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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.

Monday, April 17, 2006

Kevin Ray Underwood, the suspect in the murder of 10-year-old Jamie Rose Bolin of Purcell, Oklahoma, reportedly kept a weblog in which he joked about cannibalism, discussed the effects of not taking his prescribed medicine, and talked about “dangerously weird” fantasies.

Underwood was arrested Friday after investigators searched his apartment and found Jamie’s body in a plastic bin in his bedroom closet. Also reportedly found in his apartment were barbecue skewers and meat tenderizer, which law enforcement officials believe he intended to use to eat the girl’s flesh.

People who knew Underwood reported that he was a relatively unassuming man, seemingly trustworthy. His mother described him as “a wonderful boy” and said of Jamie, “I would like to be able to tell her family how sorry we are. I just feel so terrible.”

In the profile of his blog, entitled “Strange Things are Afoot at the Circle K” ([1]), Underwood described himself as “Single, bored, and lonely, but other than that, pretty happy.” Also on his profile page, he poses the question, “If you were a cannibal, what would you wear to dinner?” and answers, “The skin of last night’s main course.”

In an entry dated September 8, 2005, Underwood reportedly described 1998 as “the year that a large part of me died” and “the longest year of my life.” He reported losing contact with most of his friends, making an online acquaintance only to lose her again, and suffering panic attacks from being around people at college. Two of his friends also were involved in a car accident, one fatally injured.

He reported in that entry that in the last year he found himself becoming more and more detached from the world, never leaving his apartment except to go to work or his parents’ apartment. In an entry dated September 24, 2004, he reported that his fantasies were “just getting weirder and weirder. Dangerously weird. If people knew the kinds of things I think about anymore, I’d probably be locked away. No probably about it, I know I would be.”

In an entry dated February 4, 2006, he said that he had hardly left the apartment in almost two months, and that “a week or so ago, I spent my day off sitting here at the computer, barely moving from the chair, for 14 hours.”

His last blog entry was dated Thursday, April 13, 2006, one day after authorities believe Underwood killed Jamie Bolin.

Friday, September 2, 2005

A man from North London is currently training for an attempt at flying a hang glider across the UK from land’s End to John O’Groats.

Shola Ogunlokun a 41 year old married father of 3 who had never flown a hangglider before taking up this challenge said yesterday “I aim to fulfill a dream offlying, use the challenge as an opportunity to meet the people of Britain andencourage people of similar ethnic backgrounds as me to pursue their dreams”.

Shola is on stage 2 of a 3 stage training programme, and has flown a glider offa 2000ft mountain on completion of stage 1 of his training. He is currentlylooking for sponsors and in talks with a TV production about making adocumentary of his attempt.

The flight attempt is currently planned for around Autumn next year, should takebetween 5-7 days, and Shola would like to spend the night of each flight at thehome of a local in the town he lands. If successful, Shola will be the firstperson to have flown a hang glider across the UK over this distance.

Shola has an online diary charting his progress at http://mbchallenge.blogspot.comFor further details, or to contact Shola, please visit his website:http://www.meet-britain.org.uk

Wednesday, February 22, 2006

Just five years ago, when Jimbo Wales founded Wikipedia, the project’s goal of 100,000 articles [1] seemed ambitious. Yet today, the project, now one of the top 25 websites in the world according to Alexa, is nearing closer 1,000,000 articles in English, and 3.5 million articles across all languages. This week, we interviewed Jimbo Wales.

Color-free version

Wikinews: Raul654 asks: “Recently, there were revelations about organized attempts by US Congressmen to whitewash their articles. What is your take on this, as well as earlier reports of Corporate astroturfing?”

Jimbo Wales: The question is invalid. There were no revelations of organized attempts by US Congressmen to whitewash their articles. Not any evidence of “corporate astroturfing” of which I am aware. There was evidence that some congressional staffers edited Wikipedia in inappropriate ways. But the internal evidence of the type and style of these edits do not suggest “organized attempts”.

WN: Nichalp asks: “Budget permitting, are there any plans to increase the number of Wikipedia servers, specifically into the less developed countries?”

JW: We are always buying new servers. There are no specific plans to add servers in less developed countries, but we have looked into it as a possibility. We are particularly interested in doing so if it helps increase access and reduce costs for those users.

WN: An anonymous reader asks: “How much of a role do you feel the Wikipedia community (and the communities of its sister projects) should have in the running of the Wikimedia Foundation? Do you see an increasing separation of the organization from the projects? If so, do you regard that as beneficial or a potential problem?”

JW: The community has always been and will always be absolutely crucial to the running of the Wikimedia Foundation. We are increasing the community input and activity in the foundation through a new series of committees to delegate things to community members which have traditionally been handled by me or the Board. I do not see any increasing separation of the organization from the projects, quite the opposite. I consider the increasing integration of the community and the foundation as overwhelmingly beneficial.

WN: ALoan asks: “English Wikipedia is approaching 1 million articles, but less than 1 in a thousand are Featured articles. The list of featured articles English Wikipedia should have has few featured articles, and recent surveys of articles chosen at random show that many articles are poorly written. How can we get from here to an encyclopedia of well-written articles? Or should we not worry too much about coverage and content?”

JW: We should be tightly focused on the quality of our coverage and content. The goal of Wikipedia is to create and distribute a freely licensed high quality encyclopedia. The path to that goal will require us to be flexible and thoughtful. The first steps will come soon with the article review system, which will initially be used simply to gather data. After we have data, we can begin to work on how we will focus our attention to improve quality.

WN: GeorgeStepanek asks: “You’ve said that ‘Wikimedia’s mission is to give the world’s knowledge to every single person on the planet in their own language.’ But very few of the wikipedias in the languages of third-world countries are seeing as much activity as the first-world language wikipedias. Do you have any ideas on how this could be turned around?”

JW: I am a believer in outreach. I would like for the Foundation to raise money specifically to pay one or more minority language co-ordinators. The goal would be to reach out in a more organized way to professors and graduate students and expat communities who have good Internet access, to seed projects for languages where the majority of speakers have poor internet access.

WN: Jacoplane asks: “How do you feel we will be able to reach Wikipedia 1.0? The tools currently available for vetting our articles are crude at best. The Featured article process seems too slow, and the article validation feature seems to have died a quiet death. Are you planning a big push on this front?”

JW: Isn’t that the same question as the quality question? The article validation feature has not died a quiet death at all.

WN: Quadell asks: “Most important decisions on Wikimedia projects are handled with consensus. However, we sometimes have to deal with legal issues, especially related to copyright law. For instance, we as a community may need to decide whether to consider a certain use “fair”, or how to deal with conflicting copyright claims. Dealing with this through consensus is problematic, since we can’t do something illegal even if there is widespread misguided support for it. In general, how can we as a community deal with these issues?”

JW: I don’t think there is any real problem with this. The community is strongly in support of following the law. I don’t know of any particular cases of widespread misguided support for something illegal. In particular cases, there can of course be [dis]agreement, but I have never seen anyone in the community argue that we should not listen to the advice of our legal team.

WN: Raul654 asks: “Where do you see Wikipedia in 10 years?”

JW: I don’t know. My favorite answer to this is to say, the real question is: where will the world be after 10 more years of Wikipedia. 🙂 Seriously, I think we’ll eventually see a tapering off of new article creation in the large language wikipedias as more and more “verifiable” topics are covered. At this point, most changes will be expansions and updates and quality improvements to existing articles. But in 10 years, it seems likely to me that many languages which are now quite small will have very large Wikipedia projects. Our community will continue to become more diverse as more and more people worldwide come online.

WN: Kevin Myers asks: “The values reflected in certain Wikipedia policies (anti-censorship, neutral point-of-view) are problematic in cultures where freedom of expression is limited, as the blocking of Wikipedia in mainland China and arguably the Muhammad cartoons controversy attest. As Wikipedia expands internationally, do you foresee Wikipedia becoming increasingly controversial in countries where “Western values” are seen as a potential threat?”

JW: I don’t think that neutrality and objectivity are really controversial among most people of the world. It is true that the leadership in some places does not value these things, and may actually work against these things, but we can not deviate from our goals to accommodate them.

WN: On a similar topic, Vsion asks: “Are there currently any efforts being undertaken by the Foundation to address the People’s Republic of China’s blocking of Wikipedia or to alleviate its effect?”

JW: Beijing-area Wikipedians are working to have the block lifted. Our position is that the block is in error, even given China’s normal policies. Wikipedia is not propaganda, it is basic information. We expect that the block will be lifted.

WN: David.Monniaux asks: “The Foundation receives daily accusations of libel from semi-well-known people who have an entry on Wikipedia or are mentioned in some Wikipedia entry. What do you propose? Would a strict application of the rule of citing controversial claims suffice, in your opinion?”

JW: Yes. I think that our current systems do a good job of addressing these sorts of complaints, although it is very time-consuming for us here in the office. What really works wonders is a very strict application of the rule of citing controversial claims particularly relating to biographies of living persons. The new policy on biographies of living persons is a very strong step in the right direction.

WN: Tony Sidaway asks: “In the past six weeks the number of userboxes on English Wikipedia has risen from 3500 to 6000 and, despite your appeals for restraint, the number pertaining to political beliefs has risen from 45 to 150. Can the problem of unsuitable userboxes still be resolved by debate?”

JW: My only comment on the userbox situation is that the current situation is not acceptable.

WN: Larsinio asks: “How can Wikipedia effectively explain to the public its open-contribution model without simultaneously worrying the public about inaccurate information?”

JW: I think we do a reasonably good job of that. The best thing is to point to our overall quality while at the same time pointing out that we are currently a work in progress. Over time, this answer will change as we move toward ‘1.0’. At that time, we can point to ‘1.0’ for those who are made nervous by the live editing.

WN: Rob Church asks: “Do you consider the encyclopedia to be ‘finished’? Do you think it ever can be?”

JW: Nothing is ever finished. Human knowledge is always growing.

WN: Raul654 and Pavel Vozenilek both asked, “What kind of cool new features/announcements can we expect to see in the next year or two?”

JW: I think this question is too hard for me to answer. I almost never “announce” anything, and features are developed publicly by the community. I think other people have a better idea than I do what will happen in the next year or two. 🙂 Ask Brion [Vibber].

WN: Celestianpower asks: “If you had not founded Wikipedia, and had just been referred to it by a friend, how active a contributor do you think you would be?”

JW: [I] dream fondly of such a scenario. I might actually get to edit articles then. Instead of spend the morning (this morning) documenting transactions and taking phone calls.

WN: OpenToppedBus asks: “The last fundraising drive was less successful than had been anticipated. Do you see a shortage of money holding back Wikipedia/Wikimedia in the short-to-medium-term, and are there any plans to bring in income from sources other than individual donations?”

JW: The last fundraising drive was more successful than had been anticipated, by a long shot. It was the most successful fund drive in our history. [Regarding a quoted goal of $500,000], Mav wrote something like that somewhere, in a scratchpad kind of way. That number was just a placeholder and had nothing to do with me or the official view of the foundation. He’s apologized repeatedly for it.

WN: Thryduulf asks: “What is your single greatest wish for Wikipedia?”

JW: I would have to just point back to our original goal: a freely licensed high quality encyclopedia for every single person on the planet. That’s what I remain focused on daily.

Thursday, January 25, 2007

A woman in The Netherlands who uses her dogs to hunt in Austria has decided to give her dogs a new kind of treat: beer.

Terrie Berenden, a woman who owns a pet shop in Amsterdam, created a non-alcoholic beer for her dogs which is made from malt and a beef extract. The beer is called Kwispelbier (‘kwispelen’ means “wagging of a [dog’s] tail” in Dutch), and was put onto shelves just last week.

“Once a year we go to Austria to hunt with our dogs, and at the end of the day we sit on the verandah and drink a beer. So we thought, my dog also has earned it,” said Berenden.

According to Berenden, owners can enjoy the new beer as well, but she also stated that it will cost owners about four times as much to drink the beer than to buy a ‘human beer.’ A bottle of the dog beer sells at about $2.14.

The slogan for the new dog beer is “a beer for your best friend” and Brenden hopes that the product will grab international attention. Requests for the beer are already coming from the United States, England and Japan.

“We are overwhelmed with it. From America, England and Japan we have (received) mail and we are just going to think about it, how we can bring it on the market there,” said Brenden.

Thursday, September 21, 2006

A businessman currently representing his place of employment in Thailand has left the following eyewitness account for Wikinews:

“How safe are the streets of Bangkok? As a somewhat nervous US citizen holed up in a hotel room in this massive South Asian metropolis, I decided to venture forth and see for myself. For courage as much as anything, I walked with my close friend and business partner, who like me, hails from San Diego, California.

“I left my suite at the Royal River Hotel and walked down Soi Charansandwong, the narrow street that leads from the hotel to the busy road that crosses the city and shortly thereafter, the Chao Phraya River, known as the ‘River of Kings.’

“Thailand does, indeed, love their kings, or particularly, their current King. Evidence of this is clear: at least a third of the people walking on the streets wear the ‘King Shirt,’ a bright yellow shirt that bears the crest of the King.

“Even newsreaders on the local television news can sometimes be seen wearing the yellow shirt as a showing of support for the King.

“Leaving the alleyway, we walked to the busy Thonburi district. Immediately, I could see a group of soldiers, some standing, others sitting, along a sidewalk on the main street. They had set up a check point, but I saw but one vehicle stopped, a beat up truck that appeared to have come in from the countryside, loaded with fruit.

“We passed all the various businesses along the street as we walked, all open and apparently unaffected by the Coup.

“Walking slowly down to where the soldiers were and smiling at them as we walked, we approached the man who appeared to be the commanding officer. He smiled back and asked us where we were from. He was a bit business like at first, but this was a man who had a job to do, of course. What his overall job was, I am not sure. It appears that the military, for the most part, is present as a show of support and to act if any anti-Coup action should take place. Perhaps they are merely present to keep the peace.

“My friend noticed that the soldiers appeared to be uncomfortable in their uniforms, not the most comfortable clothing to wear in the hot and humid world that is Bangkok.

“Each soldier, unable to wear a yellow shirt and stay in uniform, instead bore a yellow ribbon of support for the King, usually tied to his rifle.

“Walking back to a small stand, we purchased twenty bottles of cold drinks and returned to the soldiers and handed them to the officer in charge. He smiled and accepted the offering and handed them out to his men.

“As we continued to walk down the sidewalk, three women came out of their shop, one wearing a yellow king shirt, and they thanked us for the gesture.

“The streets of Bangkok, otherwise, appeared completely normal in all respects. Street vendors hawked various items of food, car shops were installing high tech stereo systems and dogs, here and there, sat quietly in whatever shady spot they could find.

“We crossed the street and walked down an alleyway to the nearest Temple. Walking on the cool, green grounds of the Temple complex, the Coup felt like it was a million miles distant. Bowing and placing our palms together, we greeted a monk on the grounds who was trimming a hedge. Despite the Coup, Bangkok seemingly remains peaceful in all respects. We could smell the delightful scent of freshly cut grass.

“Earlier, I asked the doorman at the Royal River Hotel what he thought about the Coup. ‘We needed it, ” he smiled, “things were too corrupt. Don’t worry. It should all be over in three days or so.’

“Perhaps. But, certainly, I felt no danger on the street from the army or from anyone I encountered. Returning to Soi Charansandwong, I approached an ATM and withdrew a couple of hundred dollars worth of Baht, the currency of Thailand, with my US bank issued card.

“Money in hand, I entered a tailor shop and sat down with the shop manager, who was from India, and ordered a new suit to be made. As he measured me, I asked if business had been slowed due to the Coup. ‘No, not at all. I sold a suit today to another American, as a matter of fact.’ He promised me that my suit, which included two pairs of pants and two custom made dress shirts, would be ready early the next morning.

“We left the alleyway and once again walked down the busy road. The commanding officer gave us a very big smile this time as we passed him and several of the soldiers gave smaller, shy smiles as we passed. Encouraged, we once again popped into a small shop and bought additional soft drinks to hand out.”

June 24, 2005

In a major decision, the Supreme Court of the United States has expanded the right of government to seize private property for public good by allowing the city of New London, Connecticut to invoke eminent domain and seize homeowners’ property for economic development reasons.

In a closely-divided decision, 5-4, the court determined that the city’s economic development plan constituted a “public use”, and therefore qualified under the U.S. Constitution’s fifth amendment’s Eminent Domain clause.

Justice John Paul Stevens wrote the majority decision, and was joined by Justices David H. Souter, Ruth Bader Ginsburg, Stephen G. Breyer and Anthony Kennedy. “Promoting economic development is a traditional and long accepted function of government,” Stevens wrote, and justified the decision further by saying municipal authorities are better positioned to make decisions regarding a community’s best interests than judges.

Writing the dissenting opinion, Justice Sandra Day O’Connor rejected the economic justification as a public use, pointing out that wealthy individuals are more capable of defending themselves and so are less at risk. But the greatest issue was the liklihood of abuse of eminent domain:

“The specter of condemnation hangs over all property. Nothing is to prevent the state from replacing any Motel 6 with a Ritz-Carlton, any home with a shopping mall or any farm with a factory.” A separate dissent was also included written by Justice Clarence Thomas.

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Monday, October 25, 2010

Hurricane Richard made landfall in Belize about 20 mi (35 km) south-southeast of Belize City with winds of 90 mph (150 kph) at approximately 6:45 local time (0045 UTC) according to the National Hurricane Center (NHC). Richard is currently lashing the country with strong winds and heavy rain, which, officials have said, could cause life threatening floods and landslides.

Officials have revealed that 10,000 people are currently sheltering in schools and churches, while some have moved to Belmopan, as the country is battered by strong winds and heavy rains. Although tourists have been evacuated from vulnerable areas, some residents have decided to ride out the storm in their homes.

The area which Richard made landfall in is populated with neighborhoods made of wooden houses with zinc roofs. According to a clerk at a bed and breakfast, Fanny Llanos, “the winds are very strong [and are] getting stronger.” She also said that palm trees were struggling in the winds and there were loud sounds all around.

It has also been reported that 3 foot (1 meter) waves were beginning to hit the docks. Local emergency officials have advised store owners not to increase prices as people tried to stock up for the impending arrival of the hurricane.

Landslides have blocked one of the countries highways in the Colon province, blocking access to 40 towns leaving 15,000 people trapped. Teams are trying to clear the highway. Residents have advised that they have taken adequate preparations for the storm with one man saying that “he expected only some beach erosion and minor damage to homes.”