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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.

Sunday, October 21, 2007

Torture proliferates American headlines today: whether its use is defensible in certain contexts and the morality of the practice. Wikinews reporter David Shankbone was curious about torture in American popular culture. This is the first of a two part series examining the BDSM business. This interview focuses on the owners of a dungeon, what they charge, what the clients are like and how they handle their needs.

When Shankbone rings the bell of “HC & Co.” he has no idea what to expect. A BDSM (Bondage Discipline Sadism Masochism) dungeon is a legal enterprise in New York City, and there are more than a few businesses that cater to a clientèle that wants an enema, a spanking, to be dressed like a baby or to wear women’s clothing. Shankbone went to find out what these businesses are like, who runs them, who works at them, and who frequents them. He spent three hours one night in what is considered one of the more upscale establishments in Manhattan, Rebecca’s Hidden Chamber, where according to The Village Voice, “you can take your girlfriend or wife, and have them treated with respect—unless they hope to be treated with something other than respect!”

When Shankbone arrived on the sixth floor of a midtown office building, the elevator opened up to a hallway where a smiling Rebecca greeted him. She is a beautiful forty-ish Long Island mother of three who is dressed in smart black pants and a black turtleneck that reaches up to her blond-streaked hair pulled back in a bushy ponytail. “Are you David Shankbone? We’re so excited to meet you!” she says, and leads him down the hall to a living room area with a sofa, a television playing an action-thriller, an open supply cabinet stocked with enema kits, and her husband Bill sitting at the computer trying to find where the re-release of Blade Runner is playing at the local theater. “I don’t like that movie,” says Rebecca.

Perhaps the most poignant moment came at the end of the night when Shankbone was waiting to be escorted out (to avoid running into a client). Rebecca came into the room and sat on the sofa. “You know, a lot of people out there would like to see me burn for what I do,” she says. Rebecca is a woman who has faced challenges in her life, and dealt with them the best she could given her circumstances. She sees herself as providing a service to people who have needs, no matter how debauched the outside world deems them. They sat talking mutual challenges they have faced and politics (she’s supporting Hillary); Rebecca reflected upon the irony that many of the people who supported the torture at Abu Ghraib would want her closed down. It was in this conversation that Shankbone saw that humanity can be found anywhere, including in places that appear on the surface to cater to the inhumanity some people in our society feel towards themselves, or others.

“The best way to describe it,” says Bill, “is if you had a kink, and you had a wife and you had two kids, and every time you had sex with your wife it just didn’t hit the nail on the head. What would you do about it? How would you handle it? You might go through life feeling unfulfilled. Or you might say, ‘No, my kink is I really need to dress in women’s clothing.’ We’re that outlet. We’re not the evil devil out here, plucking people off the street, keeping them chained up for days on end.”

Below is David Shankbone’s interview with Bill & Rebecca, owners of Rebecca’s Hidden Chamber, a BDSM dungeon.

Wednesday, February 6, 2008

Wikinews held an exclusive interview with Wayne Allyn Root, one of the candidates for the Libertarian Party nomination for the 2008 U.S. presidential election.

Root is the founder and chairman of Winning Edge International Inc., a sports handicapping company based in Las Vegas, Nevada. In addition, he is an author and a television producer, as well as an on-screen personality both as host and guest on several talk shows.

Root, a long-time Republican, declared his candidacy for the Libertarian Party on May 4, 2007.

He says he is concerned about the qualities of many who run for president, and fears that they do not know the needs of American citizens. He also says that they cater to big businesses instead of small ones.

He has goals of limiting the federal government and believes that the US went into Iraq for wrong reasons. A strong supporter of the War on Terror, he feels that it was mishandled. He has conservative values and came from a blue collar family in New York. He graduated from Columbia University with fellow presidential hopeful Barack Obama in 1983.

Root believes that America is in trouble and hopes to change that if elected.

NASA has cancelled today’s planned landing of the Space Shuttle Discovery. Officials initially delayed the landing, but finally cancelled any attempts for today citing the reason as being “unstable, unacceptable cloud cover [with the] potential for showers in vicinity of landing site.” There will be two more opportunities tomorrow morning.

Wednesday, March 4, 2009

Researchers say that a study of chimpanzees in the Republic of the Congo in Africa, show that they specifically create and design tools to catch termites living underground. The study was performed in the Nouabale-Ndoki National Park in the Congo in an area known as the Goualougo Triangle. The study was published in the Royal Society journal Biology Letters.

Dr. Crickette Sanz, the leader of the team who filmed the chimps crafting “fishing rod” type tools, says that they have “invented” ways of “improving their termite-fishing technique” by using a stick from a plant called the Marantaceae. They pick off the leaves and then create and place a brush like object on the end. Doing so improved the number of termites they catch, by more than 10 times.

“They then pulled the herb stems through their teeth, which were partially closed, to make the brush and they also attended to the brush by sometimes pulling apart the fibres to make them better at gathering the termites,” stated Sanz to the BBC.

Researchers are aware that chimps have used similar methods in the past, but it was not fully known if the tools they used were designed specifically for the task of gathering the insects. Of all the tools the chimps left behind and recovered by Sanz’s team, 80% were custom made by their owners. Sanz says the new study has determined that their methods have since evolved, proving previous hypotheses.

“Our results indicate that chimpanzees have a mental template of the tool form, which is employed in crafting the tool prior to use and refining it during use,” Sanz said.

Sanz also says that because of Africa’s vastness, much of it is still unstudied leaving him to suggest other species of chimps and apes use complex tools to gather food.

“Just as we are learning about these exciting new complex tool behaviours, the chimps that are showing us these behaviours are under danger from logging, poaching and Ebola,” added Sanz. The triangle is a host to a variety of endangered or threatened animals including gorillas and elephants.

Wednesday, April 25, 2007

The carillion war memorial in Bathurst in Central Western NSW was vandalised just hours before a dawn ANZAC day service. Police allege that five teenage girls aged 15 and 16 were involved.

‘Diggers‘ who had been looking forward to the dawn service said they were bought to tears after they learned that statements saying “ANZAC murderers” and “Aussies don’t fight” were painted on the war memorial.

Police say they were called to the memorial after reports that a group of vandals had covered the shrine with offensive graffiti. Sergent Andrew Holand from Bathurst police said “Police arrived a short time later and observed that they had painted approximately one metre high, [beige coloured] slogans all the way around the exteriors of the war memorial using words such as “ANZAC murderers” and “Aussies don’t fight” along with peace symbols”.

“They’ve then taken the remnants of the four-litre paint cans and splashed these on the doors and external steps of the war memorial,” he said.

When police located the group of five teenagers some were still covered in paint. All were taken to Bathurst Police Station where the 16 year-old girl was charged with maliciously damaging a shrine or war memorial and malicious damage to police property. It is alleged after she was arrested she damaged a police cell.

The four other girls involved, all aged 15 will be cautioned under the state’s Youth Offenders Act.

Jim McFerran from the Bathurst Returned and Services League of Australia (RSL) said he was humbled by efforts to clean up the graffiti. He said an effort involving RSL members, local army personnel, council workers, volunteer firefighters and a group of young men on their way home after a night out.

“We had about a dozen young fellas that were going home from the pub, they sort of stopped and said: ‘What’s going on here?’,” said Mr McFerran.

“When they got told, they sort of walked over, bloody downed their things, grabbed … pads and rags and starting getting in there with the rest of us.”

NSW Premier Morris Iemma condemned the vandalism, saying “They need a history lesson and a good kick up the backside as well.”

Sunday, October 10, 2010

Animal rights activists have demanded that the largest coffee chain in the United Kingdom pull a new advertising campaign because they fear that it will encourage viewers to buy monkeys as pets. The demands are likely to irritate Costa Coffee, who are determined to turn over a larger profit that their arch-rival, Starbucks. Five animal welfare groups have demanded that the advert, which features a futuristic room full of monkeys attempting to use coffee machines, be withdrawn.

In a letter to the Rainforest Alliance, the charities say that “the use of wild animals in this way is contrary to your stance on conservation and, in particular, on rainforest species”. They urged the Alliance to revoke their endorsement of Costa products unless the adverts were withdrawn. The groups also wrote to the coffee chain, saying that they hoped that Costa — which has over 1,000 outlets in the UK — would “think it appropriate to cease using primates in future productions, and make the decision to withdraw the current advert”.

The pressure on the coffee giant has led to fears that the company’s relationship with the Rainforest Alliance—which “works to conserve biodiversity and ensure sustainable livelihoods by transforming land-use practices, business practices and consumer behavior”—may be under threat, since animal welfare groups have complained the new advert is in breach of the Alliance’s code of conduct. The television advertisement depicts a number of monkeys being unable to use coffee machines, before a Costa barista hand-makes a cup of coffee. The advert, which features a voiceover by actor Bill Nighy, aired for the first time on Friday. Within hours, animal rights campaigners had demanded it be withdrawn. Manufacturers of products endorsed by the Rainforest Alliance must prove they “are demonstrating [their demand for] goods grown and harvested with respect for people, wildlife and the environment”.

A spokeswoman for Wild Futures, which runs a sanctuary for victims of the primate pet trade, said that she felt that, because they had been forced to appear in the advert, the welfare of the monkeys had been “severely compromised.” She said: “With the release of this new advert, we feel the need to reiterate our long-held concerns on the use of wild animals in entertainment. While they are used in this way their welfare is severely compromised, and it has a knock-on effect in the trade in primates as pets.”

According to The Observer, “the relationship between the appearance of exotic animals in the media and a corresponding increase in demand for them as pets is well documented.” The demand to own clownfish as pets reportedly rocketed following the release of Disney Pixar’s Finding Nemo, which featured one of the orange and white vertebrates as its main character.

The Alliance refused to comment specifically on the Costa advertising campaign, but said in a statement that it “objects to the use of captive wild animals in commercial advertising where a company is seeking to highlight or promote its relationship with the Rainforest Alliance or its use of Rainforest Alliance certified commodities”. Wild Futures and other charities have, in the past, forced companies to withdraw campaigns they believe compromise animal’s rights. The European Union was forced to pull a stop smoking advert last year after objections for animal welfare groups, and car manufaturer Dodge also withdrew an advert which featured a chimpanzee after animal rights groups lodged complaints.

The Code of Practice on the Welfare of Privately Kept Non-Human Primates states that “primates used for entertainment and in the media are often removed from their social group and hand-reared, causing distress to the infant, mother and other members of the group.” The five charities have said they feel that, because the animals have been removed from their social group for the purposes of filming, Costa could be in contravention of three of the five needs as stated in the Animal Welfare Act.

Jim Slater, the marketing director of Costa Coffee vigourusly defended the adverts, insiting that “no compromise is made regarding animal welfare standards” in the adverts. “The monkeys were provided by a specialist organisation and have appeared in movies and on TV many times before.” Speaking to Bakeryinfo.co.uk before the advert was launched, he added: “Costa is enjoying double-digit like-for-like sales growth, and we aim to continue this great momentum. Independent surveys consistently prove that coffee lovers prefer Costa, and this TV commercial will help us to explain the reasons why.”

Wednesday, March 16, 2005

The United Kingdom Chancellor of the Exchequer, the Right Honourable Gordon Brown PC MP, in a speech to the British House of Commons today presented his ninth Budget, what is very likely to be his last Budget before the next UK General Election. This opened the parliamentary debate on the 2005 Finance Bill, and was followed by responses from the opposition parties.

In a 48 minute long speech, the Chancellor presented a Budget of “tax cuts that are reasonable, spending that is affordable, and [economic] stability that is paramount”, that was “the prudent course for Britain”. There were few surprises that had not already been indicated in his 2004 pre-Budget report. The increase in the threshold on stamp duty was greater than that forecast by commentators, as was the amount of the Council Tax rebate to households with pensioners.