Category Archives: Rockall

Rockall score for the evaluation of upper gastrointestinalbleedingAge:< 60 years old60 to 79 years old>= 80 years oldShock:SBP>=100 mmHg + pulse<100 bpmSBP>=100mmHg + pulse>=100 bpmSBP< 100 mmHgcomorbidity:No major comorbidityHF,IHD,any major comorbidityRenal or liver failureDisseminated malignancyDiagnosis at endoscopy:Nml and no blood seenMallory-Weiss tearAll other diagnosesMalignancy of upper GI tractStigmata of recent hemorrhage:None or dark spot onlyBlood in upper GI tractAdherent clotVisible or spurting blood Background Info

The Rockall risk scoring system is based on clinical criteriaincluding age, shock and presence of other comorbidities. The scoring systemhelps evaluate patients at risk of re-bleeding or death following acuteupper gastrointestinal bleeding. The 1996 study recognized keyindependent risk factors which were later shown to predict mortalityaccurately. A commonly used mnemonic is ABCDE - (Age, Blood pressurefall (shock), Co-morbidity, Diagnosis and Evidence of bleeding).It is important to assess patients at admission to determine bleedingseverity and the potential risk of death.

Key independent risk factors:

Parameter

Finding

Points

Age

< 60 years

0

60 79 years

1

> 80 years

2

Shock

"No shock"; systolic blood pressure >= 100 mm Hg and pulse < 100 beats per minute

0

"Tachycardia"; systolic blood pressure >= 100 mm Hg and pulse >= 100 beats per minute

1

"Hypotension"; systolic blood pressure < 100 mm Hg

2

Comorbidity

no major comorbidity

0

hear failure, ischemic heart disease, or any major comorbidity

2

renal failure, liver failure, disseminated malignancy

3

Diagnosis at endoscopy

No lesion identified and no sign of recent hemorrhage

0

Mallory-Weiss tear

All other diagnoses

1

Malignancy of upper GI tract

2

Major stigmata of recent hemorrhage

None

0

Dark spot only

0

Blood in upper GI tract, adherent clot, visible or spurting blood

2

Score Prior to Endoscopy

Mortality

0

0.2%

1

2.4%

2

5.6%

3

11.0%

4

24.6%

5

39.6%

6

48.9%

7

50.0%

Post Endoscopy

Rebleed

Total Death

Death with No Rebleed

Death with Rebleed

0

4.9%

0%

0%

0%

1

3.4%

0%

0%

0%

2

5.3%

0.2%

0.3%

0%

3

11.2%

2.9%

2.0%

10.0%

4

14.1%

5.3%

3.5%

15.8%

5

24.1%

10.8%

8.1%

22.9%

6

32.9%

17.3%

9.5%

33.3%

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Rockall score for evaluation of upper gastrointestinal bleeding

WWE will "never get mad at" three stars who are all incidentally former rivals of Triple H, claims former champion (Exclusive)  Sportskeeda

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WWE will "never get mad at" three stars who are all incidentally former rivals of Triple H, claims former champion (Exclusive) - Sportskeeda

From Wikipedia, the free encyclopedia

Bathymetric feature northwest of Scotland and Ireland

The Rockall Trough (Scottish Gaelic: Clais Sgeir Rocail) is a deep-water bathymetric feature to the northwest of Scotland and Ireland, running roughly from southwest to northeast, flanked on the north by the Rockall Plateau and to the south by the Porcupine Seabight. At the northern end, the channel is bounded by the Wyville-Thomson Ridge, named after Charles Wyville Thomson, professor of zoology at the University of Edinburgh and driving force behind the Challenger Expedition. At the southern end, the trough opens into the Porcupine abyssal plain. The Rockall Basin (also known as the Hatton Rockall Basin) is a large (c. 800km by 150km) sedimentary basin that lies beneath the trough. Both are named after Rockall, a rocky islet lying 301.4km west of St Kilda.

Features of the Rockall Plateau have been officially named after features of Middle-earth in the fiction of J. R. R. Tolkien, e.g. Eriador Seamount, Rohan Seamount, Gondor Seamount, Fangorn Bank, Edoras Bank, Lorien Knoll, Isengard Ridge.[1]

In February 2000, the RRS Discovery, a British oceanographic research vessel sailing in the Rockall Trough encountered the largest waves ever recorded by scientific instruments in the open ocean, with a SWH of 18.5 metres (61ft) and individual waves up to 29.1 metres (95ft).[2]

The nature of the crust beneath the Rockall Trough has long been a matter of debate. Originally thought to be oceanic crust it is now generally considered to be highly stretched continental crust, although some groups of researchers continue to favour either oceanic or transitional style crust, particularly at the southern end of the basin.

The Rockall Basin forms part of a chain of highly extended Mesozoic rift basins between the Charlie-Gibb and Senja Fracture Zones, that includes; the Faroe-Shetland Basin, the Mre Basin, and the Vring Basin. There are indications that the Rockall Basin developed within an earlier rift system, which is likely to be of Triassic to Middle Jurassic in age, by analogy with the nearby Slyne-Erris Basins. The age of the main rift phase in the Rockall Basin is strongly debated, with Late Jurassic, Early-, Mid- and Late Cretaceous all being suggested.

One of the features of the Rockall Trough is the Anton Dohrn Seamount. It lies 600 metres (2,000ft) beneath the surface, rising 1,500 metres (4,900ft) from the surrounding seabed. The plateau formed approximately 55 million years ago, a continental fragment formed between Greenland and Europe when the ancient continent of Laurasia was split apart by plate tectonics.[3] The Rockall Islet is the highest point of the plateau, rising 21 m above sealevel. It is made of a type of peralkaline granite.

To date, there has been comparatively little drilling to explore for oil and gas within the Rockall Basin and only two discoveries have been made, Benbecula in the northern UK Rockall (Shell originally Enterprise Oil) and Dooish in the northern Irish Rockall (Shell originally Enterprise Energy Ireland). The discoveries show that, at least locally, there is a working petroleum system. Rights to exploit these resources are disputed between the United Kingdom, the Republic of Ireland, Iceland and the Faroe Islands (a possession of Denmark). This topic is addressed in Rockall Bank dispute.

The area supports cold water coral colonies and carbonate mound fields such as the Logachev Mounds; the trough supports a rich deep sea fish population.[5] There are also unusual aggregations of deep-sea sponges, in particular the encrusting sponge and bird's nest sponge. A range of other species are found amongst the sponges beds, which are considered biodiversity hotspots. For the bird's nest sponge associated species include ascidians, Foraminifera, polychaetes and burrowing anemones, whilst for the encrusting sponge beds species such as anemones, ascidians, crinoids and ophiuroids are found. The area is also home to brittlestars: filter feeders which live on the seabed.[6]

In 2014 an area of 1,256 square kilometres (485sqmi) of the Hatton-Rockall Basin was declared a Nature Conservation Marine Protected Area.[4] The MPA is designated a Category IV protected area by the International Union for Conservation of Nature.[7]

Coordinates: 5500N 1400W / 55.000N 14.000W / 55.000; -14.000

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Rockall Basin - Wikipedia

Expedition Radio Operator

Adrian "Nobby" Styles will be joining the expedition to operate a HAM radio on Rockall island. Originally from Dartford, Kent, Nobby first became interested in amateur radio during his teen years tinkering with a CB radio and soon became addicted to the hobby.

As far as ham radio broadcasts go, rockall is the pinnacle. It is perhaps the rarest and most difficult of places to broadcast from in the whole world, and he is extremely excited to be able to broadcast from the rock, as are the amateur radio community and iota chasers!

Nobby will land with the team on the first day, and for 24 hours will be answering transmissions from radio operators around the world, before granting them their own custom rockall post card (or qsl card) which nobby has kindly designed for us, in exchange for donations for our great causes.

For the amatuer radio community this opportunity is practically once in a lifetime With only a couple of Operations to Rockall and with less than 400 claimed QsL's.

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Rockall Exped - An epic expedition to raise 50,000 for charity

When Alia Bhatt, Anushka Sharma, Priyanka Chopra, and other Bollywood divas shared their motherhood journeys  The Indian Express

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When Alia Bhatt, Anushka Sharma, Priyanka Chopra, and other Bollywood divas shared their motherhood journeys - The Indian Express

DBTB Buffalo Sabres Open Thread - Week of Dec 19th | A very Buffalo weekend  Die By The Blade

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DBTB Buffalo Sabres Open Thread - Week of Dec 19th | A very Buffalo weekend - Die By The Blade

Andys Player Ratings: Sunderland 3-0 Millwall - Moggas Lads take their chances and bury Milwall  Roker Report

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Andys Player Ratings: Sunderland 3-0 Millwall - Moggas Lads take their chances and bury Milwall - Roker Report

MAMA 2022: BTS' J-Hope is a total hottie in all-black deep-neck fit in first-ever solo appearance  Zoom TV

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MAMA 2022: BTS' J-Hope is a total hottie in all-black deep-neck fit in first-ever solo appearance - Zoom TV

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Fashion and Beauty Forum - clothes, shoes, hair care, skin ... - City-Data

University of Galway Maree Mens Basketball team will be aiming to continue their unbeaten start to the 2022/23 Superleague when they host current champions Garveys Tralee Warriors this Saturday in the Kingfisher Sports Centre in the University at 7pm.Its been a great opening to the campaign for Charlie Crowleys men, with an away victory over Griffith College Templeogue at the National Basketball Arena first day out backed up with a home win over Flexachem KCYMS Killorglin last weekend.In contrast, last seasons winners from Tralee have had mixed results, including a shock away loss to Belfast Star last Saturday.Its a homecoming of sorts for Tralee player Dre Jackson (pictured) who returns to face his former Galway teammates, who he soldiered alongside as they came agonisingly close to making a Cup final last season.Much interest will also centre around Kieran Donaghy who is set to line out for the Warriors.Star is probably best known for his All-Ireland winning All-Star Gaelic Football performances with Kerry, but theres no doubting his basketball ability and he will be one to watch this weekend.For Maree, there are many excellent players too, with their new-look squad already gelling well this season.Spaniard Rodrigo Gmez was the top scorer last time out, while fellow International signings Jarett Haines (USA) and Joe Junior Mvuezolo (England) led the charge on opening day.The team will be led by Galway men Eoin Rockall and Stephen Commins, with the latter set for a busy weekend as he is set to line out for Oranmore Maree in their Galway Hurling Championship tie against Turloughmore at Kenny Park on Sunday.

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University of Galway Maree to host Champions Tralee - Galway Bay FM