Wednesday, March 5, 2014

In the past few days, tension has been increasing due to conflict between Ukraine and the Russian Federation which has led to the United States, the United Kingdom, and France increasing pressure on Russia to remove their troops from Crimea.

Wikinews interviewed specialists in Russian foreign policy and specialists in international law about the legality of Russia’s actions and the consequences of any sanctions imposed by G7 nation economies.

Wednesday, December 31, 2008

What would you tell your grandchildren about 2008 if they asked you about it in, let’s say, 20 years’ time? If the answer to a quiz question was 2008, what would the question be? The year that markets collapsed, or perhaps the year that Obama became US president? Or the year Heath Ledger died?

Let’s take a look at some of the important stories of 2008. Links to the original Wikinews articles are in all the titles.

Wednesday, October 15, 2008

At least 10% of the increase in Medicare expenditures since the mid-1990s is due to increased rates of one type of elective surgery, according to a recent study, and many of the patients may not need it. University of California, San Francisco found that only 44% of patients who undergo an elective cardiac surgery called angioplasty get the recommended test to determine whether the procedure is appropriate.

As a result, patients may be receiving a procedure that they either do not need or for which the risk outweighs the benefit. The operation opens partially clogged arteries in patients with heart disease and the annual rate of elective angioplasties has tripled in the United States during the last decade.

Angioplasties are currently being performed at a rate of over 800,000 per year in the U.S. The average cost was $44,110 per procedure in 2004. Since the operation tends to be performed on older Americans, Medicare covers most patients and compensates US$10,000 to $15,000 for each case.

Reuters reporter Julie Steenhuysen writes that angioplasty is “big business for medical device makers including Boston Scientific Corp, Medtronic Inc, Abbott Laboratories Inc and Johnson & Johnson”. Dr. Raymond Gibbons, a professor of medicine who specializes in cardiology at the Mayo Clinic in Rochester, Minnesota, criticizes the current U.S. health care system for compensating doctors based upon procedures performed rather than for following recommended practices.

A stress test in which the patient walks on a treadmill is recommended to determine whether a partial obstruction impairs heart function. Although not all patients who need angioplasty are strong enough to undergo the stress test, UC San Francisco researchers were surprised that testing preceded so few of the surgeries.

Professor of medicine Dr. Rita F. Redberg told U.S. News and World Report, “We didn’t expect to find 100 percent, but we expected a much higher percentage than 44”. Dr. Redberg co-authored a report on the findings for the Journal of the American Medical Association this month.

Dr. Grace Lin, another co-author of the study, noted: “What really matters is whether or not that blockage is affecting blood flow to the heart. That is why the stress test is important.” Their research analyzed over 23,000 Medicare cases and over 1,600 commercial insurance cases.

American Heart Association president Timothy Gardner called the study “a good wake-up call” to remind medical doctors to make sure they do not perform unnecessary procedures. Dr. Gardner regards the study as evidence that many unnecessary angioplasties are being performed.

The study found great variation in the rate of stress testing. Geographic areas ranged from 22% to 76% with the highest rate of testing in the Northeastern and Midwestern states. Testing rates also varied by gender, with men more likely to receive a stress test than women, and by other factors including the age of the physician. Dr. Gibbons points to some of these variances as indications that some physicians may be performing angioplasties indiscriminately.

Not all physicians agree. Although the various types of stress testing usually cost a few hundred dollars instead of tens of thousands, the chief cardiologist at University of Wisconsin Hospital and Clinics Dr. Matthew Wolff notes that stress tests yield false negative results in about 10% of cases. In his opinion, doctors who rely on stress tests “are going to be missing people with severe disease.” Although he agrees that some angioplasties are unnecessary, he contends that the new study does not offer a solution to the dilemma.

The American College of Cardiology plans to release new guidelines soon to help doctors determine when a stress test is appropriate, yet the payment system lacks a financial incentive to abide by testing guidelines. Dr. Eric Topol of Scripps Translational Science Institute in La Jolla, California noted the underuse of stress tests in a study of private insurance records 14 years ago. Dr. Topol agrees that testing guidelines “should be much more clear-cut”, and adds that stress tests ought to be performed annually. “You can do a stress test every year to be sure things are normal. That is an important baseline that is being ignored all too frequently.”

Cardiologist, Dr. Anthony DeFranco of Aurora St. Luke’s Medical Center, considers stress testing to be appropriate in at most 65% of cases, since a substantial minority of patients have other health problems that prevent them from undergoing the test.

Monday, April 11, 2005

Anna Ayala, the Las Vegas woman who claims to have found the notorious “chili finger” at a Wendy’s outlet in San Jose, California, has filed lawsuits against other businesses, according to researchers at the Associated Press. Her previous court battles included the national El Pollo Loco chicken-chain, a previous employer, and even General Motors.

Ayala successfully won her suit for medical expenses against El Pollo Loco, after her daughter Genesis contracted salmonella poisoning from eating at the restaurant. However, Ayala lost another suit in 2000 claiming that a wheel fell off her car.

Ayala’s original account of the incident spoke “emotionally and with disgust” to the San Jose Mercury News when she described it to the paper.

“Lies, lies, lies, that’s all I am hearing. They should look at Wendy’s. What are they hiding? Why are we being victimized again and again?” Ayala recently told The Associated Press. Ayala is now in her Las Vegas home, avoiding reporters.

“It doesn’t prove anything,” family spokesman Ken Bono told the San Francisco Chronicle. “My mom has 10 lawsuits. A lot of people have lawsuits. Why would she sue for money? She has plenty of money,” he said.

Nick Muyo, a spokesman for the San Jose Police department, said not to expect new information in the case for at least a week.

“We just want to step back and take a deep breath,” Muyo told Knight Ridder Newspapers. “From a law enforcement point of view, once you establish it is a human finger, you have to wonder is this a case of industrial accident or is this a case of unreported homicide,” he said.

Las Vegas police searched Anna Ayala’s home on Wednesday, retrieving a cooler and other effects from her home, such as a makeup case.

Despite the incident, which has dramatically reduced sales at Northern California Wendy’s outlets, die-hard Wendy’s fans are still turning up for lunch, even at the outlet where the finger was found, at 1405 Monterey Highway, just south of downtown San Jose.

“We’ve eaten here for years,” a police officer told the San Francisco Chronicle under the condition that he remain anonymous. “They’re very nice people. When we work Spartan Stadium, we always eat here,” he said.

San Jose City Council candidate Andrew Diaz still eats the chili. And he witnessed the finger discovery.

“I walked away real slow,” Diaz told the San Francisco Chronicle. “I didn’t want any commotion,” he said.

Monday, January 7, 2019

United States President Donald Trump said on Friday he can and may declare a national state of emergency, which he said would allow him to act without approval from Congress and allocate funding for the construction of a wall along the country’s border with Mexico. The US government is currently partially shut down because the president and Congress could not agree on a national budget. The President insists that the budget include funding for the wall, which was one of his campaign promises, but Congress has not passed his proposed budget.

Trump said on Friday “I can do it [call a national emergency] if I want. I may do it.” Trump also said that he would prefer to agree a solution with the opposition. He also said, “I never threaten anybody.” He also claimed that the wall was a crucial part of America’s border security. The Vice President, Mike Pence, said on Friday the United States is “in the midst of a crisis on our southern border.” Nancy Pelosi, the Speaker of the House, said on Friday “We are committed to keeping our border safe. We can do that best when government is open. We made that clear to the president.”

The Senate Minority Leader, Chuck Schumer, said on Friday “We made a plea to the president once again: don’t hold hundreds of thousands of federal workers hostage” and “So we told the president we needed the government open. He resisted.”

Senate Minority Whip Dick Durbin and incoming chair of the House Intelligence Committee Represenative Adam Schiff both yesterday questioned the President’s power to do as he proposed. Schiff called it “a non-starter”. Durbin said “I can just tell you, I don’t know what he’s basing this on, but he’s faced so many lawsuits when he ignores the law and ignores tradition and precedent and just goes forward without any concern”.

President Trump claims he would be okay if the impasse over the shutdown went on for “years.” This lockdown started on December 22, last year. Some museums, the National Zoo, and immigration courts have shut, with some people working in still-open services without pay. The Internal Revenue Service website advises citizens to continue paying their federal taxes. Some services are still open, including medical services Medicare and Medicaid. Federal courts are relying on non-government sources, like court fees, for funding.

Friday, September 22, 2006

Two weeks after Chinese surgeons successfully transplanted a donated penis onto an unidentified 44-year-old man, they were requested to remove it. Despite functioning perfectly and having been physically accepted by the body, the patient and his wife asked for the penis to be amputated, due to the severe psychological trauma they had both suffered.

A team of surgeons led by Dr Hu Weilie took 15 hours to attach the penis, which was donated by the family of a 22-year-old brain-dead patient. Doctors have successfully re-attached patients’ own severed members in the past, but this was the first use of a second-party penis.

The psychological rejection of the penis is not unusual from a medical point of view; in 2001 surgeons removed the world’s first transplanted hand from donee Clint Hallam, who wanted the “hideous and withered” hand to be removed because he had become “mentally detached” from it. The team that led the transplant have since performed the world’s first double arm transplant.

Monday, January 16, 2006

The Free Software Foundation released the first draft for the next version of the GNU General Public License at the International Public Conference for GPLv3 in Cambridge, Massachusetts, USA, today. The revisions mark the first changes to the GPL since the second version was released in 1991.

According to Richard M. Stallman, the president of the Free Software Foundation, the most significant change to the license are changes to allow GPLv3 to be compatible with other popular free software licenses, notably the Apache Software License 2.0 and the Eclipse license. A second significant change, according to Stallman, is the addition of a clause prohibiting the use of GPL software for Digital rights management (DRM), “something for which there can never be toleration.”

As of noon EST today, the license is available in draft form on the Free Software Foundation’s website. The conference about the license, which continues now and into Tuesday, is being held in Building 10, Room 250, on the campus of the Massachusetts Institute of Technology. Approximately 200 people attended the morning session of the conference, during which Eben Moglen gave what he called a “quick” 90 minute overview of the license changes.

While Moglen’s presentation covered a great deal of legal detail, it was not without levity. When the cell phone of Dave Turner, an FSF staff member sitting in the front row, rang during Moglen’s speech, Stallman broke in, requesting of the audience, “If you have brought in a portable tracking and surveillance device, you should turn it off,” before making other remarks about the police.

The crowd at the conference included a large number of free software celebrities, including Bruce Perens, Andrew Tridgell, and Chris diBona. According to Wikinews reporter Brandon Stafford, it seemed that IBM and Sun were the corporations with the most employees present. Representing the companies were Bob Sutor, Craig Cook, and Mark Brown from IBM and Simon Phipps and Doug Johnson from Sun. Also in attendance were representatives from Intel, Redhat, MySQL AB, Hitachi, and Qualcomm, among others.