The penetrance of brain parenchyma by COVID‐19 is not investigated in autopsy findings, yet. 11ħ4 with at least 1 gastrointestinal symptomĥ73 with, 72 without pulmonary involvementĨ03 health‐care workers with mild symptoms, questionnaire Headache was reported in 64/90 (71.1 %) health‐care workers with positive SARS‐CoV‐2, while it was present in 296/713 (41.5 %) health‐care workers with negative SARS‐CoV‐2. 10 Of the health‐care workers (n = 803) with mild symptoms, 90 were SARS‐CoV‐2 positive and headache was among the early symptoms associated with the positivity in the predictive statistical model together with anosmia, myalgia, ocular pain, general malaise, extreme tiredness, and fever, as reported in a questionnaire. They interpreted this finding as caused by their higher fevers and increased electrolyte imbalance, but no evidence was available in the report. 8, 9 Another study draws attention to nonclassical symptoms in 74 confirmed COVID‐19 cases with gastrointestinal symptoms out of 651 patients (11.4%) and indicated that 21.62% of them had significantly higher rates of headache compared to other patients without gastrointestinal symptoms. 7 Similarly, Wuhan group also reported a headache rate of 8% as a less common symptom, among the symptoms at onset of the illness. 6 In a series of 262 confirmed cases of the COVID‐19 in Beijing, the most common symptoms at the onset of illness were cited as fever, cough, fatigue, and dyspnea followed closely by headache with a rate of 6.5%. 3, 4, 5 A higher rate reported was 34% from Zhejiang province, China in a small series of 62 patients with a milder course compared to Wuhan, but no further details about the characteristics of the headache or prior headache history were given. 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13 A recent meta‐analysis (n = 3598 patients) and a handful of reports disclosed that headache is among the COVID‐19‐related symptoms with a rate mostly around 11%‐14%, in patients who had either died or recovered. The available reports related to headache symptom in patients with COVID‐19 do not contain any details about headache characteristics (Table (Table1 1). Nowadays, the reports on the neurological findings are increasing rapidly and headache seems to be the leader on the symptom list. Neurologists are involved in many places together with all other physicians and health personnel in the war against the pandemic. 1, 2 However, other manifestations such as headache, abdominal pain, diarrhea, loss of taste and smell, and frost bite like skin lesions have been added to the clinical spectrum, during the follow‐up of increased number of patients within 3 months. COVID‐19 is initially characterized by fever, sore throat, cough, and dyspnea, mainly manifestations of respiratory system. We concluded that as a common non‐respiratory symptom of COVID‐19, headache should not be overlooked, and its characteristics should be recorded with scrutiny.Īfter the emergence of a novel coronavirus named SARS‐CoV‐2, causing coronavirus disease 2019 (COVID‐19) with a severe and deadly pneumonia in Wuhan, China, our known world has changed dramatically. The possible pathophysiological mechanisms of headache include activation of peripheral trigeminal nerve endings by the SARS‐CoV‐2 directly or through the vasculopathy and/or increased circulating pro‐inflammatory cytokines and hypoxia. Symptomatic COVID‐19 patients, around 6%‐10%, also reported headache as a presenting symptom. The most striking features of the headache were sudden to gradual onset and poor response to common analgesics, or high relapse rate, that was limited to the active phase of the COVID‐19. According to our initial experience, significant features of headache presentation in the symptomatic COVID‐19 patients were new‐onset, moderate‐severe, bilateral headache with pulsating or pressing quality in the temporoparietal, forehead or periorbital region. Headache was reported in 11%‐34% of the hospitalized COVID‐19 patients, but clinical features of these headaches were totally missing in available publications. The reports on the neurological findings are increasing rapidly and headache seems to be the leader on the symptom list. However, other manifestations such as headache, abdominal pain, diarrhea, loss of taste and smell were added to the clinical spectrum, during the course of the COVID‐19 pandemic. After the emergence of a novel coronavirus named SARS‐CoV‐2, coronavirus disease 2019 (COVID‐19) was initially characterized by fever, sore throat, cough, and dyspnea, mainly manifestations of respiratory system.
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Its’ distinctive greenhouse canopy and round tipped wings made it an easily identifiable aircraft. The basic airframe appearance of the Dauntless was established with the first model and would vary only slightly throughout production. With minor modifications by Douglas, the BT-2 became the SBD-1 Dauntless in 1939 and deliveries of the aircraft began in June 1940. In 1937, Douglas Aircraft Company purchased Northrop Aviation’s El Segundo, California plant and took over the BT program. Navy was transitioning from bi-planes to all metal, low-wing monoplanes with retractable landing gear, and the BT series were on the cutting edge of that transition. The SBD Dauntless was developed as an evolution of Northrop Aviation Corporation’s BT-1 and BT-2 dive bombers that entered service in 1936. Although Saburo Sakai would ultimately recover from his wounds and live to fight another day, he had been stung by one of the most lethal aircraft in the US military’s arsenal: the Douglas SBD Dauntless dive-bomber. In the brief encounter, the eight tailgunners expended over 1,000 rounds of ammunition and seriously injured one of the best Japanese fighter pilots of the war. One tracer round missed his right eye by less than an inch and melted the rim of his goggles. Fragments from the bullets struck him in the chest, the left leg, the elbow and the face. As the eight tailgunners followed the Zero with their machine guns, slugs shattered the canopy glass and hit Sakai. The plane went almost vertically upwards and then fell smoking. I could see his face clearly, his body and head forced back against the headrest of the cockpit. What Jones saw next was a testament to the firepower that was available to the tail gunners: His cockpit exploded, the canopy tore, and something flew out. Jones opened fire with Sakai only 100 feet directly astern his aircraft. In the rear seat of one of the other bombers, Aviation Ordnanceman 2nd Class Harold L. Sakai attempted to turn sharply to the right, pull up and use the Zero’s horsepower to climb away from the Americans, but he was too close. “He came in fast! I fired at him, but I just don’t know if I hit him or not,” he remembered. Rodenburg, Aviation Radioman 3rd Class James W. In the back seat of the bomber piloted by Ensign Eldor E. Unlike the F4F Wildcat fighter, US Navy dive-bombers were protected from rear attack by a tail gunner’s position. These aircraft were from the USS Enterprise (CV-6) and were circling above Tulagi awaiting orders to drop their bombs on Japanese targets on the island below. By the time it was too late to break off the attack, Sakai realized that he was attempting to pounce on a group of dive-bombers. But at a range of just 100 yards Sakai gazed at his targets through his gunsight and reached a sober realization: these were not fighters he was approaching. Closing in on the American aircraft from behind at full throttle, he assumed that the element of surprise was his. Assuming that they were US Navy F4F Wildcat fighters, Sakai nosed his Zero over to begin an attack his wingman obediently following. by Martin K A MorganĪs Sakai and his wingman approached the skies above Tulagi, he spotted a group of eight American aircraft beneath him at an altitude of 7,800 feet. He had flown down with a group of other Zeros from the Japanese airfield at Rabaul, New Britain that morning for the express purpose of attacking the ships supporting the first American opposed amphibious invasion of the Second World War: the Operation WATCHTOWER landings at Gavutu, Tanambogo, Tulagi and Guadalcanal. On AugPetty Officer 1 st Class Saburo Sakai was piloting his A6M2 Type 21 Zero fighter in the skies over Sealark Channel in the Solomon Islands. The company has recovered about 25 percent of the tritium released and expects to recover the rest in the next year. For those who wish to have a nuke as a disaster, i cannot disagree more. To contain the leak, the facility diverts water to an in-plant water treatment system and plans a permanent solution this spring. Tritium is compound found in everyday food items and is considered a weak form of beta radiation. Xcel says that the radiation levels in the leaked water are "so low" that even if the water reaches a drinking water source, it will still be safe for a person to drink. The company is gathering and treating all potentially affected water. The source of the leak was a faulty water pipe running between two buildings. 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