Conjoined twins of one or both of the twins, particularly if they are joined at the head or share a vital organ. This makes the ethics of surgical separation, where the twins can survive if not separated, contentious. Alice Dreger of Northwestern University found the quality of life of twins who remain conjoined to be higher than is commonly supposed. Lori and George Schappell and Abby and Brittany Hensel are notable examples. The first record of separating conjoined twins took place in the Byzantine Empire in the 900s. One of the conjoined twins had already died, so surgeons attempted to separate the
There are known knowns management and strategic planning circles. Known unknowns refers to "risks you are aware of, such as cancelled flights..." Unknown unknowns are risks that come from situations that are so unexpected that they would not be considered. "For example, prior to the invention of the personal computer, manufacturers of typewriters probably didn't foresee the risks to their business". Contemporary usage is largely consistent with the earliest known usages. For example, the term was used in evidence given to the British Columbia Royal Commission of Inquiry into Uranium Mining in 1979: The term also appeared in a 1982 "New Yorker" article on