Conjoined twins a single fertilized egg does not fully split during the process of forming identical twins. The second theory is that a fusion of two fertilized eggs occurs earlier in development. Although conjoined twinning has not been linked to any environmental or genetic cause, they occur so rarely it has not been possible to draw firm conclusions. Surgery to separate conjoined twins may range from very easy to very difficult depending on the point of attachment and the internal parts that are shared. Most cases of separation are extremely risky and life-threatening. In many cases, the surgery results in the death
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