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Thursday, December 18, 2008

A team of eight transplant surgeons in Cleveland Clinic in Ohio, USA, led by reconstructive surgeon Dr. Maria Siemionow, age 58, have successfully performed the first almost total face transplant in the US, and the fourth globally, on a woman so horribly disfigured due to trauma, that cost her an eye. Two weeks ago Dr. Siemionow, in a 23-hour marathon surgery, replaced 80 percent of her face, by transplanting or grafting bone, nerve, blood vessels, muscles and skin harvested from a female donor’s cadaver.

The Clinic surgeons, in Wednesday’s news conference, described the details of the transplant but upon request, the team did not publish her name, age and cause of injury nor the donor’s identity. The patient’s family desired the reason for her transplant to remain confidential. The Los Angeles Times reported that the patient “had no upper jaw, nose, cheeks or lower eyelids and was unable to eat, talk, smile, smell or breathe on her own.” The clinic’s dermatology and plastic surgery chair, Francis Papay, described the nine hours phase of the procedure: “We transferred the skin, all the facial muscles in the upper face and mid-face, the upper lip, all of the nose, most of the sinuses around the nose, the upper jaw including the teeth, the facial nerve.” Thereafter, another team spent three hours sewing the woman’s blood vessels to that of the donor’s face to restore blood circulation, making the graft a success.

The New York Times reported that “three partial face transplants have been performed since 2005, two in France and one in China, all using facial tissue from a dead donor with permission from their families.” “Only the forehead, upper eyelids, lower lip, lower teeth and jaw are hers, the rest of her face comes from a cadaver; she could not eat on her own or breathe without a hole in her windpipe. About 77 square inches of tissue were transplanted from the donor,” it further described the details of the medical marvel. The patient, however, must take lifetime immunosuppressive drugs, also called antirejection drugs, which do not guarantee success. The transplant team said that in case of failure, it would replace the part with a skin graft taken from her own body.

Dr. Bohdan Pomahac, a Brigham and Women’s Hospital surgeon praised the recent medical development. “There are patients who can benefit tremendously from this. It’s great that it happened,” he said.

Leading bioethicist Arthur Caplan of the University of Pennsylvania withheld judgment on the Cleveland transplant amid grave concerns on the post-operation results. “The biggest ethical problem is dealing with failure — if your face rejects. It would be a living hell. If your face is falling off and you can’t eat and you can’t breathe and you’re suffering in a terrible manner that can’t be reversed, you need to put on the table assistance in dying. There are patients who can benefit tremendously from this. It’s great that it happened,” he said.

Dr Alex Clarke, of the Royal Free Hospital had praised the Clinic for its contribution to medicine. “It is a real step forward for people who have severe disfigurement and this operation has been done by a team who have really prepared and worked towards this for a number of years. These transplants have proven that the technical difficulties can be overcome and psychologically the patients are doing well. They have all have reacted positively and have begun to do things they were not able to before. All the things people thought were barriers to this kind of operations have been overcome,” she said.

The first partial face transplant surgery on a living human was performed on Isabelle Dinoire on November 27 2005, when she was 38, by Professor Bernard Devauchelle, assisted by Professor Jean-Michel Dubernard in Amiens, France. Her Labrador dog mauled her in May 2005. A triangle of face tissue including the nose and mouth was taken from a brain-dead female donor and grafted onto the patient. Scientists elsewhere have performed scalp and ear transplants. However, the claim is the first for a mouth and nose transplant. Experts say the mouth and nose are the most difficult parts of the face to transplant.

In 2004, the same Cleveland Clinic, became the first institution to approve this surgery and test it on cadavers. In October 2006, surgeon Peter Butler at London‘s Royal Free Hospital in the UK was given permission by the NHS ethics board to carry out a full face transplant. His team will select four adult patients (children cannot be selected due to concerns over consent), with operations being carried out at six month intervals. In March 2008, the treatment of 30-year-old neurofibromatosis victim Pascal Coler of France ended after having received what his doctors call the worlds first successful full face transplant.

Ethical concerns, psychological impact, problems relating to immunosuppression and consequences of technical failure have prevented teams from performing face transplant operations in the past, even though it has been technically possible to carry out such procedures for years.

Mr Iain Hutchison, of Barts and the London Hospital, warned of several problems with face transplants, such as blood vessels in the donated tissue clotting and immunosuppressants failing or increasing the patient’s risk of cancer. He also pointed out ethical issues with the fact that the procedure requires a “beating heart donor”. The transplant is carried out while the donor is brain dead, but still alive by use of a ventilator.

According to Stephen Wigmore, chair of British Transplantation Society’s ethics committee, it is unknown to what extent facial expressions will function in the long term. He said that it is not certain whether a patient could be left worse off in the case of a face transplant failing.

Mr Michael Earley, a member of the Royal College of Surgeon‘s facial transplantation working party, commented that if successful, the transplant would be “a major breakthrough in facial reconstruction” and “a major step forward for the facially disfigured.”

In Wednesday’s conference, Siemionow said “we know that there are so many patients there in their homes where they are hiding from society because they are afraid to walk to the grocery stores, they are afraid to go the the street.” “Our patient was called names and was humiliated. We very much hope that for this very special group of patients there is a hope that someday they will be able to go comfortably from their houses and enjoy the things we take for granted,” she added.

In response to the medical breakthrough, a British medical group led by Royal Free Hospital’s lead surgeon Dr Peter Butler, said they will finish the world’s first full face transplant within a year. “We hope to make an announcement about a full-face operation in the next 12 months. This latest operation shows how facial transplantation can help a particular group of the most severely facially injured people. These are people who would otherwise live a terrible twilight life, shut away from public gaze,” he said.

Tuesday, October 6, 2009

A suspected suicide bomb blast hit the offices of the United Nations’ World Food Program in Pakistan’s capital, Islamabad, on Monday, killing three people, including at least one foreigner. Several people were also wounded.

Security officials blocked off the building in a high security zone in Islamabad, as teams with sniffer dogs entered the complex to check for more explosives. Pakistani authorities said that they strengthened security in the capital following the attack.

Speaking to the Voice of America news agency by telephone shortly after the blast, World Food Program spokesman for Pakistan Amjed Jamal said, “what I can confirm is that there was a blast, there was something planted already in the office, which [blew] up, and that my colleagues are injured.” Police say the dead include two Pakistani women and an Iraqi national.

Jamal said that despite the violence, his organization would continue to help those in need in Pakistan. “I can confidently say such acts cannot hamper humanitarian work in Pakistan.”

No one has claimed responsibility for the attack, but militants have targeted UN offices in the past. In June, a senior Pakistani officer with the UN’s refugee agency was killed in an unsuccessful kidnapping attempt near Peshawar.

Since his death, UNHCR has suspended the voluntary repatriation of Afghan refugees living in camps in Pakistan.

The WFP offices are located on a street that already has high security due to other nearby United Nations offices. Also, across the main road is Pakistani President Asif Ali Zadari‘s civilian residence, which is a hub for political activity in the capital.

Tuesday, July 7, 2009

Australia’s cricketer Brett Lee is out of the first Ashes test match – which starts on July 8 in Cardiff – with a torn muscle in his left side. He is also doubtful to play the second Test at Lord’s, which begins on July 16. It will be at least two weeks before he can start training in the nets again.

“I am very very disappointed and gutted that I will not be there for the first Test match but I will find a way to bounce back,” said Lee. “I still see myself hopefully playing a major role for Australia through the end part of the series, whether that’s the second, third, fourth or fifth Test match depending on how things go.”

The fast bowler complained about soreness in his left side after playing the England Lions at Worcester. Scans on Monday revealed he has a tear to his rib muscle. Other reports have described the injury as a strained abdominal muscle.

Kevin Pietersen commented on Lee’s absence saying it was “a huge, huge, huge loss” for Australia.

Australia now have to choose which player to pick as a replacement for Lee. Two likely options are spinner Nathan Hauritz or pace bowler Ben Hilfenhuas.

England will start their campaign on Wednesday to attempt to regain the ashes after Australia completed a 5-0 whitewash last time.

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Saturday, May 21, 2005

A public meeting by Cuban dissidents was held in a rare celebration of Cuba’s Independence Day on Friday. Although Cuban President Fidel Castro had expelled and refused entry to several European observers before the meeting started, police did not crack down on the peaceful protests by nearly 200 people. Called the “Assembly to Promote Civil Society”, the meeting was to promote peaceful change and lay groundwork to introduce democracy in Cuba.

The meeting was planned by several leading Cuban dissidents and former prisoners including Martha Beatriz Roque Cabello, René Gómez Manzano and Félix Bonne Carcassés. Controversy accompanied the event, and many dissidents did not attend because invitations to some Miami, Florida groups were thought to promote violent reform.

Castro expressed disapproval of the event, complaining of opposition groups that are bankrolled by the United States. Previous meetings, planned as long ago as Concilio Cubano in 1996, were cancelled due to government crackdowns, arrests, and the shooting down of two planes.

Fidel Castro, speaking to CNN about the rally said, “Those who attack us don’t represent more than a fraction of 1 percent. … You [the foreign news media] have helped create them.”

This is the 103rd anniversary of Cuba’s independence, a day that was observed with celebration until Castro took over in 1959 and introduced the rule of authoritarian Communism.

U.S. President George W. Bush sent his greetings to those celebrating Cuban Independence in an videotaped message. Bush said, “As we observe Cuba’s independence today, we look forward to the day when Cuba is free, and my Administration supports efforts to hasten that day’s coming. The tide of freedom is spreading across the globe, and it will reach Cuban shores.”

The U.S. Senate also passed a resolution on Tuesday “extending its support and solidarity to the participants of the historic meeting”, and calling for “the international community to support the assembly and its mission to bring democracy and human rights to Cuba.”

The planned two-day meeting is being held openly in a garden belonging to one of the organizers on the outskirts of Havana. While ostensibly no Cuban government officers monitored the event, “government spies do regularly infiltrate dissident meetings,” CNN claimed.

Tuesday, March 29, 2011

Robert Gibbs, the former press secretary for the U.S. White House, has been said to be in talks with Facebook about possible future employment as a manager for the communications aspect of the company.

According to an anonymous source close to the company, Gibbs is being pressed to quickly accept the job, in which Mr. Gibbs may receive millions of dollars in both salary and initial stock options for a planned public offering of Facebook Inc. in 2012.

Both Facebook and Gibbs have declined to comment.

Mr. Gibbs, who has worked for the Obama administration for two years, left in February 2011, and was reportedly “relaxing” and had denied rumors that he was planning to campaign for chairman of the Democratic National Committee if Tim Kaine were to leave the committee to run for a position in the senate.

In recent months, Facebook has stepped up lobbying the US capital to communicate its public image to policy makers, and may use Gibbs for their public relations stratagem in the future.

Thursday, September 6, 2007

Four F3 Tornado fighter jets were launched by the United Kingdom‘s Royal Air Force to intercept Russian military planes. The eight Russian jets were flying in airspace patrolled by Nato, officials from the UK claimed. The long-range bombers were initially followed by Norwegian F16 jets, after Russia’s recent decision to reinstate Cold War-style long-range patrols.

14 strategic bombers were flying on long-range patrol, according to Russia’s Defence Ministry. They also confirmed that none had approached a foreign state and had been shadowed by aircraft from Nato countries.

The Ministry of Defence in the United Kingdom released a statement that the Russian Tupolev Tu-95 Bear aircraft, flying in four loosed pairs, were tracked by Norwegian aircraft before entering Nato airspace on Thursday morning. The UK currently holds responsibility for the Nato airspace, and launched four F3 Tornados from RAF Leeming in North Yorkshire, UK, to identify the bombers. The bombers eventually left the Nato zone, under tracking by UK aircraft and RAF radar in Northumberland.

An MoD spokesman confirmed that Russia was entitled to its long-range patrols, adding ‘The motivation behind any Russian military activity is a matter for the Russian government.’ Lt Col John Inge Oegland, spokesman for the Norwegian armed forces, said there had been several similar incidents in recent months, but that the Russian flights were not causing alarm in Norway.

Relations between Britain and Russia have worsened recently, particularly after Russia’s refusal to allow the extradition of a former KGB bodyguard suspected of murdering emigre Alexander Litvinenko in London last year. Relations with Russia would “continue as normal outside the unresolved extradition request”, a UK Foreign Office spokesman said.

Sunday, May 21, 2006

A missing 11-year-old girl was found safe on Thursday around 5 a.m. PDT after disappearing May 16 while riding her scooter to a local video store near the north Okanagan town of Armstrong, British Columbia. Carmen Kados left home on her regular two kilometer trip to the local store around 6:45 p.m. Tuesday. She wasn’t seen again after leaving the store around 7:15 p.m.

Carmen’s mother called authorities and reported the young girl missing around 8:45 p.m. — police located her scooter, a cell phone and the video she had rented in a parking lot near the store. Other possessions were found but exact details were not disclosed for investigative purposes, according to Corporal Henry Proce, spokesman for the Royal Canadian Mounted Police.

“The first 24 hours, the first 48 hours, are crucial and as more time elapses you become more and more fearful of a worst-case scenario,” Proce said.

A wide net was cast in hopes of locating Kados — police and as many as 65 search and rescue volunteers searched the largely rural area, scouring railroad tracks, streams, and parking lots. The girl and her alleged abductor were located separately around 5 a.m. Thursday. The suspect in the abduction was identified as a transient known to police. Police indicate that community involvement, including tips and a description of the abductor, were instrumental in locating the suspect.

Kados was brought to Vernon Jubilee Hospital, and her parents joined her there. Police reported she had been injured, but the injuries were not life threatening. Both Kados and her parents are traumatized by the incident; spokesman Proce did not expect they would be making a public statement soon.

“I think anybody that’s a parent can only begin to imagine how it must feel not to know where your child is,” said Proce. “This is a little 11-year-old girl and to not know where she is even for an hour, never mind 36 hours, would be something only a few of us can even imagine.”

Wednesday, May 27, 2009

Cardiff, Wales —Labour, Plaid Cymru, and No2EU candidates for the Wales seats in the European Parliament met at Cardiff‘s Sandringham Hotel last night for the second of two pre-election hustings debates hosted by Cardiff Trades Union Congress. Cardiff TUC president Katrine Williams moderated as Derek Vaughan of the Labour Party, Jill Evans MEP of Plaid Cymru, and Rob Griffiths of the No2EU coalition, the tops of their respective lists, took questions from an audience of 22 composed largely of socialist activists and trade union members.

Candidates from the Tories, Liberal Democrats, and Green Party were not invited to the evening debate, although the Liberal Democrats did take part in the TUC’s debate earlier in the day. Ms Williams explained that the Liberal Democrats and Tories had been excluded because “we wanted to have candidates more representative of trade unions” but that not inviting the Greens had been “an oversight” due to the less prominent tradition of green politics in Wales. The BNP, UKIP and some minor parties also did not take part.

In opening statements, the three candidates discussed their records and their goals for the European Parliament. Mr Vaughan, leader of Neath Port Talbot County Borough Council, asserted the pro-organised labour credentials of the Labour Party, which has been under fire for several years from the left, and noted that Labour, which currently controls two of Wales’s four seats in the EU Parliament, has brought £1.5 billion to Wales, with a comparable amount to come in the future. Calling the BNP “Nazis” and comparing the British political situation to that in Germany in the 1930s, Vaughan called for the parties of the left to rally behind Labour in order to ensure that the BNP did not obtain any seats in Wales; but he expressed resignation to the likelihood that the BNP would earn a seat in North West England.

Ms Evans, meanwhile, who has been an MEP for ten years, announced her opposition to the pro-privatisation current in the EU and pledged that Plaid would support a new program of public investment and pro-organised labour revisions of EU directives, particularly the Posted Workers Directive.

Mr Griffiths, meanwhile, who is General Secretary of the Communist Party of Britain, took a position urging radical reform of the European Union. The Lisbon Treaty, which he characterised as a re-branding of the European Constitution, would, he argued, enshrine neo-liberal policies in Europe and impose them on its member states in a way that was irreversible — “at least by any constitutional means”. Calling for a “social Europe” as opposed to a “United States of Europe“, Griffiths suggested that the creation of a European Defence Agency and the actions of the European Court of Justice were being used to turn the European Union into a capitalist “empire” akin to the United States.

Discussion of the ongoing UK parliamentary expenses scandal and its implications for MEPs, who draw salaries and expenses considerably higher than Westminster MPs do, dominated the early discussion. The Labour candidate expressed the position that the problems in accountability leading to the scandal had been fixed; his opponents noted that of the parties currently representing Britain in Brussels, only Labour has not yet disclosed their expenses (although Mr Vaughan states that the party will begin to do so soon) and Mr Griffiths furthermore declared that the scandal was part of a wider problem: the corruption of the political system by big business.

On the subject of a common European defence policy the three candidates supported widely differing views. The No2EU candidate stated plainly that he considers Europe not to be threatened, and said that a European defence force would be used for foreign adventures in Afghanistan, Africa, and elsewhere in the developing world while at the same time building up the armaments industry in Europe. Ms Evans, meanwhile, argued that the proper role of a common EU force would be as a “civil force” supporting conflict prevention and conflict resolution operations, and also called for the abolition of NATO. Mr Vaughan finished the second round of questioning arguing that a common European armed force should be an alternative to the “US-dominated” NATO, but also stated the importance of bilateral alliances in building up a common European defence force, citing the Franco-German Brigade of the Eurocorps as an example.

Debate ended on the contentious question of MEP salaries, with one member of the audience challenging the three candidates to pledge to accept a wage, if they won, equal to the average wage of their constituents. Ms Evans agreed that the set wage, currently £63,000 rising to £73,000 in 2010, was “too high”, but would not commit to a so-called “worker’s wage”, under heavy criticism from the audience. Mr Vaughan, following, called it “not fair” to ask MEPs to take such a pledge but asserted “I have never been motivated by money” and finished his part in the debate with a call to elect more left-wing socialist MEPs. Mr Griffiths, whose No2EU coalition has made a worker’s wage for MEPs part of their election manifesto, readily pledged to hold to a living wage, albeit not necessarily one equal to the average wage of his constituents, and described some of the difficulties associated with refusing an EU salary, noting that initially No2EU had proposed that its MEPs should draw no salary and claim no expenses from Europe but the coalition’s legal advisors had said that to do so would endanger the status of any of its members as MEPs.

Voting for the European Parliament elections in the United Kingdom takes place June 4.

Saturday, October 20, 2007

Dell Inc. announced on Tuesday that it will partner up with the Microsoft-Nortel Innovative communications alliance (ICA) team to sell Unified Communications and VoIP products.

The announcement on Tuesday the 16th of October 2007 includes Dell selling VoIP, data and wireless networking products from Nortel and the Microsoft Office Communications Server 2007 and other unified communications products.

The partnership with both manufacturers should allow Dell to provide a pre-integrated solution.

In March 2007, competitors IBM and Cisco announced they would join in the competition for developing unified communications applications and the development of open technologies around the unified communications and collaboration (UC2) client platform an application programming interfaces (APIs) offered by IBM as a subset of Lotus Sametime.

“We want to make it simple for our customers to deploy unified communications so their end users can get access to all their messages in one place – whether its e-mail, phone or mobile device. This will pave the way for more business-ready productivity tools,” said vice president of solutions, Dell Product Group, Rick Becker.

• Customers have four options:
  • Core Office Communication Server 2007 – provides instant messaging and on-premise Microsoft Live Meeting.
  • Office Communication Server: Telephony – enables call routing tracking and management, VoIP gateway and public branch exchange (PBX) integration.
  • Audio and Video Conferencing – allows point-to-point conference, video conference and VoIP audio conference.
  • Exchange Unified Messaging – provides voicemail, e-mail and fax in Microsoft Outlook, and anywhere access of Microsoft Outlook Inbox and Calendar.