Cleveland, Ohio clinic performs US’s first face transplant

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, April 19, 2005

MIT has announced that Elwood “Woody” Norris, inventor of potentially revolutionary technologies of Hypersonic Sound beams and AirScooter flying vehicles, will receive this year’s Lemelson-MIT prize for invention this Friday, April 22. The prize comes with an award of US$500,000, making it the largest single award for invention given in the United States.

Thursday, April 2, 2009

According to officials, Somali pirates have seized a luxury boat named the Ocean Explorer off the coast of the Seychelles archipelago in the Indian Ocean. Seven Seychellois crew members are believed to be on board. The boat is thought to be headed for Somalia.

Patrick Pillay, the Foreign Affairs Minister, said that the Seychelles government had contacted local naval forces who had pledged to “track down the boat.”

“The Indian Ocean Explorer has been seized by pirates about 600 miles west of the capital. What I’ve been told is they believe this has been taken to the Somali coast,” said Fergus Cochrane-Dyet, the British High Commissioner the Seychelles.

“As far as we know there were no foreign nationals on board. The vast majority of tourists come to the inner island resorts but a small number are more intrepid and visit the outer islands. I believe this yacht was used for visiting Aldabra,” she said.

This is not the first time Somali pirates have frequented the area: the Seychelles police chief stated that pirates held hostage three Seychellois sailors after their catamaran was hijacked in February.

Somali pirates, usually looking for a ransom, attacked over 130 merchant ships in the area in 2008. The International Maritime Bureau reports that number of attacks has increased by over 200% since 2007.

Friday, January 12, 2007

The iPhone only made its appearance as a prototype and there have been controversies aroused.

The dispute has come up between the manufacturer of the iPhone (which was resented on Wednesday for the first time) – Apple Inc. – and a leader in network and communication systems, based in San Jose – Cisco. The company claims to possess the trademark for iPhone, and moreover, that it sells devices under the same brand through one of its divisions.

This became the reason for Cisco to file a lawsuit against Apple Inc. so that the latter would stop selling the device.

Cisco states that it has received the trademark in 2000, when the company overtook Infogear Technology Corp., which took place in 1996.

The Vice President and general counsel of the company, Mark Chandler, explained that there was no doubt about the excitement of the new device from Apple, but they should not use a trademark, which belongs to Cisco.

The iPhone developed by Cisco is a device which allows users to make phone calls over the voice over Internet protocol (VoIP).

Tuesday, February 25, 2014

Two groups of researchers have independently identified the the protein responsible for malaria transmission to mosquitoes in studies published in journal Nature on Sunday.

The scientists found a direct relationship between the protein AP2-G’s with malaria gametocytes (male and female sexual forms) production, which is necessary for the transmission. Only the sexual forms infect mosquitoes and sexual reproduction occurs within the mosquito digestive tract.

Malaria is caused by Plasmodium parasites. The initially separate teams looked at different plasmodium species. One, an international group led by Manuel Llinás of Penn State University in the US, examined Plasmodium falciparum, which is responsible for the worst form of human malarial infections; the other, led by UK scientists Oliver Billker from the Wellcome Trust Sanger Institute in England and Andy Waters from University of Glasgow in Scotland, looked at Plasmodium berghei, which infects rodents.

The P. falciparum group was kickstarted by research in Spain which found different organisms from the same strain with identical DNA had varying levels of AP2-G, with a strong correlation to their levels of sexual activity. The more AP2-G, the higher the rate of gametocyte formation. Researchers in England, later also drawn into the international team, analyzed the genomes of two mutated strains of P. falciparum which were both unable to form gametocytes. They found that the gene responsible for producing the AP2-G protein was the only common non-functioning gene.

The international team found found the AP2-G protein catalyzes the transmission by activating a relevant gene set in the parasite.

Both teams confirmed the finding by gene therapy — both by adding the gene into a mutated strain and observing its ability to form gametocytes, and the other way round.

The parasites exist in a mosquito, then in a human, and require subsequent transmission for the parasite to spread. The transmission can only happen through gametocytes. The parasite triggers formation of the sexual gametocytes into the human’s circulatory system every two days in small quantities — not wasting energy on the process at the dry time of year when few mosquitoes are available — but little was known about the mechanism.

Dr. Oliver Billker commented on the potential of getting the transmission of malaria under control, unlike the existing focus on addressing the phrase causing the clinical symptoms, “Current drugs treat patients by killing the sexless form of the parasite in their blood — this is the detrimental stage of the malaria lifecycle that causes illness. However, it is now widely accepted that to eliminate malaria from an entire region, it will be equally important to kill the sexual forms that transmit the disease.”

The researchers hope to continue research toward drugs to prevent the transmission of the disease. The science was funded by groups including UK research councils, the Spanish government, the U.S. National Institutes of Health, and the European Commission.

Sunday, March 25, 2018

Visual art, fabric art, photography, performance, dance, virtual reality, and music were all the subject of sessions at Furnal Equinox 2018, a conference held from March 16 to 18 at Toronto’s Westin Harbour Castle. Canada’s largest furry convention by attendance, the annual event offers dozens of subculture-specific programs.

The convention’s communications and public relations coordinator for the event, Ronnie, describes furries as “people that enjoy arts and culture centred around animals and animal-themed topics, essentially. Furnal Equinox in particular, we like to celebrate in a very visual and very […] artistic nature, where we have lots of arts and performances and crafts that go on, and people celebrate with lots of socialisation involved.”

Of the attendees, Ronnie told Wikinews “they come from all walks of life. They are people of all ages, sizes, all sorts of backgrounds, and they come together under one mutual interest, which is their love for animal culture.”

“Programming at Furnal Equinox involves[…] a lot of informational panels, so you can find out about topics from art and how to draw, or how to visually incorporate different elements into your artworks. You can also find panels that teach you how to write better, be a better fiction author for example,” explained the event representative.

At one panel Wikinews attended, members of its all-volunteer organising committee spoke of the year-long process of planning the event, and their reasons for committing such a significant amount of their time. Said one panelist, “if you’re happy, we’re happy.”

• Image: Nicholas Moreau.

• Image: Nicholas Moreau.

• Image: Nicholas Moreau.

The largest hub of activity at the convention was a dealer’s room; nicknamed the “Dealer’s Den”, giving it an anthropomorphic twist. Vendors were selling original visual art, wearables like faux fur tails or ears, or things like jewellery or soap with motifs that would interest attendees.

The back area of the room was dedicated to a charity auction, with proceeds benefiting Happily Ever Esther Farm Sanctuary. According to the convention website, the charity is “dedicated to rescuing abused, neglected, and abandoned farmed animals. Their goal is to provide a safe, life-long home for all of their residents, and to educate the public about the true nature of farmed animals through tours, volunteer programs, and community outreach.”

Split into groups, some attendees played “Fursuit Games” in front of an audience, like trying to toss a ball into a garbage can. The activity made harder, of course, by the limited dexterity and vision the most of the costumes entail.

• Image: Nicholas Moreau.

• Image: Nicholas Moreau.

• Berrie Image: Nicholas Moreau.

• Image: Nicholas Moreau.

• Attendees try to catch their own prizes, like t-shirts, after the Games. Image: Nicholas Moreau.

Thursday, December 20, 2007

Wikinews reporter David Shankbone is currently, courtesy of the Israeli government and friends, visiting Israel. This is a first-hand account of his experiences and may — as a result — not fully comply with Wikinews’ neutrality policy. Please note this is a journalism experiment for Wikinews and put constructive criticism on the collaboration page.

Dr. Yossi Vardi is known as Israel’s ‘Father of the Entrepreneur’, and he has many children in the form of technology companies he has helped to incubate in Tel Aviv‘s booming Internet sector. At the offices of Superna, one such company, he introduced a whirlwind of presentations from his baby incubators to a group of journalists. What stuck most in my head was when Vardi said, “What is important is not the technology, but the talent.” Perhaps because he repeated this after each young Internet entrepreneur showed us his or her latest creation under Vardi’s tutelage. I had a sense of déjà vu from this mantra. A casual reader of the newspapers during the Dot.com boom will remember a glut of stories that could be called “The Rise of the Failure”; people whose technology companies had collapsed were suddenly hot commodities to start up new companies. This seemingly paradoxical thinking was talked about as new back then; but even Thomas Edison—the Father of Invention—is oft-quoted for saying, “I have not failed. I have just found ten thousand ways that won’t work.”

Vardi’s focus on encouraging his brood of talent regardless of the practicalities stuck out to me because of a recent pair of “dueling studies” The New York Times has printed. These are the sort of studies that confuse parents on how to raise their kids. The first, by Carol Dweck at Stanford University, came to the conclusion that children who are not praised for their efforts, regardless of the outcome’s success, rarely attempt more challenging and complex pursuits. According to Dweck’s study, when a child knows that they will receive praise for being right instead of for tackling difficult problems, even if they fail, they will simply elect to take on easy tasks in which they are assured of finding the solution.

Only one month earlier the Times produced another story for parents to agonize over, this time based on a study from the Brookings Institution, entitled “Are Kids Getting Too Much Praise?” Unlike Dweck’s clinical study, Brookings drew conclusions from statistical data that could be influenced by a variety of factors (since there was no clinical control). The study found American kids are far more confident that they have done well than their Korean counterparts, even when the inverse is true. The Times adds in the words of a Harvard faculty psychologist who intoned, “Self-esteem is based on real accomplishments. It’s all about letting kids shine in a realistic way.” But this is not the first time the self-esteem generation’s proponents have been criticized.

Vardi clearly would find himself encouraged by Dweck’s study, though, based upon how often he seemed to ask us to keep our eyes on the people more than the products. That’s not to say he has not found his latest ICQ, though only time—and consumers—will tell.

For a Web 2.User like myself, I was most fascinated by Fixya, a site that, like Wikipedia, exists on the free work of people with knowledge. Fixya is a tech support site where people who are having problems with equipment ask a question and it is answered by registered “experts.” These experts are the equivalent of Wikipedia’s editors: they are self-ordained purveyors of solutions. But instead of solving a mystery of knowledge a reader has in their head, these experts solve a problem related to something you have bought and do not understand. From baby cribs to cellular phones, over 500,000 products are “supported” on Fixya’s website. The Fixya business model relies upon the good will of its experts to want to help other people through the ever-expanding world of consumer appliances. But it is different from Wikipedia in two important ways. First, Fixya is for-profit. The altruistic exchange of information is somewhat dampened by the knowledge that somebody, somewhere, is profiting from whatever you give. Second, with Wikipedia it is very easy for a person to type in a few sentences about a subject on an article about the Toshiba Satellite laptop, but to answer technical problems a person is experiencing seems like a different realm. But is it? “It’s a beautiful thing. People really want to help other people,” said the presenter, who marveled at the community that has already developed on Fixya. “Another difference from Wikipedia is that we have a premium content version of the site.” Their premium site is where they envision making their money. Customers with a problem will assign a dollar amount based upon how badly they need an answer to a question, and the expert-editors of Fixya will share in the payment for the resolved issue. Like Wikipedia, reputation is paramount to Fixya’s experts. Whereas Wikipedia editors are judged by how they are perceived in the Wiki community, the amount of barnstars they receive and by the value of their contributions, Fixya’s customers rate its experts based upon the usefulness of their advice. The site is currently working on offering extended warranties with some manufacturers, although it was not clear how that would work on a site that functioned on the work of any expert.

Another collaborative effort product presented to us was YouFig, which is software designed to allow a group of people to collaborate on work product. This is not a new idea, although may web-based products have generally fallen flat. The idea is that people who are working on a multi-media project can combine efforts to create a final product. They envision their initial market to be academia, but one could see the product stretching to fields such as law, where large litigation projects with high-level of collaboration on both document creation and media presentation; in business, where software aimed at product development has generally not lived up to its promises; and in the science and engineering fields, where multi-media collaboration is quickly becoming not only the norm, but a necessity.

For the popular consumer market, Superna, whose offices hosted our meeting, demonstrated their cost-saving vision for the Smart Home (SH). Current SH systems require a large, expensive server in order to coordinate all the electronic appliances in today’s air-conditioned, lit and entertainment-saturated house. Such coordinating servers can cost upwards of US$5,000, whereas Superna’s software can turn a US$1,000 hand-held tablet PC into household remote control.

There were a few start-ups where Vardi’s fatherly mentoring seemed more at play than long-term practical business modeling. In the hot market of WiFi products, WeFi is software that will allow groups of users, such as friends, share knowledge about the location of free Internet WiFi access, and also provide codes and keys for certain hot spots, with access provided only to the trusted users within a group. The mock-up that was shown to us had a Google Maps-esque city block that had green points to the known hot spots that are available either for free (such as those owned by good Samaritans who do not secure their WiFi access) or for pay, with access information provided for that location. I saw two long-term problems: first, WiMAX, which is able to provide Internet access to people for miles within its range. There is already discussion all over the Internet as to whether this technology will eventually make WiFi obsolete, negating the need to find “hot spots” for a group of friends. Taiwan is already testing an island-wide WiMAX project. The second problem is if good Samaritans are more easily located, instead of just happened-upon, how many will keep their WiFi access free? It has already become more difficult to find people willing to contribute to free Internet. Even in Tel Aviv, and elsewhere, I have come across several secure wireless users who named their network “Fuck Off” in an in-your-face message to freeloaders.

Another child of Vardi’s that the Brookings Institution might say was over-praised for self-esteem but lacking real accomplishment is AtlasCT, although reportedly Nokia offered to pay US$8.1 million for the software, which they turned down. It is again a map-based software that allows user-generated photographs to be uploaded to personalized street maps that they can share with friends, students, colleagues or whomever else wants to view a person’s slideshow from their vacation to Paris (“Dude, go to the icon over Boulevard Montmartre and you’ll see this girl I thought was hot outside the Hard Rock Cafe!”) Aside from the idea that many people probably have little interest in looking at the photo journey of someone they know (“You can see how I traced the steps of Jesus in the Galilee“), it is also easy to imagine Google coming out with its own freeware that would instantly trump this program. Although one can see an e-classroom in architecture employing such software to allow students to take a walking tour through Rome, its desirability may be limited.

Whether Vardi is a smart parent for his encouragement, or in fact propping up laggards, is something only time will tell him as he attempts to bring these products of his children to market. The look of awe that came across each company’s representative whenever he entered the room provided the answer to the question of Who’s your daddy?

Saturday, April 17, 2010

Journalist, counselor, painter, and US 2012 Presidential candidate Joe Schriner of Cleveland, Ohio took some time to discuss his campaign with Wikinews in an interview.

Schriner previously ran for president in 2000, 2004, and 2008, but failed to gain much traction in the races. He announced his candidacy for the 2012 race immediately following the 2008 election. Schriner refers to himself as the “Average Joe” candidate, and advocates a pro-life and pro-environmentalist platform. He has been the subject of numerous newspaper articles, and has published public policy papers exploring solutions to American issues.

Wikinews reporter William Saturn? talks with Schriner and discusses his campaign.

Monday, September 23, 2013

Over the past week, diplomatic actions have averted — or, at least delayed — military strikes on Syria by the United States. Wikinews sought input from a range of international experts on the situation; and, the tensions caused by Russia’s support for the al-Assad regime despite its apparent use of chemical weapons.

File:Ghouta chemical attack map.svg

Tensions in the country increased dramatically, late August when it was reported between 100 and 1,300 people were killed in an alleged chemical attack. Many of those killed appeared to be children, with some of the pictures and video coming out of the country showing — according to witnesses — those who died from apparent suffocation; some foaming at the mouth, others having convulsions.

Amongst Syria’s few remaining allies, Iran, China, and Russia continue to oppose calls for military intervention. In an effort to provide a better-understanding of the reasoning behind their ongoing support, the following people were posed a range of questions.

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