Author: Admin

Tuesday, April 5, 2005Terry Vo, the 10-year old Australian boy who had two hands and a foot reattached by surgeons after losing them in an accident, has had to have the foot re-amputated. He will be given a prosthetic foot in its place.

The operation to re-attach three limbs was thought to have been a first – but was ultimately unsuccessful, with the foot having died inside, and receiving insufficient blood supply following the surgery to reattach it.

“That would lead to the small muscles in the foot actually constricting, the toes bending over and a deformed …. foot that is sort of clawed over and doesn’t have good sensation,” said plastic surgeon, Mr Robert Love today, on Australia’s ABC Radio.

“Even if you can get all of that to survive, he [would be] worse off than having had an amputation.”

“What is very disappointing is that for the first two days after [the operation] the foot looked absolutely magnificent,” he said.

Terry’s hands were healing well, said the surgeon. The prosthetic foot would allow him to walk normally, since his knee was intact.

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.

Friday, December 23, 2011

Speaker of the U.S. House John Boehner announced yesterday that he would agree to a two-month extension of the payroll tax cut. In an effort to end the impasse between the House and Senate, Boehner told Senate Democratic leader Harry Reid that he would schedule a House vote on the Senate version of the bill that would extend the tax cut, which was due to expire at the end of the year.

Speaker Boehner announced the agreement in a brief statement: “Senator Reid and I have reached an agreement that will ensure taxes do not increase for working families on January 1”. Boehner informed other congressmen of the deal in a conference call yesterday evening.

The House may pass the bill via unanimous consent today, which would not require the presence of all members. Boehner and Reid also agreed to a bipartisan negotiation committee to sort out differences and extend the tax cut for an entire year, a goal recently sought by Republicans in the House.

The extension of the payroll tax cut, which would prevent approximately 160 million Americans from seeing a tax increase in 2012, had already been passed by the Senate last weekend. Earlier yesterday, Senate Republican leader Mitch McConnell joined several other Republican Senators in encouraging the House to pass the extension.

Senate Democratic leader Harry Reid said that once the House acts, he “will be happy to restart the negotiating process to forge a yearlong extension.” At a news conference, Speaker Boehner issued a statement: “We have fought the good fight. Why not do the right thing for the American people even though it’s not exactly what we want.” President Obama also responded to the development in a statement: “This is good news, just in time for the holidays. This is the right thing to do to strengthen our families, grow our economy, and create new jobs. This is real money that will make a real difference in people’s lives.”

The tax cut extension impasse began when the House effectively rejected the Senate-approved version of the bill on Tuesday after being faced with opposition from House Republicans, specifically those associated with the Tea Party movement, who advocated for spending cuts and the controversial Keystone XL oil pipeline.

Friday, October 12, 2007

New Zealand state-owned enterprise (SOE), Kordia published its annual report a few days ago for the financial year ending June 30, 2007.

Formerly known as Broadcast Communications Ltd (BCL) prior to the name change in November 2006, the Crown-owned company offers contracting, consulting, and networking services. They operate a national communication network and provides network feeds and broadcast services for the major television and radio networks in New Zealand.

The annual report shows Kordia Group Limited’s net profit, after tax, at NZ$11.9 million, the 2006 result was $9.8 million. Revenue was up from $201 million in the 2006 financial year to $264 million this year; a 31% increase. Chairman of Kordia, Wayne Brown, described this financial year as “solid achievement” while being “on track to record further growth in the exciting fields in which it operates.”

These increases is despite the major acquisition of Orcon Internet Limited, an ISP (Internet service provider). Kordia will use Orcon, acquired on 2 July, 2007, to invest and deliver the possibilities of the current progress of local loop unbundling, new Wi-Fi zones, and WiMAX technology. CEO of Kordia, Geoff Hunt, said, “Orcon will soon offer a complete range of Voice over IP products”. Orcon is being operated at arms-length to the rest of the company.

Other areas where Kordia is advancing itself is mobile television transmission where they are already prepared to start services once content providers have been secured. Hunt said, “Spectrum is available, so all we need are the content providers and some good consumer demand. Then we’ll be ready to roll.”

Kordia is also immersing itself further in the television sector as well as its mobile television service. Other advances includes New Zealand’s new digital television service, Freeview with it set to start terrestrial transmission next year.

Parliament TV also began this year in July. All House proceedings are available via the Parliament website and a broadcast quality feed is provided to all broadcasters, with full coverage being televised by Freeview and Sky Network Television. The manager of Kordia’s Transmission Control Centre, Merv Brooks, said, “This is another example of people and technology coming together to deliver a truly unique product to New Zealanders.”

Being a SOE, Kordia is required to give the Government a dividend. The Government will receive a total dividend of $8.4 million; $6.8 million in 2006. A $3 million dividend had already been received by the Government so a payment of only $5.4 million was made.

Saturday, April 30, 2005

Two activists who helped identify a vagrant Genetically Modified (GM) crop of papaya, which was later confirmed and destroyed by Thai officials, now face prison over their actions, says Greenpeace.

“In July of 2004, [Journalist] Pat and [Ecology PhD] Jay took this story public when they acted as spokespersons for Greenpeace activists who sealed off GE papaya in experimental fields at the Khon Kaen research station — the source of GE papaya contamination in the region,” says a statement from the environmental awareness organisation.

“They were charged with theft, trespassing and destruction of property.”

“Instead of getting to the bottom of who precisely was responsible for the contamination, the very department that was responsible for the contamination decided to take legal action against Pat and Jay.”

Sunday, February 13, 2011

A planned pro-democracy protest took place Saturday in Algiers, the capital of Algeria, despite a standing government ban on protests in the capital. Massive police presence reduced the event from its planned scope, and dispersed it after a few hours, but did not prevent it.

The demonstration, planned for some time, was to be a march through Algiers, from May First Square, about five kilometers (three miles) to Martyrs Square. Instead, protesters demonstrated in May First Square for a few hours.

Algeria has been officially in a state of emergency for nineteen years. Early this month, following recent pro-democracy events in Tunisia and Egypt, Algerian President Abdelaziz Bouteflika said the state of emergency will be lifted “soon”. At the same time he also said marches would be allowed everywhere in the country except in Algiers. Leading up to this protest, riot police closed all entrances both to Algiers and to May First Square.

The number of demonstrators who gathered in May First Square despite the police cordons was estimated by officials at 1500, and by demonstration organizers at around 10,000. The number of riot police in the city — with body armor, armored vehicles, and water cannons — was anticipated by officials as high as 30,000, and estimated by organizers as high as 26,000.

The protest was organized by the National Co-ordination for Change and Democracy (CNCD), an umbrella group of Algerian organizations formed in late January. Protesters demanded democratic freedoms, an end to government corruption, and relief from economic hardships. Some protesters called for removal of President Bouteflika, although that was not a stated goal of the organizers.

Several hundred protesters were arrested, at least briefly. Algerian activist Elias Felali, who blogged from within the demonstration, claimed the police wanted to provoke violence, but the protesters were pointedly non-violent.

Sunday, January 15, 2006

Ariel Sharon, 77, is scheduled to undergo a tracheotomy today, which is expected to help wean him off a respirator, which is helping him to breathe, a hospital statement said.

A tracheotomy is a procedure where an incision in the windpipe is made to create a temporary or permanent opening. It will allow for the removal of the breathing tube now inserted in Sharon’s throat. Sharon suffered a major stroke on January 4, 2006. Last week, doctors said the plastic tube connecting his windpipe with the respirator would start to cause him damage if left in for too long.

Tracheotomies are routinely performed on stroke victims to reduce the risk of infection posed by intubation.

“The prime minister’s condition continues to remain critical but stable,” said a statement issued by Jerusalem’s Hadassah hospital where doctors have been trying, unsuccessfully, to wake Sharon from a medically induced coma. “This evening the prime minister will undergo a CT test after which he will undergo a tracheotomy. The surgery is aimed at helping to wean him off a respirator machine. It will be conducted in the operating room under general anaesthesia.”