Sockadillos, it played its home games at a variety of venues including Burger Center, Nelson Field, House Park. During the 1989 indoor season, the Sockadillos finished runner up to the Lubbock Lazers, but garnered multiple post-season honors, including MPV and league leading scorer Brian Monaghan, assist leader Uwe Balzis and Coach of the Year Tony Simoes.

This year, Saeed Kadkhodaian became team owner and Suhnholz replaced Simoes as head coach. Kadkhodaian had played for the team in its first few seasons, he had held several positions in the team management. In 1990 Kadkhodaian leased the club to the Austin Capital Soccer Club. In March 1994, the team was renamed Suhnholz returned as head coach. By this time, the team was co-owned by Rick Schram. In February 1997, the Lone Stars became a professional team. Tony Simoes George Ley Wolfgang Suhnholz 1997-1998 John Fitsimons 1999-2000 MVP Brian Monaghan Gabe Jones Leading scorer Brian Monaghan Gabe Jones Rookie of the Year Steve Bailey Coach of the Year Tony Simoes