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 7, 2007

Lloyd Helferty is running for the Green Party of Ontario in the Ontario provincial election, in the Thornhill riding. Wikinews’ Nick Moreau interviewed him regarding his values, his experience, and his campaign.

Stay tuned for further interviews; every candidate from every party is eligible, and will be contacted. Expect interviews from Liberals, Progressive Conservatives, New Democratic Party members, Ontario Greens, as well as members from the Family Coalition, Freedom, Communist, Libertarian, and Confederation of Regions parties, as well as independents.

Thursday, September 25, 2008

United States President George W. Bush addressed the nation on the economic financial crisis from inside the White House saying the economic situation is “serious” and is “in danger” of becoming “a long and painful recession.”

“We are in the midst of a serious financial crisis and the federal government is responding with decisive action,” Bush said in his televised speech.

Bush called for the United States Congress to pass a US$700 billion bill intended to keep struggling companies afloat. He asked the two presidential candidates along with leaders from both parties of Congress to join him for a conference on Thursday.

Last Friday, Treasury Secretary Henry Paulson called for a bailout plan that would allow for the United States government to purchase devalued mortgage backed securities, resulting from the subprime mortgage crisis, from troubled financial institutions. Paulson has said that the plan could cost up to $700 billion. Congressional leaders have said that some form of the plan will pass; however, there is considerable debate over several key issues.

White House spokeswoman Dana Perino said that Bush “believes it is important for the American people to fully understand the depth of the crisis in our financial markets, how that crisis affects them, and the urgent need to agree on a solution.” Bush has been criticized for waiting too long to speak in prime time.

John McCain suspended his campaign to return to Washington and work on the bailout bill. Barack Obama has called for another form of the bill to pass and said that Congress should not package the bailout bill with any other bills — such as an economic stimulus plan.

Meanwhile, Congress has held a second round of hearings on the proposed bailout bill. Paulson and Chairman of the Federal Reserve Ben Bernanke testified in front of the House Financial Services Committee. They felt it was a serious problem in need of an immediate solution.

Rep. Barney Frank, Chairman of House Financial Services Committee, says it is “clear” that the financial bailout bill will pass.

Director of the Congressional Budget Office Peter R. Orsza said while testifying before Congress that “ironically, the intervention could even trigger additional failures of large institutions, because some institutions may be carrying troubled assets on their books at inflated values.”

The bailout plan has been called a “blank check” by many, with members of both parties divided on the issue.

Thursday, May 13, 2010

Wikinews reporter Iain Macdonald has performed an interview with Dr Isabella Margara, a London-based member of the Communist Party of Greece (KKE). In the interview Margara sets out the communist response to current events in Greece as well as discussing the viability of a communist economy for the nation. She also hit back at Petros Tzomakas, a member of another Greek far-left party which criticised KKE in a previous interview.

The interview comes amid tensions in cash-strapped Greece, where the government is introducing controversial austerity measures to try to ease the nation’s debt-problem. An international rescue package has been prepared by European Union member states and the International Monetary Fund – should Greece require a bailout; protests have been held against government attempts to manage the economic situation.

Sunday, June 18, 2017

On Friday, US director John G. Avildsen, best known for directing the 1976 film Rocky for which he won an Academy Award for the Best Director and the 1980s The Karate Kid trilogy, died at the age of 81. His son, Anthony, told the Los Angeles Times that Avildsen died due to pancreatic cancer at Cedars-Sinai Medical Center in Los Angeles, California.

Actors Sylvester Stallone, Ralph Macchio, Carl Weathers, Joe Manganiello, Thaao Penghlis; Metro-Goldwyn-Mayer CEO Gary Barber and Directors Guild of America President Paris Barclay paid tribute to Avildsen.

Raised in Oak Park, Illinois, Avildsen began his cinematography career with advertising agencies. He later served as an assistant director for filmmakers like Arthur Penn and Otto Preminger.

Avildsen directed his first film Turn on to Love, which was released in 1969. A year later, he directed Joe and in 1973, he directed Save the Tiger starring Jack Lemmon. Lemmon won the Academy Award for Best Actor for his role in the 1973 movie.

Avildsen directed Rocky in 1976, starring Stallone, which won three Academy Awards, including the Best Picture and the Best Director. Fourteen years later he directed Rocky V. He directed the first three films of The Karate Kid, all starring Macchio and Pat Morita in the 1980s.

Avildsen also directed W.W. and the Dixie Dancekings in 1975, Neighbors in 1981, 1989 film Lean on Me, and the 1994 film 8 Seconds. 1999’s Inferno was his last movie.

Avildsen’s accomplishments were documented in this year’s documentary film John G. Avildsen: King of the Underdogs, which premiered at the Santa Barbara International Film Festival.

Saturday, November 14, 2009

Four teenage boys are dead after a car crash in Birmingham, England. The collision, which occurred at around 0345 GMT in the suburb of Moseley, involved four boys crashing a blue Rover into a wall on Salisbury Road. The ages of the adolescents are reported as 15, 16, and 17; the age of the fourth teenager is unconfirmed. All four died at the scene.

“Police can confirm three of the boys in the car were 17, 15 and 16 years old,” the West Midlands Police said in a statement. “The age of the fourth boy is yet to be confirmed. All four occupants of the car died at the scene. A police car in the area at the time was flagged down by a member of the public, who heard the collision take place. Officers responded to the incident immediately.”

The car itself is not believed to have been stolen. “Crews arrived to find a car which had been in a significant collision with a wall,” a spokesperson for the West Midlands Ambulance Service said. “The four occupants of the car all suffered serious multiple injuries in the crash. Unfortunately nothing could be done to save the men and they were all confirmed dead at the scene.”

Saturday, November 9, 2013

With the 2014 Winter Paralympics set for March, Wikinews sought comment from U.S. Representative Jackie Speier, who serves California’s 14th congressional district about the event and how current U.S. policies impact people with disabilities. Elected to the U.S. House in 2008, she serves on the Committee on Oversight and Government Reform and the House Armed Services Committee. For the first time ever, the Paralympics will be broadcast live in the U.S. on network television.

((Wikinews)) : Will “Obamacare” have a positive or negative impact on the lives of people with disabilities?

Jackie Speier: By-and-large the Affordable Care Act will have a significant and lasting beneficial impact on persons with disabilities […] Most importantly, pre-existing conditions will no longer prevent persons with disabilities from obtaining health insurance. Lifetime limits on medical expenses will be removed and preventive services will be free. All of these provisions of the law create health insurance that is highly supportive of good health outcomes for everyone, but in particular for those who have a disability.

((WN)) : Are there any Paralympic athletes or elite athletes with disabilities from your district that people should know more about?

Jackie Speier: There are currently two Paralympic athletes who train or live in my district that people will definitely hear more about in the coming years. One is a young woman named Allie Hyatt who trains in Judo with Willy Cahill, [whom] I have also trained with. Allie, who is visually impaired and just 15, has already won numerous awards and will participate in the Youth Olympic Games next year. She is sure to be a force in the Judo world for many, many years. Hyatt lives in San Francisco and Cahill is the founder and CEO of the Blind Judo Foundation.

Another great athlete is Mohamend Lahna who is training for the Rio Olympics in 2016 for the paratriathlon,” Speier continued. “He is from Morocco originally but lives now in San Mateo and trains daily at the College of San Mateo. He runs marathons with a prosthetic leg and has his sights set on winning several medals atworld and Olympic events in the future. Lahna has proximal femoral focal deficiency (PFFD), a birth defect that affects the hip and pelvis. He is married and has a 1-year-old child.

Wikinews also sought comment from other members of Congress, including John K. Delaney, Mike Honda, Kyrsten Sinema, Eric Swalwell, Raúl M. Grijalva and Ann Kirkpatrick but at publication time, had received no response.