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.

Thursday, September 15, 2011

A rash of wildfires in Texas in recent days has left many fire departments stretched thin on resources. Officials say firefighters handled over 18,000 wildfires in the state thus far in 2011; in a recent week there were nearly 200. President Obama declared Texas a disaster area recently.

A number of wildfires around the state have struck near or even within populated areas. One of the worst fires yet struck near the city of Bastrop. That fire alone destroyed 45 square miles of land and over 700 residences, according to the Texas Forest Service.

Wes Johnston, a captain with the Chandler Fire Department, told Wikinews that earlier this month, his department spent 7 hours extinguishing a single blaze near Brownsboro. Captain Johnston, who is also an accountant, explained that the excessive number of fires has placed stress on his department’s ability to cope with the demands. “Most volunteer fire departments [depend on] donations, completely; and donations have been down due to the economic conditions.” He went on to describe how fuel and maintenance costs put further strain on most departments’ ability to function effectively. “Even the cities have a set budget, for the paid departments, so they don’t factor in a’ lot of the variables for these types of incidents.”

Some volunteer firefighters in the eastern part of the state have averaged 2–3 hours of sleep per night recently, due to heavy demands. Even spouses of some firefighters have voiced concern over workloads.

Wednesday, October 17, 2007

Vernon Bellecourt, once the primary spokesperson for the American Indian Movement, died recently at age 75. Bellecourt, an Ojibwa who fought for Native rights, was perhaps best known for his opposition to Native names and mascots for sports teams.

First in the headlines in 1972, Bellecourt organized a cross-country caravan of the Movement, to Washington. Once there, members of the group occupied the Bureau of Indian Affairs offices. His goal of international recognition for Aboriginal nations and their treaties found him meeting with figures like Libyan Colonel Muammar el-Qaddafi, and Palestine’s Yasir Arafat. In 1977 Leonard Peltier was convicted and sentenced to two consecutive life terms for the murder of two FBI Agents during a 1975 shoot-out on the Pine Ridge Indian Reservation; Bellecourt led the campaign to free him.

Most recently, he visited Venezuelan President Hugo Chávez, to discuss getting free or cheap heating oil for reservations.

His work as president of the National Coalition on Racism in Sports and Media made a much wider known mark, though. Bellecourt emphasized that he believed such names perpetuated racial stereotypes, clouding the real identities and problems facing natives.

Teams with native-related names could almost guarantee on Bellecourt showing up at major games. He twice burned an effigy of Chief Wahoo, the Cleveland Indians baseball team mascot, and both times was arrested. When the Washington Redskins of the National Football League made the Super Bowl, Vernon was there to protest. The United States Commission on Civil Rights was critical of such names by 2001, calling them “insensitive in light of the long history of forced assimilation”. Some newspapers have stopped using the names of teams with Native origins.

None of his “big four” targets have shown any indication of changing: the Washington Redskins, the Kansas City Chiefs, the Cleveland Indians or the Atlanta Braves.

Post-season use of American Indian mascots were banned by the National Collegiate Athletic Association in 2005, suggesting the names are “hostile or abusive”. Bellecourt was pleased with the NCAA sanctions, but suggested such actions were only going “half way”.

The Florida State Seminole and the Illinois Illini were among the 18 colleges affected by the ban. Florida president T.K. Wetherell threatened legal action in response. The Florida Seminole tribes have endorsed the University’s usage of the name, but some out-of-state tribes were “not supportive”, according to the NCAA vice president for diversity and inclusion.

Born WaBun-Inini, Bellecourt died from complications of pneumonia on October 13, in Minneapolis, Minnesota, United States.

Tuesday, August 23, 2016

The following is the third edition of a monthly series chronicling the U.S. 2016 presidential election. It features original material compiled throughout the previous month after an overview of the month’s biggest stories.

In this month’s edition on the campaign trail: two individuals previously interviewed by Wikinews announce their candidacies for the Reform Party presidential nomination; a former Republican Congressman comments on the Republican National Convention; and Wikinews interviews an historic Democratic National Convention speaker.

Friday, April 18, 2008

The Finnish National Bureau of Investigation yesterday released 600 pages of the 2,000 page final report into the Jokela school shooting. 18-year-old Pekka-Eric Auvinen opened fire at Jokela High School, killing eight before turning his gun on himself, receiving fatal wounds.

The remaining 1,400 pages of the report are to remain confidential. The public section reveals a number of problems that may have impacted on Auvinen’s decision to conduct the attack, but says that police failed to find any conclusive motive. Also released was an animation depicting events at the school.

The report says Auvinen had been bullied since the age of ten and concludes the extent of this problem was greater than previously thought. Auvinen suffered from anxiety and blushing, especially in lessons, and had been diagnosed with a panic disorder, for which he had been prescribed medication. Auvinen also suffered from sleep disorders and loneliness, and had few friends, although one former bully did go on to become a good friend of Auvinen’s. His mother said inability to settle on a suitable ideology contributed to Auvinen’s depression.

His parents had noticed and reacted to the bullying problem, but their intervention only served to worsen the situation. According to entries in Auvinen’s diary, he first began planning the shooting – which he gave the English name “Operation Main Strike” – about eight months prior to actually conducting the shooting.

Auvinen had told his mother that under certain circumstances he could approve of violence. He had often viewed web sites promoting violence and had a number of online contacts whom he discussed his ideas with. One of these was a United States teen arrested for planning a similar attack, and two others discussed the Columbine High School Massacre with him and traded videos they found online. However, there is no evidence he informed anyone of his plans until immediately prior to the attack.

The report called Auvinen a moderately good student, but noted his mental problems had impacted his performance at school. He had been interested in politics from an early age, being involved with the Centre Party, the Social Democratic Party, the Left Alliance, and the Finnish Communist Party.

“In the best case, this (attack) would create massive destruction and chaos, or even a revolution,” read one diary entry. “In any case, I want this to be remembered forever. Maybe I’ll even have a follower; after all, I am a super-person, almost God.” Another revealed he intended to “kill as many of you bastards as possible”. His diary also reveals he was aware he would be dead by the end of the attack.

He obtained a .22 calliber handgun which he named Catherine, having been denied a license for a 9mm gun, and submitted his plans online – including to YouTube – just 14 minutes prior to firing his first shots, having cycled to school. It was determined that, given the time-frame, there was little that could have been done by anyone who saw the material to prevent the attack. He fired 75 shots, 50 of which struck his eight fatally wounded victims, who were apparently chosen at random. Thirteen others were injured in the event.

The deceased were six students, the school headmistress and the school nurse. Auvinen shot at each several times in the region of the head and upper torso. He ultimately shot himself in the school toilet, and died in hospital from head wounds ten hours later, having never regained consciousness.

Police could not determine why he chose the date he did, although it was noted his online relationship with a foreign girl had ended just days before. It was also determined little could be done to predict and prevent future incidents, although one measure being sought is to require medical checks for gun licences and parental consent for prospective owners under 18.

The confidential section of the report discusses causes of death and police operations.